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
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
Clinical Predictors of Operative Complexity in Laparoscopic Ventral Hernia Repair: A Prospective Study
Introduction: Due to uncertainties about the complexity of laparoscopic ventral hernia repair in varying patient populations, surgeons may be reluctant to perform this procedure. The aim of this study is to delineate risk factors that can be identified in the preoperative setting that predict longer operative times and complexity in laparoscopic ventral hernia repair. Methods:… Continue Reading
- Type:
- Podium Presentations
- 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
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
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
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
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
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
Is It Necessary to Do Exploration of the Right Side During Tep Repair for the Left Inguinal Hernia?
INTRODUCTION: Laparoscopic herniorrhaphy (LH) LH has ability to examine an asymptomatic contralateral side and repair occult contralateral hernia coincidentally with less morbidity. In this prospective study, we aimed to examine the result of diagnostic exploration of the right side during laparoscopic totally extraperitoneal (TEP) repair for the left side inguinal hernia.METHODS: A prospective study of… 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
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 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
Laparoscopic Incisional Hernia Repair in Orthotopic Liver Transplant Patients
Laparoscopic incisional hernia repair in orthotopic liver transplant patientsJanine N. Pettiford, MD, John Sweeney, MD, Behnoud Berakhim, and Vadim Sherman, MD. Background: The incidence of incisional hernias in orthotopic liver transplant (OLT) patients is approximately 5-17%. Treatment options are often complicated by the patients’ co-morbidities and immunosuppression. The purpose of this study was to assess… 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