Fibrin Glue for Intraperitoneal Laparoscopic Mesh Fixation: A Comparative Study in a Swine Model
Introduction: A conventional method of mesh fixation in laparoscopic ventral hernia repair is transfascial sutures with tacks. This method has been associated with low recurrence rates, but yields significant morbidity from pain and bleeding. Fibrin glue has been used successfully in inguinal hernia repairs with decreased incidence of chronic pain without an increase in recurrence… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Single Incision Ventral Hernia Repair: The Initial Experience
Introduction: Laparoscopic ventral hernia repair (LVH) requires several skin incisions for trocar placement. We have developed a single incision approach to LVH repair. The technique was introduced in clinical practice to any consenting patients who were candidates for a standard multi-port laparoscopic hernia repair. A consecutive series of patients were then followed to evaluate feasibility.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Totally Extraperitoneal Repair of a Spigelian Hernia
TOTALLYEXTRAPERITONEALREPAIROFASPIGELIANHERNIA Allocco, Frances MD; Reardon, Patrick MD; Saad, Mohamed MD; Dunkin, Brian MD Spigelian hernias are rare and account for up to 2% of abdominal wall hernias. In the past these were repaired using an open technique, but over the past two decades, there have been a growing number of reports of laparoscopic repairs. Over… Continue Reading
- Topic:
- Abdominal Wall Hernias
Physicomechanical Evaluation of Absorbable and Nonabsorbable Barrier Composite Meshes for Laparoscopic Ventral Hernia Repair
INTRODUCTION: The objective of this study was to compare the physicomechanical properties of composite prostheses with both absorbable and nonabsorbable barriers. The primary function of these barriers is to prevent adhesion formation. It is unknown how these barriers affect the physicomechanical properties of the prostheses. Seven composite prostheses commonly utilized for laparoscopic ventral hernia repair… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Results of Laparoscopic Repair of Primary and Recurrent Incisional Hernias At a Single Uk Institution
IntroductionLaparoscopic incisional hernia repair has been gaining increasing recognition with its perceived benefits of shorter hospital stay, decreased postoperative pain and the ability to diagnose and treat previously unrecognised defects at the time of operation. In this study incisional hernia repairs at a single UK institution between 1994 and 2008 were analysed with respect to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Rare Case of Laparoscopic Repair of a Strangulated Obturator Hernia
Introduction: Obturator hernias are rare, comprising less than 0.1% of all hernias and occurring in approximately 0.4% of bowel obstructions. Typically these hernias affect elderly, frail, debilitated women; 85% of patients are female with mean age of 82 years and mean weight of 34.5 kg. Only 1 of 10 cases is correctly diagnosed preoperatively. The… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Prospective Randomized Study Comparing Suture Mesh Fixation Vs Tacker Mesh Fixation for Laparoscopic Repair of Incisional and Ventral Hernias
BackgroundRecurrence is one of the major problems after open incisional hernia repair. Laparoscopic incisional hernia repair has brought down the recurrence rate to less than 10%. The main causes of recurrence have been inadequate mesh size, fixation of mesh and patient factors. The issue of mesh fixation to the abdominal wall in laparoscopic ventral hernia… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia in the Elderly: A Safe Option
Introduction: To assess the early outcomes of laparoscopic ventral hernia repair in the elderly.Methods and Procedures: An operating room database of all laparoscopic ventral hernias performed between April 2001 to April 2009 was analyzed retrospectively. Patients were divided into two main groups: Group 1 (patients <65 years of age) and Group 2 (patients > to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Simultaneous Laparoscopic Hernioplasty and Laparoscopic Cholecystectomy
Background: Inguinal hernia and cholecystolithiasis are common diseases, and it is not rare for a patient to suffer from both. There is a good indication for laparoscopic surgery. We here report 5 cases of simultaneous laparoscopic hernioplasty and laparoscopic cholecystectomy.Method: In 5 cases, we performed simultaneous laparoscopic hernioplasty and laparoscopic cholecystectomy from November 2008 to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Predictors of in Hospital Length of Stay After Laparoscopic Ventral Hernia Repair: A Multi Variate Logistic Regression Analysis.
Introduction: To elucidate the variables that significantly predict the in hospital length of stay (LOS) after a laparoscopic ventral hernia repair (LVHR).Methods and Procedures: Univariate analysis of patient and intraoperative variables was conducted on an operating room database of laparoscopic ventral hernia repairsperformed between April 2001 to April 2009. Analysis was performed using either chi-square… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Incidentally Found Spigelian Hernias: A Case Series and Review of Literature
Background: Spigelian hernias are a rare type of hernia that occurs through a defect in the anterior abdominal wall adjacent to the linea semilunaris. Estimation of their incidence has been reported as 0.12% of all abdominal wall hernias. Traditionally the method of repair has been an open approach and that to, only identified once there… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Meandering External Iliac Artery: A Frequent Vascular Variant Found During Laparoscopic Inguinal Hernia Repair
Laparoscopic inguinal hernia repair requires extensive preperitoneal dissection for placement of mesh prostheses. Identifying known and expected anatomy within this preperitoneal space is crucial to the successful repair of inguinal hernias without complications. Proper dissection involves confident recognition of major pelvic vasculature. When vascular structures lie within their anticipated anatomic locations they are easily left… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Evaluation of Intraperitoneal Placement of Absorbable and Nonabsorbable Barrier Coated Mesh Secured with Fibrin Sealant (new Zealand White Rabbit Model)
Introduction: The purpose of this study is to evaluate the acute and chronic fixation strength of fibrin sealant as an alternative fixation method for laparoscopic ventral hernia repair (LVHR). Methods: Representative mesh types for LVHR included one nonabsorbable barrier mesh (Composix™), and three absorbable barrier meshes (Sepramesh™, Proceed and Parietex™ Composite). Macroporous polypropylene mesh (Prolite… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Single-incision Totally Extraperitoneal Inguinal Hernia Repair Is a Useful Precursor to More Complex Single-incision Laparoscopic Operations
Many general surgeons initially perform single-incision laparoscopic surgery during cholecystectomy. The potential for bile duct injury makes single-incision cholecystectomy potentially dangerous while the surgeon is overcoming his learning curve. This describes one surgeon’s experience with single-incision totally extraperitoneal (TEP) inguinal hernia repair prior to performing more complex single-incision laparoscopic cases. Methods: All patients who underwent… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Single Incision Laparoscopic Surgery (SILS): Bilateral Total Extraperitoneal (tep) Inguinal Hernia with Simultaneous Umbilical Hernia Repair
INTRODUCTION: Single incision laparoscopic surgery (SILS) is a novel alternative to laparoscopic surgery, and can be performed with multiple trocars or a single port access (SPA) device. While SILS has been demonstrated in a variety of procedures, its use for inguinal hernias is just emerging and may continue to evolve. This video demonstrates the feasibility… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias