Laser Guided Laparoscopic Ventral Herniorrhaphy
Danny A Sherwinter, MD, Matthew Dixon, MD. Maimonides Medical Center Department of Minimally Invasive Surgery Introduction: Excellence in laparoscopic ventral herniorrhaphy (LVH) requires precise mesh placement and meticulous transfascial suture placement. Yet despite these demanding requirements, LVH is routinely performed using nothing more than visual estimations, leading to inadequate mesh coverage, inaccurate suture placement and… Continue Reading
Novel Technique for Significant Cost Reduction in Laparoscopic Inguinal Hernia Repair
dmitry nepomnayshy, MD, anton galitsky, MD, desmond birkett, MD. lahey clinic OBJECTIVES: Growth in healthcare costs is a significant concern for sustainable healthcare delivery around the world. In our institution, we have seen a 50% -100% rise in the costs of operating room supplies over the last decade. For the first time, we were made… Continue Reading
A Novel Endoscopic Surgical Device for Real-Time Measurement of Hernia Defects and Other Anatomic Geometries
Gyusung Lee, PhD, Ivan M George, Adrian Park, MD. University of Maryland Objective of the technology or device.At the University of Maryland we are developing a novel device (US patent pending) that will allow surgeons to measure the size and shape of a hernia defect so that mesh size and potentially shape can be more… Continue Reading
Laparoscopic Assessment and Histology of Human Acellular Dermis (strattice®) in Pd Patients with Abdominal Wall Hernias
Brian P Rose, ScB, Florias A Morfesis, MD. Owen Drive Surgical Clinic of Fayetteville Introduction: In rare instances, we are able to re-operate on patients laparoscopically who have had previous hernia repair surgery with mesh. In this single case report, we highlight a patient who underwent incisional hernia repair with Strattice biologic and then 13… Continue Reading
New Technique for Fascial Defect Approximation During Laparoscopic Ventral Hernia Repair with Mesh
Irving Jorge, MD, Victor Maciel, MD, Henry J Lujan, MD. Mount Sinai Hospital, Jackson South Community Hospital, Miami, FL Objective: Recently, some authors have advocated closure of the hernia defect prior to mesh placement so as to recreate the abdominal wall. Advantages cited include increased mesh overlap, more physiologic repair, improved functional results, better cosmesis,… Continue Reading
A New Mesh for Laparoscopic Ventral Hernia Repair
Ashraf A Bakr, Professor Dr. Dr Soliman Fakeeh Hospital Introduction: Laparoscopic ventral hernia repair (LVHR) is becoming the standard procedure for ventral hernia repair. As the technique is refined, search continues for the perfect mesh and the perfect method of fixation. The perfect mesh is thought to have the following criteria• No adhesion formation• No… Continue Reading
Single Incision Total Extra-Peritoneal Laparoscopic Inguinal Hernia Repair Using a New Device: A Case Report
David S Lee, MD, Tomasz Rogula, MD PhD. Cleveland Clinic Foundation, Bariatric Metabolic Institute Background: Laparoscopic inguinal hernia repair continues to gain acceptance and has become the preferred approach for bilateral and some recurrent inguinal hernias. Further advances in technology and instrumentation have allowed surgeons to now perform these operations through a single incision. We… Continue Reading
Novel Mesh for Laparoscopic Inguinal Hernia Repairs – Self-Gripping, Minimal Fixation
Kenric M Murayama, MD. University of Pennsylvania Medical School - Dept. of Surgery Objective: Demonstrate feasibility of using a new mesh for laparoscopic inguinal hernia repair that requires minimal fixation. Methods: A retrospective review of a single surgeon experience from March 2010-January 2011 with a novel monofilament polyester mesh with a resorbable polylactic acid (PLA)… Continue Reading
New Simplified Technique for Closure of Hiatal Hernias Using Quill™ Suture
Angelica Garcia, Abraham Abdemur, Luciano Poggi, Samuel Szomstein, Raul J Rosenthal. Cleveland Clinic Florida Introduction: Closure of diaphragmatic hiatal defects in patients withParaesophageal hernias is one of the most demanding procedures inLaparoscopic surgery. The uses of non-absorbable suture in combination with pledgets, absorbable and non-absorbable mesh have been advocated to achieve low recurrence rates. We… Continue Reading
The Use of a Novel Self Expanding Nitinol Hernia System for Natural Orifice (notes) Inguinal Herniorrhaphy
Danny A Sherwinter, MD, Matthew Dixon, MD. Maimonides Medical Center Department of Minimally Invasive Surgery Introduction: Development of a viable natural orifice (NOTES) technique for inguinal herniorrhaphy (IH) has been primarily hindered by the inadequacy of available endoscopic instrumentation to effect peritoneal dissection and mesh fixation. In this study we describe our initial preclinical experience… Continue Reading
A Laparoscopic Approach to Components’ Separation and Incisional/Ventral Hernia Repair
Raymond J Ippolito, MD, Beth A Collins, MD. Hospital of Saint Rapheal New Haven, Connecticut Advances in surgical techniques and improvements in synthetic and biological meshs have allowed for the repair of large and complicated hernias that would not have been attempted in the past. Components' separation has provided for excellant mobilization of the abdominal wall… Continue Reading
Antimicrobial Efficacy of a Novel Minocycline/rifampin Composite Mesh Coating in a Rabbit Model of Open Ventral Hernia Repair
Yuri W Novitsky, MD, Jeffrey R Scott, PhD. Case Western Reserve University; C.R. Bard, Inc. (Davol) INTRODUCTION: Most hernia repairs today are performed with the use of a synthetic prosthesis. However, mesh infection continues to represent a potential major complication that can lead to significant patient morbidity and recurrence. The search for mesh products that… Continue Reading
Fixation of Polypropylene Mesh On the Rabbit Abdominal Wall Using Poly L-Lactic Acid (plla) Nanosheet
Keiichi FUJINO, MD PhD, Manabu KINOSHITA, MD PhD, Hidekazu YANO, MD, Akihiro SAITOH, Toshinori FUJIE, PhD, Kahoko NISHIKAWA, PhD, Keiichi IWAYA, MD PhD, Shinji TAKEOKA, PhD, Daizoh SAITOH, MD PhD, Yuji TANAKA, MD PhD. Department of General Medicine, National Defense Medical College Introduction: Polypropylene mesh (PPM) used to repair abdominal wall hernias often induces dense… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Fixation of Biologic Mesh At the Hiatus with Fibrin Or Polyethylene Glycol (PEG) Sealant in a Porcine Model
Eric D Jenkins, MD, Sopon Lerdsirisopon, MD, Kevin P Costello, Lora Melman, MD, Margaret M Frisella, RN, Brent D Matthews, MD, Corey R Deeken, PhD. Dept. of Surgery, Section of Minimally Invasive Surgery, Washington University School of Medicine (St. Louis, Missouri) OBJECTIVES: Despite evidence that biologic mesh reinforcement improves outcomes for paraesophageal hernia repair, biologic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia Repair – Does Primary Repair in Addition to Placement of Mesh Decrease Recurrence?
AMBAR BANERJEE, MD, VIMAL K NARULA, MD, DEAN J MIKAMI, MD. Center for Minimally Invasive Surgery, Division of Gastrointestinal Surgery, The Ohio State University Introduction: The advent of laparoscopic ventral hernia repair (LVHR) not only reduced the morbidity associated with open repairs but also led to a decrease in the hernia recurrence rate. However, the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias