Abdominal Hernias: Can We Determine Defect Size?
Introduction: To analyze ability to accurately determine abdominal wall hernia defect size by pre-operative versus intra-operative examinations. With the continuous growing number of abdominal hernias, more practicing surgeons are beginning to practice laparoscopic repair. The hernia defect is an important aspect of the surgery including mesh sizing for repair and operative planning that is needed… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Is Unilateral Laparoscopictep Inguinal Hernia Repair a Job Half Done? a Case in Favor of Bilateral Repairs.
Introduction: Laparoscopic bilateral totally extraperitoneal (TEP) repair in unilateral hernias is conspicuous in published literature in its absence. There are no studies or data on the feasibility, advantages or disadvantages of bilateral repairs in all cases or in any subset of patients of unilateral primary inguinal hernia. The objective of our study is to study… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Inguinal Hernia Repair for Occult (non-palpable) Groin Hernias in Women with Chronic Pelvic Pain
Objective: For many women with chronic pelvic pain (CPP), non-palpable groin hernias represent a common potentially treatable cause. Despite history and physical exam findings which are suggestive of hernia, the lack of a palpable impulse may cause the diagnosis to be missed. Laparoscopic techniques provide a minimally invasive means for evaluating and treating occult hernias… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Rives-stoppa Incisional Hernia Repair Combined with Laparoscopic Separation of Abdominal Wall Components: A Novel Approach to Complex Abdominal Wall Closure
Introduction: The Rives-Stoppa hernia repair is the gold standard for mesh repair of complex incisional hernias. The rate of wound infection can be reduced if fascial closure is achievable between the skin and the prosthetic mesh. For larger defects, fascial closure is not often possible without raising large skin flaps for separation of the abdominal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Comparative Analysis of Freestanding Ambulatory Surgery Center Utilization for Inguinal Hernia Repair
Introduction: Freestanding ambulatory surgery centers (ASCs) use has greatly increased. No study has evaluated the utilization of ASCs for inguinal hernia repair (IHR). This study compares patient factors, hernia types, and approaches (laparoscopic vs. open) for IHR performed at ASC and non-ASC facilities. Methods: Patients 18 years or older undergoing elective outpatient IHR were identified… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Totally Extraperitoneal Hernia Repair Versus Open Hernia Repair: Comparison of Perioperative Outcomes
IntroductionLichtenstein repair is generally accepted as a safe and widely practiced. Laparoscopic TEP herniorrhaphy is a recent technique and now increasing in number, but not generally accepted because of technical difficulties and not established peri-operative outcomes. This study compares perioperative outcomes and complications between open Lichtenstein repair and laparoscopic TEP repair.MethodsThis study is retrospective study… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Feasibility and Potential Advantages of Transporous Mesh Fixation By a Laparoscopic Spray System (lss) in Inguinal Hernia Repair
Background. Chronic pain after inguinal hernia repair is often due to nerve injury by penetrating mesh fixation devices, such as staples, tacks or sutures. The cumulative incidence of pain, numbness and discomfort after surgery for inguinal hernia is reported to be as high as 30%. Tissue sealants have been proposed to provide atraumatic mesh fixation… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Incisional Hernias Following Renal Transplantation
Introduction: While laparoscopic mesh repair is gaining popularity as the standard technique for incisional hernia repairs, it has not so far been reported in renal transplant recipients. Technical challenges, including proximity to the allograft and the absence of a fascial margin make laparoscopic repair difficult. However, the lower recurrence rates, fewer complications, and shorted hospital… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Impact of Different Commercially Available Antiadhesive Barriers in Experimental Ipom Hernia Repair Using a Polypropylene Mesh
Background:Intraperitoneal onlay mesh plastic technique (IPOM) is a common technique for ventral hernia repair. Adhesion formation, seroma formation, impared functionality of the abdominal wall, and chronic pain are frequently observed complications. Adhesions are probably the most important side effect and can be evoked by meshes as well as fixation devices. Different mesh concepts for adhesion… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Could Total Extraperitoneal Hernia Repair Done Under Spinal Anesthesia Without Fixation of Mesh Be Recommended As the First Line Procedure for Unilateral Inguinal Hernias?
Background-Though laparoscopic total extra peritoneal repair (TEP) of inguinal hernia has been recommended as the method of choice for bilateral and recurrent inguinal hernias, yet for unilateral inguinal hernias, both the open and TEP are considered at par.While doing unilateral inguinal hernia repair, TEP has several advantages over the open repair. The pain in the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Flexible Endoscopic Sub-rectal Sheath Tunneling Allowing Intraperitoneal Visualization During Single Incision Ventral Hernia Mesh Repair
Objective: Dual-layer mesh products are optimal for a subset of ventral hernia repair. While small umbilical defects are easily accessed through a single incision, intraperitoneal visualization is limited and only possible prior to mesh placement. The purpose of our study was to evaluate the feasibility of a single-incision flexible endoscopic sub-rectal sheath tunneling technique to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Congenital Bilateral Morgagni\’s Hernia
Background: Morgagni’s hernia is a rare type of congenital diaphragmatic hernia that presents as a defect in the anterior aspect of the diaphragm. It typically presents in the pediatric population and is rarely diagnosed in adults. Only 3% of diaphragmatic hernias are Morgagni’s type, and only 4% of these are found to present bilaterally. Surgical… Continue Reading
- Topic:
- Abdominal Wall Hernias
Nationwide Trends in Incisional Hernias in the Era of Laparoscopic Surgery
NATIONWIDE TRENDS IN INCISIONAL HERNIAS IN THE ERA OF LAPAROSCOPIC SURGERY Authors: Usama Qumsieh, MD, Marek Rudnicki, MD, PhD, Wendy Weller, PhD.Institutions: Metropolitan Group Hospitals/Univ. of Illinois Surgery Residency Program, Chicago, Illinois and Univ. at Albany School of Public Health. OBJECTIVE: Incisional hernias (IH) are observed in 10-15% of patients after open abdominal procedures and… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Single Port Access (spa) Ventral Hernia Repair: Initial Report of 15 Cases
Laparoscopic ventral hernia repair has been demonstrated to be an acceptable and successful technique. Aside from similar, albeit decreased complications compared to open hernia repair, the laparoscopic technique adds the additional complication of port site hernia to its follow up criteria. We originally described a two port repair technique in 2002. Now, we have applied… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Technique and Outcomes for Patients Requiring Laparoscopic Surgery After Large Ventral Hernia Repairs
OBJECTIVE: Patients with ventral hernia repairs risk mesh infection with subsequent surgeries, which can lead to serious morbidity. Such patients need an unorthodox approach to prevent serious complications such as mesh infection or recurrent hernias. METHODS: Patients who had large ventral hernia repairs and subsequently underwent laparoscopic procedures for various purposes were retrospectively reviewed. The… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias