The Combined Laparoscopic Approach to Incarcerated Inguinal Hernia
Background: The laparoscopic preperitoneal repair of inguinal hernias is an accepted and widely used approach, and several reports have demonstrated its advantages over an open repair. Incarcerated hernia is still considered an indication for an open repair, for several reasons, including the technical complexity, availability of trained laparoscopic surgeon for an emergent procedure, and the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Grynfeltt Hernia Repair
BACKGROUNDLumbar hernias are rare. Laparoscopic lumbar hernia repair was first described in 1996 by Burick and Parascandola. In 2005, the first publication comparing open versus laparoscopic lumbar hernia repair was published by Moreno-Egea of Spain. Various techniques have been described during this time period. Given their posterior nature and relationship to critical vascular, neurological and… Continue Reading
- Topic:
- Abdominal Wall Hernias
Experience with the Gore Absorbable Plug in Laparoscopic Inguinal Hernia Repair
Intro: Laparoscopic transabdominal preperitoneal hernia repair (TAPP) has traditionally used permanent mesh. Goretex absorbable mesh is an FDA approved synthetic absorbable material approved for use as a tissue reenforcement strategy that resorbs in 2-3 months.Study Design: Retrospective review of prospectively collected data from a single surgeon experience using laparoscopic TAPP repairs in selected patients. Laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prospective Randomized Double Blind Placebo Controlled Trial of Postoperative Elastomeric Pain Pump Devices Following Laparoscopic Ventral Hernia Repair.
Introduction: The laparoscopic repair of ventral hernias can result in significant postoperative pain resulting in prolonged length of hospital stay, increased narcotic utilization, and patient dissatisfaction. Elastomeric pain pump devices with local analgesics may result in a significant reduction in postoperative discomfort after laparoscopic ventral hernia repair. We evaluated the effect of continuous infusion of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Total Extraperitoneal Repair in Recurrent Inguinal Hernias: Comparing Outcome with Primary Hernia Repair in 937 Patients
Objective- To study the outcome and morbidity parameters of total extraperitoneal (TEP) repair in patients with recurrent inguinal hernia and assess as how they are different from the primary inguinal hernia repair. Patients & Methods- A retrospective analysis was carried out over a three-year period in 937 patients in whom TEP was done. The recurrence… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Posterolateral Traumatic Lumbar Hernia, \”it\’s Worth the Wait!\”
Introduction: Posterolateral traumatic lumbar hernias are an uncommon problem. These defects may not be recognized initially, or may develop in a delayed fashion. Immediate and delayed repair have been described. We describe two cases of delayed laparoscopic repair of traumatic posterolateral abdominal wall hernias identified at the time of initial injury.Case 1: A 22 year-old… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prospective Randomized Comparison of Conventional Lictenstein Versus Self-Adhesive Mesh Repair for Inguinal Hernia.
Inguinal hernia repair is one of the most common procedures performed during surgical practice. New methods and materials are introduced for a better outcome for this procedure as well as a better quality of life and postoperative period. This study compares conventional Lichtenstein hernia repair with sutureless self-adhesive mesh repair in terms of operative time,… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Minimally Invasive Tension Free Repair of Epigastric Hernias with Diastasis Recti
Abstract Background Repair of ventral epigastric hernias with diastasis recti can be a challenging problem because it may require a large incision thereby leaving a visible scar in the upper abdomen. This scar may not be cosmetically acceptable to the patient. This large scar line is in a highly visible position of the upper abdomen… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Is Prophylactic Laparoscopic Total Extraperitoneal Inguinal Hernia Repair on Contralateral Side Justified: A Comparative Study of Bilateral to Unilateral Repair in 1754 Hernias
Objective- To study the outcome and morbidity parameters of total extraperitoneal (TEP) repair in patients with recurrent inguinal hernia and assess as how they are different from the primary inguinal hernia repair. Patients & Methods- A retrospective analysis was carried out over a three-year period in 937 patients in whom TEP was done. The recurrence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Combined Transabdominal and Preperitoneal Obturator Hernioplasty
The patient is a 91 y/o female who presented to the hospital with new onset abdominal pain and distention. CT of the abdomen/pelvis revealed an incarcerated left obturator hernia with evidence of bowel obstruction.This video submission demonstrates combination of the transabdominal and extraperitoneal techniques for reduction and repair of an incarcerated left obturator hernia. Session:… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Minimally Invasive Functional Abdominal Wall Reconstruction: A New Paradigm in Ventral Hernia Repair.
Laparoscopic ventral hernia repair has resulted in significant reduction of wound complications as compared to standard open techniques. However, the current laparoscopic approach requires bridging of an adynamic sheet of prosthetic material. This can result in paradoxical abdominal wall motion during straining. Abdominal wall bulging and a poor functional and cosmetic outcome can result in… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Management of Spigelian Hernias
Spigelian Hernias were first described by Josef Klinkosch in 1764 and named after Adriaan von Spieghel the Flemish anatomist who was the first to describe the linea semilunaris. Spigelian Hernias are the most common of the lateral ventral hernias but only account for 1%-2% of all hernias. These hernias most commonly present between the 4th… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of a Right Paraduodenal Hernia
This video will discuss an interesting case of a 43 year old female with intermittent crampy abdominal pain. She underwent diagnostic laparoscopy which revealed a somewhat unexpected finding of a right paraduodenal hernia. The video will further discuss the relevant anatomic boundaries of this kind of hernia, as well as the etiology and clinical presentation.… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia Repair Has an Advantage of Detecting Occult Hernia Defects
Objectives: It has been reported that laparoscopic exploration shows multiple hernia defects that were not detected on physical examination. The objective of this study was to describe the superiority of laparoscopic approach in detecting occult hernia defects and the precise size of hernia defects.Methods: A total of 35 consecutive patients who underwent laparoscopic ventral hernia… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Novel Technique for Biomaterial Repair of Hiatal Hernias
Objective: Established recurrence rates after primary hiatal hernia repair are between 9 and 27%. Lightweight prosthetic mesh reinforcement is effective in reducing recurrence but carries the risk of esophageal erosion. Bioprosthetics may reduce recurrence rates but can be cumbersome to secure into position. We describe a technique to place GORE™ BIO-A™ tissue reinforcement that is… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias