Laparoscopic inguinal hernia repair: audit of our experience with laparoscopic trans-abdominal pro-peritoneal repair (TAPP).

Several laparoscopic procedures have successfully passed the stage of feasibility assessment and are currently under scrutiny with regard to indications. Laparoscopic repair of inguinal hernia is a typical example of such investigations, being mostly recommended only for bilateral and recurrent hernias at the moment. We performed an audit of our experience with 100 consecutive laparoscopic trans-abdominal pro-peritoneal repairs (T.

[Subtotal splenectomy for large splenic cyst].

Fulminant sepsis described in childhood has long stimulated surgeons to attempt partial or total preservation of the spleen when possible. Persistence of splenic tissue ensures preservation of the immunological competence of the organ. Total splenectomy ought to be avoided in the first 10 years of life; in subsequent years an attempt to partially preserve the organ is to be recommended.

[Mirizzi syndrome: a case report].

Mirizzi syndrome is a rare biliary disease caused by compression on the common bile duct by a stone located in the gallbladder or cystic duct. In rare cases an association with gallbladder carcinoma has been described. The pathogenesis seems ascribable to long-term stasis of stones that causes worsening compression on the common bile duct.