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Introduction; Inguinal hernia repair is one of the most commonly performed surgical procedures in the world. Most surgeons now prefer to perform a tension-free mesh repair. The Lichtenstein tension-free hernioplasty is currently one of the most popular techniques for the repair of inguinal hernias. The aim of this retrospective study was to evaluate the results of inguinal hernia repair using Lichtenstein the technique or free mesh tension over a period of two years.

Materials and Methods: Four hundred and twenty-nine patients were administered at the University Hospital of Trauma, Tirana, Albania, who underwent inguinal hernia repair with the Lichtenstein-free-tension surgery technique from April 2016 - March 2018, were evaluated retrospectively in relation to demographics, recurrence, and postoperative complications. Follow-up data were taken from hospital schedules, and recurrence and late complications were assessed in the telephone interview.

Results: In our study, the total number of inguinal hernia patients was 542 patients from these 514 were (94.84%) male and 28 (5.16%) were female. The mean age was 46, 12 years (ranging from 14-92 years). Our study recorded Inguinal Hernia on the right side in 303 (55.9%) patients, on the left side in 156 (28.7%) patients, and 83 (15.4%) patients had bilateral. We have recorded 429 (79.3%) patients, who were treated with mesh (according to Lichtenstein), and 113 (20.7%) patients, who were treated without mesh (according to Bassini, Shouldice, Desarda technique). Our study included 429 patients, their ages ranging from 22 to 92 years with an average age of 45 years, and 381(88.8%) were male and 48(11.2 %) were female with a male-female ratio of 7.9:1. (Tab.1) This gender difference was statistically significant (P = 0.004).

Conclusion: In this study shows that Tension-free hernia repair introduced by Lichtenstein remains the gold standard in an open inguinal hernia, it is a common condition among men that increases substantially with aging, and medial and lateral hernias both have common and different etiologies. Risk factors to develop both lateral and medial hernias are older age, and it is a safe and feasible surgery method with respect to 1.8% recurrence and 16.5 % overall postoperative complication rate.

Keywords: Inguinal hernia; Tension-free technique, Lichtenstein; complications.

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Background: Abdominal incision hernia is a common complication of abdominal surgery. Despite significant improvements in medical technology and healthcare, an increasing number of patients are also benefiting from complex surgical procedures.

The objective of this study was to analyze the risk factors for incisional abdominal hernias and to identify measures that could reduce the incidence of this complication.

Material and methods: All patients included in the study are from the University Hospital of Trauma for a period of 3 years, from January 1, 2015, to December 31, 2017. Eighty-seven adult patients who underwent surgical repair of incisional abdominal wall hernia were enrolled. Variables that are compared in this study include the type of suture material, type of suture technique and concomitant diseases .etc.

Results: According to our study the risk factors for incisional hernia are related to patients and the abdominal surgery used, and the size of the abdominal wall defects.

Conclusions: Risk factors such as the size of the defect, wound infection, obesity, use of steroids and chronic constipation have great importance and have to be strictly evaluated as they have more chances to lead to a possible recurrence…

Keywords: incisional hernia, Risk factors, wound infection…

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Introduction: Mesenteric cysts are very rare pathologies characterized by a diverse clinical picture depending on their location and size.

Case report: We accepted a 63-year-old woman in the Department of General Surgery at the Clinical Hospital in Tetova because of generalized abdominal pain, which had lasted for more than six months. The patient's main complaints were nausea, vomiting, anorexia, abdominal distension, and, more recently, difficulty in defecating. Promptly, after admission to our clinic, we conducted an ultrasound and CT of the abdomen, which revealed a giant cystic mass in the mesentery. Through an open laparotomy, we performed the complete excision of the cystic mass.

Conclusion: Cystic mesenteric formations are very rare pathologies in the practice of general surgery. In the case of a giant cyst, complete excision remains the best form of treatment.

Keywords: giant, mesenteric cyst, excision