Human fibrin sealant (Tisseel) for hiatal mesh fixation in an experimental model in pigs
Introduction The fixation of hiatal meshes with perforating devices, such as tacks or sutures, can be associated with potentially life threatening complications1. Fibrin sealant (FS, Tissucol, Baxter Biosciences, Vienna, Austria) is successfully used for atraumatic mesh fixation in inguinal and incisional hernia repair2,3. The rationale of this study was to test the potential of FS… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
CT Mapping of Anterior Abdominal Wall Defects.
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Parastomal Hernia: A Modification of a Laparoscopic Technique
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Outcomes of Laparoscopic Ventral Hernia Repair
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Endoscopic Totally Extraperitoneal Repair for Bilateral Inguinal Hernias
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Transperitoneal Incisional Lumbar Hernia Repair
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The outcome of laparoscopic ventral hernia repair using intraperitoneal polypropylene mesh
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Inguinal Hernia Repair in Children with Transperitoneal Division of the Hernia Sac.
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
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Suprapubic Hernia Repair in the Overweight Population
Background: Laparoscopic suprapubic hernia repair (LSHR) is technically challenging, requiring difficult, dissection in the superior pelvis. Obesity creates an added complexity to the repair itself, and to the complications and recurrences that may develop.Methods: We retrospectively reviewed 22 overweight and obese patients who underwent LSHR by one surgeon between the years of 2005 to 2007.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
“Clinically Significant Reason for TAPPS over TEPPS?”
Introduction: Would the ability to diagnose unexpected secondary findings be a crucial factor to choose TAPPS over TEPPS? The primary surgeon of this abstract incidentally diagnosed a liver malignancy that prompted this question. Over the years, debate between the two approaches has been an on-going issue. Neither surgery has demonstrated definitive superiority over the other.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Minimally Invasive Approach to a ‘ Seatbelt Hernia’
A MINIMALLY INVASIVE APPROACH TO A ‘ SEATBELT HERNIA’.Elyssa Feinberg MD, Aksim Rivera MD, Suttatip Vechvitvarakul MD , Ajay K Chopra MD.Jacobi Medical Center, Albert Einstein College of Medicine, Bronx NYIntroduction: Traumatic abdominal wall hernias are often the result of improperly worn lap and shoulder seat belts. Most cases of traumatic lumbar/flank hernias described have… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Obesity Contributes to Recurrence after Laparoscopic Incisional Hernia Repair
Objective: Obesity is a known risk factor for the development of incisional hernias. Despite the widespread use of prosthetic mesh, recurrence rates for open repair in obesity remain high. The magnitude of mechanical force exerted on the abdominal wall in obese individuals may contribute to a higher than expected recurrent incisional hernia rate. Laparoscopic ventral… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Open Hernia Repair neccessity in Basic Surgical Training
Introduction With the increasing uptake of laparoscopic hernia repairs, there could be concern that the availability of this basic open training procedure will be less for the current cohort of trainees as consultants and experienced registrars are doing more hernia repairs laparoscopically. This study aimed to determine whether there was a reduction in trainee exposure… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias