[Internal herniationand ileus caused by intestinal malrotation and Ladd's band in an adult].

Midgut malrotation and internal herniation due to Ladd's band in adults is sparsely described. Due to the low incidence and the uncharacteristic symptoms, the diagnosis and treatment is often delayed causing increased morbidity. In this case report, a 68-year-old man was hospitalised with severe abdominal pain.

[Pre- and intra-operative methods of increasing abdominal compliance in surgery of ventral hernias].

Treatment of ventral hernias with "loss of domain" is a surgical challenge, and in this review, an overview of the current literature is presented. Abdominal compliance can be increased intra-operatively by performing component separation and/or organ reduction but leads to increased post-operative morbidity. As a result, preoperative methods, which increase abdominal compliance, are of interest: tissue expanders, progressive pneumoperitoneum, and botulinum toxin A.

Noninvasive detection and mapping of intraabdominal adhesions: a review of the current literature.

Background: Adhesions are a well-known and very common complication to surgery. Their extent and severity varies according to type and number of surgeries, use of intraabdominal mesh, and presence of peritonitis. Adhesions cause increased morbidity and mortality, with subsequent socioeconomic consequences.

[Adhesion after laparoscopic ventral hernia repair].

Four patients treated laparoscopically for ventral hernia (LVH) using W3 mesh (Cousin Biotech, France) and Protack (Tyco Healthcare, USA) were reoperated laparoscopically after 5, 6, 14 and 23 months for recurrent hernia (two cases) and a new hernia proximal to the primary mesh (two cases). In all patients we found adhesions toward the mesh and fixation devices that increased in severity and extent with time, rendering dissection difficult and dangerous. These findings cause concern and suggest that current validation methods for materials used in LVH should be re-evaluated.

[Laparoscopic mesh repair of incisional hernia].

Ventral hernias and their surgical treatment have long been a therapeutical problem. High recurrence and complication rates have caused surgeons to refrain from performing this type of surgery, often by enforcing strict indications for surgical management. With the introduction of laparoscopic mesh repair, we now have an effective and relatively simple and safe treatment modality at our disposal.

[Chest pain caused by pancreatic pseudocyst located in the mediastinum].

Mediastinal pancreatic pseudocyst is a rare condition, causing pulmonary, cardiac or oesophageal symptoms. We present a case of a mediastinal pancreatic pseudocyst in a 31-year-old male patient who was admitted on suspicion of having an acute myocardial infarction because of retrosternal pain. Diagnosis was achieved by CT scan, and the pseudocyst was treated by percutanous drainage.