INTRODUCTION: Ventral hernia is a challenging surgical problem. Occult ventral hernia defects contribute to the relatively high recurrence rate after open surgical repair.METHODS: 44 patients underwent comprehensive physical examination, CT scan, and laparoscopy for ventral hernia. Hernia defects were mapped using all three methods and the results were compared. Descriptive statistics were used to analyze… Continue Reading
Background: Parastomal hernia is a common complication of stoma formation that has been reported in more than 50% of patients on long-term follow up. Multiple techniques have been described, but there is an absence of a consensus on the most advantageous method to repair parastomal hernia.We propose a modification of a laparoscopic technique, which combines… Continue Reading
Fibrin Sealant (Tissucol) Enhances Tissue Integration of cPTFE Meshes and Reduces Early Adhesion Formation in Experimental IPOM Repair
AbstractBackground: The laparoscopic intraabdominal peritoneal onlay mesh repair (IPOM) is a common technique for the reinforcement of multiple ventral hernias or defined defects after laparotomies. However, the placement of synthetic meshes in the intraabdominal cavity can be associated with severe complications. Adhesions frequently originate from the implant and protruding parts of fixation devices, presenting a… Continue Reading
Minimally traumatic suture transfixation can decrease Suture Site Pain (SSP) and inflammation (SSI) in Laparoscopic Ventral Hernia Repair (LVHR) – a Randomized Controlled Study.
Objectives of study :SSP and SSI have been attributed to tying of sutures & trauma due to suture passer. Aim of this study was to evaluate the benefit of passing transfixating sutures with the help of disposable thin Spinal Needles versus reusable Suture Passes which is much thicker & gets blunted with repeatd use.Methods and… Continue Reading
INTRODUCTION: The high recurrence rate of conventional open repair in the treatment of ventral hernias has caused a paradigm shift in its treatment to the laparoscopic approach. MATERIALS & METHODS: Our single centre series involves a retrospective review of 80 consecutive patients who underwent laparoscopic ventral hernia repair (LVHR) from 2001 to 2006. RESULTS: The… Continue Reading
INTRODUCTION: The benefits of the laparoscopic approach in inguinal hernia surgery are most evident when performed for bilateral cases. A single surgery to address bilateral pathologies would be practical and cost efficient. MATERIALS & METHODS: Our single centre series involves a retrospective review of 74 consecutive patients who underwent endoscopic totally extraperitoneal (TEP) repair for… Continue Reading
Introduction: Incisional lumbar hernia is an uncommon hernia type associated with lumbar incisions for nefrectomy, aortic aneurysm repair, bone resection on the iliac crest, or latissimus dorsi myocutaneous flaps. Open surgical procedures have significant postoperative morbidity and patient dissatisfaction.Patients and Methods: From May 2003 to August 2005, 7 patients (5 female, 2 male) with lumbar… Continue Reading
INTRUDUCTION:Compared to the open technique, laparoscopic ventral hernia repair (LVHR) has lower rates of complications, recurrence, greater patient acceptance, and shorter hospital stay. Although the choice of mesh material is still evolving, concern about the formation of intraperitoneal adhesions to the viscera has limited the use of polypropylene (PP) for laparoscopic ventral hernia repair. The… Continue Reading
Laparoscopic Completely Extraperitoneal Repair of Inguinal Hernia in Children; A Single Institute Experiences with 1,257 Repairs in Comparison with Cut-down Herniorrhaphy.
Aim of the study: Conventional open herniorrhaphy in children has been reported to have 2~3% recurrence and 10~20% postoperative contralateral hernia rates. We developed a unique technique to achieve completely extraperitoneal ligation of patent processus vaginalis (PPV) without any skip areas, sparing the spermatic cord and vessels under laparoscopic control. Our technique should be theoretically… Continue Reading
INTRODUCTION: This case series reviews the results of our new, modified technique for repair of inguinal hernias (IH) in children.METHODS: This is a retrospective case series of one surgeon during the period of January to August 2007. A total of 32 IH were repaired laparoscopically in 28 patients (5 girls, 23 boys, median age 3… Continue Reading
A Paradigm Shift in Ventral Hernia Repair. Laparoscopic Component Separation During Laparoscopic Ventral Hernia Repair.
Component separation is an important technique in the repair of ventral hernias because it allows restoration of the normal anatomic relationship of the rectus muscles while maintaining a tension-free repair. Our group has previously reported on fully laparoscopic component separation as an important tool in the repair of ventral hernias. This technique allows for protection… Continue Reading
Background: The surgical preference for inguinal hernia repair is still under debate and discussed controversial. Short- and long-term results are based on data of different surgical trials with diverse results. In this retrospective study the long-term results of the transabdominal preperitoneal (TAPP) hernia repair and the Lichtenstein technique were compared.Method: Between 2000 and 2005, the… Continue Reading
Introduction: The high rate of coincident or missed femoral hernias while or after mesh herniorrhaphy suggest is systematic search. We present our findings and results using the laparoscopic preperitoneal approach (TEP). Methods: Between April 2001 and February 2007, patients undergoing inguinal hernia repair were entered into a prospective database. The nature of their hernias in… Continue Reading
The Incidence of Occult Fascial Defects Discovered in Laparoscopic Ventral Hernia Repairs in 374 Patients
Objective: One aspect unique to the laparoscopic ventral hernia repair (LVHR) is the visualization and repair of occult fascial defects not recognized during open repairs. This recognition of occult fascial defects leads to wider mesh coverage of the areas that would likely go undetected (and un-repaired) at the time of open surgery. This study reviews… Continue Reading
Morbidly Obese Patients Do Not Have Increased Incidence of Early Recurrence After Laparoscopic Ventral Hernia Repair
INTRODUCTION: Previous studies have raised concern that morbid obesity is associated with a markedly increased risk of recurrence after repair of ventral hernias. This study compared the incidence of early post-operative recurrence after laparoscopic ventral hernia repair in morbidly obese patients and non-morbidly obese patients.METHODS: Case notes were reviewed for consecutive patients who underwent laparoscopic… Continue Reading