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
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
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
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
Transabdominal Pre-peritoneal Laparoscopic Hernia Repair Allows Diagnosis and Appropriate Treatment of Occult Bilateral Hernias
INTRODUCTION: Transabdominal pre-peritoneal (TAPP) laparoscopic repair has become established as a suitable primary treatment modality for inguinal hernias. The diagnosis and subsequent repair of occult bilateral hernias has been described by a number of authors. In this situation TAPP is thought to be superior to both open and extra-peritoneal laparoscopic repair because it avoids unnecessary… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Tep Repair of a Bilateral Obturator Hernia
Introduction: Obturator hernias (OH) are rare and difficult to diagnose. While they account for as few as 0.073% of all hernias, their mortality can be as high as 70%. OH affects women more commonly than men (ratio ~8:1). Other risk factors are emaciation, multiparity, and chronic conditions that increase the intra-abdominal pressure such as COPD… 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 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
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