Treatment of Femoral Hernias By a Single Surgeon: A Systematic Approach
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
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Transabdominal Preperitoneal (tapp) Vs Lichtenstein Primary Hernia Repair: Long-term Results
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
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Trans-gastric Ventral Abdominal Wall Placement of a Biologic Mesh
Introduction:We proposed a feasibility study to determine if biologic mesh may be safely placed in the abdomen in a transgastric fashion, as a precursor to attempting transgastric ventral hernia repair.Methods:Six swine underwent upper endoscopy after decontamination of the stomach with povidone-iodine (Betadine). Under endoscopic guidance the gastric wall was perforated. A plastic overtube was introduced… Continue Reading
- Type:
- Podium Presentations
- 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
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
- Type:
- Podium Presentations
- 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
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
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
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
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
- Type:
- Podium Presentations
- 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
Mechanisms of Ventral Hernia Recurrence Following Laparoscopic Repair
Objective: To determine mechanisms of ventral hernia recurrence following laparoscopic repair.Background: Laparoscopic ventral hernia repair techniques have demonstrated low recurrence rates in recent years. Mechanisms of recurrence following open repair are well-documented, but there is less data defining how laparoscopically-repaired hernias recur.Methods: We performed a retrospective analysis of 25 patients who had previously undergone at… Continue Reading
- Type:
- Podium Presentations
- 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
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
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