Welcome to The SAGES Surgical WIKI

SAGES launched its member-generated Wiki in 2010 and it quickly grew into a resource accessed by more than 2,500 people/month seeking advanced and accurate definitions of all types of minimally invasive surgery and diseases treated by minimally invasive surgery.

As part of the recent overhaul to SAGES web properties, the SAGES Wiki has been moved to a new home on the SAGES site. In addition to moving more than 75 member-generated articles back to the main SAGES web site, we have also completely changed the way members can interact with the Wiki:

  • It’s easier than ever to become a contributor! Simply log in with your member account and head over the Wiki pages. Use the “Create A New Wiki” button on the right sidebar to add your own article.
  • If you see a way to improve an existing article, simply click the Edit tab at the top of the article and make your edits.
  • Want to discuss an article? All logged-in SAGES members can now comment on an article using the Discussion tab at the top of the article and post away.

Recommended Wiki: Laparoscopic Ventral Hernia Repair

Introduction A Ventral Hernia is defect in the anterior abdominal wall. Types of Ventral Hernias Ventral hernias comprise primary and acquired subtypes. Primary hernias commonly include umbilical and epigastric with secondary hernias including traumatic or incisional. Pathogenesis Primary hernias may be congenital especially at the level of the umbilicus where there is a defect from the umbilical cord. Incisional hernias are believed to be the failure of laparotomy closure with risks factors for hernia formation including wound infection, diabetes, increased intra-abdominal pressure, obesity, malnutrition, comorbid conditions, and medications such as steroids. There is also probably a genetic component with "hernia formers" which still has to be studied. Symptoms Patients complain of a bulge or pain related to the protrusion. Some patients complain of vague abdominal symptoms. In an acute situation, a ventral hernia may present with a bowel obstruction from incarcerated or strangulated bowel. Preop Operative Considerations Imaging including CT… Continue Reading »