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Objective: This prospective study was designed to see the outcomes in two different types of surgical repairs (suture or mesh) of primary ventral hernia. Methods: A total of 70 adult patients under went for elective primary ventral hernia suture or mesh repair at surgical unit-I of Peoples Medical College Hospital Nawabshah and Surgical Unit-I from March-2010 to Feb-2016 were included in this study on the basis of inclusion – exclusion criteria. Patient’s demographic characteristics, operative details, post-operative out-comes (complications and recurrence) were studied. Results: A total number of 70 consecutive patients having primary ventral hernia under went for an elective open repair either with suture (32/45.7%) or synthetic mesh (38/54.3%) were evaluated in this study. Among these patients 52 (74.2%) and 18 (25.8%) were female and male respectively, with mean age of 51.5 ± 12. A total of 3(7.89%) patients had recurrence with Mesh Repair and 06(18.75%) with suture repair at 3 years follow-up, p-value = 0.176. Conclusion: The mesh repair in ventral hernia has low wound complications and less recurrence of the hernia when compared with suture technique.

Objective: The objective of this study was to find out frequency of anastomotic leak at a hospital and deplore the morbidities, duration of hospital stay.Methods: A total of 102 patients of both genders from 18 – 60 years in age underwent for bowel resection and anastomosis through laparotomy incision at surgical unit one of People’s University of Medical & Health Sciences, Nawabshah, from January 2013 to December 2016 were enrolled in this cross-sectional study. Every patient received appropriate antibiotics for duration according to need post-operatively. Follow-up was every fortnightly for four months to evaluate the primary outcome as prevalence of leak and secondary outcome as morbidities, length of hospital stay incisional hernia and mortality.Results: The results showed that, out of 102 patients underwent open primary hand sewn gastro intestinal anastomosis, 16 (15.68%) were found with anastomotic leak. Among these 16 patients having anatomic leak, 11 (11%) were male & 5 (5%) were female. While, mortality occurred in 05 (5%%) patients.Conclusions: Anastomotic leak following gastrointestinal anastomosis is less complication in this study. Further studies are requested with large data and more follow-ups to ensure the findings of this study at national level.