Anatomic basis for an algorithmic approach for free fibula flap donor side selection in composite oro-mandibular defects.

Introduction: Head and neck oncological resections may result in composite oro-mandibular defects involving the oral mucosa (lining), mandibular bone and the skin (cover). Reconstructive options for such defects have evolved over a period. Free fibula flap reconstruction is currently accepted the world over as the gold standard for oro-mandibular defect reconstruction.

Spontaneous rupture of incisional hernia-a case report.

Spontaneous rupture of an abdominal hernia is very rare and usually occurs in incisional or recurrent groin hernia. The rupture of abdominal hernia demands emergency surgery, to prevent further obstruction, strangulation of bowel and to cover its contents. The hernial contents can be covered primarily by mesh repair if the general condition of the patient and local condition of the operative site allows or can be covered by skin followed by delayed mesh repair.