30-day Readmission After Ventral Hernia Repair: Predictable or Preventable?
Introduction: Thirty-day readmission has become an increasingly scrutinized event in the field of surgery, especially in light of projected cuts in reimbursement. Our objective was to determine if any factors are predictive of 30-day readmission in patients undergoing ventral hernia repair. Methods: We retrospectively reviewed consecutive charts of patients who underwent laparoscopic or open ventral… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
A Comparative Biomechanical Evaluation of Hernia Mesh Fixation with Fibrin Sealant (fs) Containing 4 Vs. 500 Iu Thrombin in Pigs
Background: The atraumatic fixation of meshes by fibrin sealant (FS) has been established for both open and laparoscopic techniques of hernia repair. This study was performed to evaluate the use of FS in hernia mesh fixation with different polymerization speed (thrombin concentrations), using commercial hernia meshes, and in two techniques, TAPP and IPOM. Methods: A… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Comparison of Outcomes in Open Versus Laparoscopic Surgical Repair of Recurrent Inguinal Hernias
IntroductionInguinal hernia recurrence following surgical repair is a major concern. There are conflicting views in the surgical community regarding the best treatment approach to prevent recurrence. We report our experience with open and laparoscopic repair of recurrent inguinal hernias. Methods After obtaining Institutional Review Board (IRB) approval, we retrospectively reviewed the charts of 98 patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
A Prospective Randomized Study Comparing Laparoscopic Totally Extra Peritoneal (tep) Repair Versus Trans Abdominal Pre-peritoneal (tapp) Repair for Inguinal Hernia Repair
BackgroundLaparoscopic inguinal hernia repair has the advantage of lesser pain, early recovery and lesser wound morbidity. There is no consensus on the best groin hernia repair. There are two standard techniques of Laparoscopic Inguinal hernia repair – Total Extra Peritoneal repair (TEP) and Trans - Abdominal Pre-Peritoneal repair (TAPP). There are not many trials available… 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
Against Occam\’s Razor: Tap Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug
Against Occam’s Razor: TAP Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug The patient is a 42 year old female who had undergone an open left inguinal hernia repair 13 years ago. She presents to clinic with a 1 year history of a recurrent left groin mass in the area of… Continue Reading
- Topic:
- Abdominal Wall Hernias
Comparative Patient Reported Outcomes in Laparoscopic Intraperitoneal Onlay Mesh Repair for Ventral Hernia with or Without Defect Closure – A 9-year Follow Up Case Controlled Study
Objective of StudyIntra-peritoneal onlay mesh (IPOM) is the gold standard technique of laparoscopic ventral hernia repair (LVHR), a ‘standard of care’ day care procedure. We have reported vest over pant closure of defect (VOPCOD) preceding IPOM in LVHR raising debate of anatomical restoration for functional compliance versus compromise with the ‘tension free repair’ principle. Hence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Comparison of Laparoscopic Primary Repair and Open Repair Techniques for Small Ventral Hernias.
Epigastric, umbilical, incisional, parastomal and trocar site hernias are all “ventral” hernias in surgical practice. The use of synthetic materials for repair of ventral hernias tends to be the golden standard. However, there are some situations where the use of a mesh is either unnecessary or contraindicated. Furthermore, these patients should still be given the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Degarengeot\’s Hernia: Laparoscopic Reduction, Repair & Resection of an Incarcerated Appendiceal Mucocele
Overview: Our patient is a 69 year old female who presented for evaluation of rightthigh mass. Initially believed to represent a soft tissue malignancy, the mass waseventually found to be a femoral hernia containing incarcerated appendix. She underwent successful simultaneous laparoscopic TAPP herniorrhaphy and appendectomy. Background: Femoral hernia containing the appendix was first described in… Continue Reading
- Type:
- Video Loop Presentations
- 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
Experience of Single-site Laparoscopic Hernioplasty
Background: Inguinal hernia is a good indication for laparoscopic surgery. Recently,single-site laparoscopic surgery is widespread, especially for cholecystectomy, oophorectomy and appendectomy. But single-site laparoscopic hernioplasty is not often performed, because highly complex operative skills are involved. We report a case of single-site laparoscopic transabdominal preperitoneal (TAPP) hernia repair.Method: A 58-year-old woman with symptomatic left inguinal… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
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
Hiatal Mesh Is Associated with Major Resection At Revisional Operation.
Introduction: The use of mesh to potentiate the hiatal closure during laparoscopic foregut surgery is increasing among surgeons, as some consider this the standard of care. Our objective is to evaluate the incidence of mesh removal during revisional foregut surgery and to examine the complications that can arise from the use of mesh near the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
In Vivo Fluorescence Imaging of Staphylococcus Aureus Biologic Mesh Infection – a 30 Day Analysis
BACKGROUND: Infection in the setting of hernia repair poses a difficult challenge, and biologic mesh might perform favorably in this setting. The specific response of different biologic mesh constructs to infection is unclear. Using fluorescent-labeled bacteria and innovative in vivo imaging quantitative bacterial analysis, we evaluated the response of two biologic mesh prosthetics to staphylococcus… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Component Separation for Incisional Hernia Repair and Removal of Infected Mesh
For patients who have previously undergone ventral hernia repair with synthetic mesh, options are limited once they represent with infected mesh. Removal of the mesh leaves a significant defect. Bridging fascial defects with biologic mesh tend to have higher recurrences than using biologics in an underlay fashion. Open separation of components is an option for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias