Journal of Surgery

The authors based on the analysis of literature reports have concluded that the danger of intraabdominal complications after IPOM is exaggerated. Tension-free intraperitoneal plasty with synthetic endoprostheses in abdominal wall hernias is a simple and reliable surgical approach. The results of studies as well as the meta-analysis of the series presented in the Literature, indicate that the IPOM may be a feasible, safe and effective procedure in the treatment of recurrent and bilateral hernias or when a hernia repair is performed during other laparoscopic procedures. The IPOM has in fact been shown to be faster and easier than the other more commonly performed laparoscopic hernioplasties (TAPP and TEP). This data may also suggest utilizing this technique in particular cases of primitive hernia such as very active young males or heavy duty workers. However the limited series and the short follow-up ask for randomized prospective long term studies to definitely ascertain the true incidence of recurrence and therefore the effectiveness of this attractive procedure.

The majority of cardiac surgery in recent times has involved a median sternotomy and cardiopulmonary bypass. However, as the use of minimally invasive procedures in cardiovascular surgery increases, this paradigm is shifting. Surgeons now have the ability to carry out a wide range of intricate procedures with fewer incisions and, in some instances, without the use of cardiopulmonary bypass thanks to advancements in patient evaluation, instrumentation and surgical technique. Minimally invasive cardiac surgery ought to be widely practiced because patients want less invasive procedures and the literature supports reduced blood loss, shorter hospital stays, reduced postoperative pain and improved cosmesis. In this section, we discuss the various approaches and incisions currently utilized in minimally invasive cardiovascular surgery.

Women who seek breast augmentation have a high prevalence of breast asymmetries. However, it is unknown how common breast asymmetries are among women undergoing other kinds of breast surgeries. In a prospective plastic surgery database, the measurements of the breasts of consecutive women who were being evaluated for breast plastic surgery but had not had any prior breast surgery were recorded. They were arranged into three gatherings as per the introducing bosom issue: macromastia, ptosis and hypoplastic breasts Correlations were made between the right and left half of every patient with respect to the evenness of the areola complex (size and position), bosom hill and chest wall.