British Journal Of Surgical Science

Outcomes of Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair: A Narrative Review

D Coco — 2026-03-15

This narrative review evaluates the results of transabdominal preperitoneal (TAPP) inguinal
hernia repair, focusing on a comprehensive analysis of postoperative complications, morbidity,
and mortality rates. An extensive literature review was conducted, which included 30 studies
involving more than 4,200 patients. The overall complication rate was discovered to be 8.5%,
with specific complications such as chronic pain (3. 5%), seroma formation (2. 1%) and recurrence
(1. 5%). The mortality rate associated with TAPP was found to be less than 0.1%. Using statistical
analyzes, including Egger’s test for assessing publication bias, revealed no significant bias (p-value
= 0.58). Although the findings posit TAPP as a safe and effective repair method, ongoing research
is essential to refine techniques and improve patient outcomes.

Challenging Management Of Pure Squamous Cell Carcinoma Of Gallbladder With Liver Metastasis: A Case Report

N Tilawatu — 2026-03-15

Pure squamous cell carcinoma of the gallbladder is a rare form of gallbladder carcinoma. The
presentation is either by accidental finding or with advanced symptoms. This case reported a
69-year-old man with a history of gallstone pancreatitis who presented with recurrent acute
cholecystitis, failed antibiotic treatment, and was treated with open cholecystectomy. Intraop-
eratively gallbladder was embedded in the liver bed with fundal perforation and multiple liver
nodules. Subsequently, we proceed with R2 resection due to the macerated fundal wall of the
gallbladder. Histopathological examination showed a squamous cell carcinoma of the gallbladder
with liver bed invasion. In view of poor ECOG status, the adjuvant treatment was abandoned.
The main aim for this case report is to discuss regarding the best treatment for this patient, as
limited data is available to treat this condition.

Cutaneous Flap Reconstruction In Anal Stenosis

Kh Farhan — 2026-03-15

Anal stenosis is a rare but impactful condition that can arise from various aetiologies, including
surgical trauma, inflammatory bowel disease, radiation therapy, and congenital malformations.
Treatment approaches vary based on severity, with surgical intervention often required for
moderate to severe cases ( 1). This case report presents a 52-year-old Chinese male who developed
severe anal stenosis following multiple perineal debridement procedures for a perineal abscess. A
House advancement flap and a Bipedicle flap were used to reconstruct the anal canal, leading to
significant symptomatic relief and functional improvement. This report highlights the importance
of flap-based reconstruction in managing complex anal stenosis cases (2)

Mucinous Adenocarcinoma Arising from Chronic Fistula-In-Ano: A Case Report

N Tilawatu — 2026-03-15

Mucinous adenocarcinoma of the fistula tract is a rare consequence of fistula-in-ano accounted
for approximately 2-3% of perianal cancers. Due to its rarity, no specific guidelines are available
on diagnostic modality and treatment of choice. Early diagnosis carries a good prognosis, but
most of the time, patients are presented with advanced stages of disease. Chronic and recurrent
perianal fistula and abscess often mask the malignant transformation, especially when the index
of suspicion is low. Diagnosis is ascertained by tissue biopsy and supported by imaging modality
such as MRI. Oncological resection with neoadjuvant or adjuvant radiotherapy and systemic
therapy is proven to have a benefit in a patient’s overall survival. This article reports a case of
mucinous adenocarcinoma of the fistula tract in a 61-year-old gentleman who had a previous
history of recurrent unresolved perianal sepsis and fistula.

Keywords: Perianal fistula, anorectal adenocarcinoma, fistula-in-ano.