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Introduction/Objective. Altered physiology and metabolism of obese patients represents a big challenge for the anesthesiologist. The objectives of the study are to investigate numbers of comorbidities, choice of anesthesia techniques, intraoperative, and postoperative complications between bariatric and non-bariatric patients. Methods. This retrospective study included 469 patients. The study group of patients included obese patients with body mass index ≥ 30. Control Group included patients in whom elective laparoscopic cholecystectomy was performed, on the same day as bariatric surgery in Control Group. Results. The study group included 235 patients who underwent bariatric surgery, while control group included 234 patients. More patients in study group had comorbidities compared with Control Group (84.4% vs. 63.2%, p < 0.001). In the study group, total intravenous anesthesia and target control anesthesia were statistically significant more delivered than in the Control Group (74% vs. 0.9%, p < 0.001; 7.2% vs. 1.7, p < 0.001, respectively). Difficult intubation was statistically significant more in Control Group (5.6% vs. 0.9%, p = 0.004). There was a statistically significant difference in the incidence of intraoperative desaturation and hypotension during induction of anesthesia between the study and Control Group (9.8% vs. 2.1%, p < 0.001; 14.5% vs. 2.1, p < 0.001, respectively). There was statistically significant difference between the study and control group in minor complication according Clavien–Dindo classification, (20.8% vs. 5.1%, p < 0.001). Conclusion. Obesity is associated with higher number of comorbidities and intraoperative complications. There was no statistically difference in major postoperative complications between bariatric and non-bariatric patients.

Purpose: Management of giant inguinoscrotal hernia (GIH) is still a challenging procedure associated with a higher risk of intraabdominal hypertension and abdominal compartment syndrome as a life-threatening condition. The aim of the study was to present our management strategy for GIH., Methods: This is a retrospective review of a case series including 24 consecutive patients with 25 GIH who underwent reconstructive surgery from January 2006 to June 2023, at the University Clinic for Digestive Surgery and Hernia Center Zuvela. A combined surgical strategy was applied: the modified Rives repair for groin hernias alone, Rives combined with organ resection to reduce hernia contents, and Rives combined with procedures for abdominal cavity enlargement. A surgical approach was defined based on the patient's general health, the volume of the hernia sac, and perioperative parameters., Results: All patients were male aged between 43 and 82 years. Rives was the only procedure in 12 patients. In addition to Rives, omentectomy was performed in four patients and intestinal resection in one. Abdominal cavity enlargement was performed following Rives hernioplasty in 9 patients. The median operative time was 215 min (range, 70-720). Surgical complications occurred in seven patients. In-hospital mortality was 12.5%. There was no groin hernia recurrence., Conclusion: Our strategy is a single-stage treatment including modified Rives repair with or without additional procedures for abdominal cavity enlargement or hernia volume reduction, tailored to the individual patient characteristics. The procedure is associated with a higher risk of major morbidity requiring a well-trained intensive care unit team., Competing Interests: Declarations. Conflict of interest: The authors have no related conflicts of interest to declare. Ethical approval: The study was approved by the institutional review board. Consent to participate: Informed consent was obtained from all study subjects., (© 2024. The Author(s), under exclusive licence to Springer-Verlag France SAS, part of Springer Nature.)