Laparoscopic Repair of a Chronic Traumatic Diaphragmatic Hernia
Etienne Auger-Dufour, MD, Gerald Fried, MD, Liane Feldman, MD, Lorenzo Ferri, MD PhD. Montreal General Hospital, McGill University Health Center Case presentationThis video demonstrates the laparoscopic repair of a chronic traumatic diaphragmatic hernia in a 44 year-old female patient. She had a motor vehicle crash fifteen years ago. She is now presenting with abdominal pain… Continue Reading
- Topic:
- Abdominal Wall Hernias
Selective Use of Mesh in Laparoscopic Paraesophageal Hernia Repair: an Attractive Option
E. Auger-Dufour, MD, L.E. Ferri, MD PhD, L.S. Feldman, MD, M.C. Vassiliou, MD, P. Kaneva, G.M. Fried, MD. Steinberg-Bernstein Center for Minimally Invasive Surgery & Innovation, McGill University, Montreal, Canada. INTRODUCTION: Use of mesh in laparoscopic paraesophageal hernia repair has been associated with an improved short-term recurrence rate in randomized control trials. However, numerous case… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Choice of Laparoscopic Paraesophageal Hernia Repair with Or Without Mesh: A Decision Analysis
Nadia Obeid, MD, Vic Velanovich, MD. Henry Ford Hospital Background: Controversy exists on whether laparoscopic paraesophageal hernia repair should be done with or without mesh. Arguments for use of mesh center on decreased incidence of recurrence. Arguments against the use of mesh center on increased incidence of severe long-term adverse events. We performed a decision… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Hiatal Hernia Repair with Biologic Mesh Reinforcement Reduces Recurrence Rate in Small Hiatal Hernias
Elizabeth M Schmidt, MD, Jason F Reynoso, MD, Dmitry Oleynikov, MD. University of Nebraska Medical Center Introduction: The use of biological mesh for crural reinforcement during hiatal herniorrhaphy has been shown to decrease recurrence rates in patients with hiatal hernia greater than 5cm. However, there remains some controversy as to the benefit of crural reinforcement… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Predicting Continued Or Recurrent Symptoms Following Laparoscopic Paraesophageal Hernia Repair
E L Albright, MD, M Plymale, MSN RN, D L Davenport, PhD, J S Roth, MD. University of Kentucky Introduction: Recurrent complaints of abdominal pain, bloating and dysphagia are problematic in the post-operative period following laparoscopic paraesophageal hernia repair and often lead to radiologic evaluation or intervention. While the majority of patients do well, recurrence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Giant Paraesophageal Hiatal Hernias. a New Definition and a New Management
NIAZY M SELIM, MD PhD MBChB FACS. UNIVERISTY OF KANSAS Introduction: Over the past decade, yet challenging, laparoscopic surgery became the standard approach for the repair of paraesophageal hiatal hernias (PEH). The giant PEH is defined in the literature according to the size of the hernia sac. Although the size of the hiatal defect is… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Surgeon Use of Mesh for Hiatal Hernia Repair – A Survey of SAGES Members
Jason M Pfluke, MD, C. Daniel Smith, MD. Mayo Clinic in Florida INTRODUCTION - Mesh use as an adjunct to hiatal hernia repair has been suggested to be safe and effective. Concern has been raised about the risk of mesh related complications like erosion, and the higher risk of complications if redo hiatal surgery is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Tension-Free Anatomical Reconstruction of Complex Hiatal Hernia Using Porcine Dermal Collagen
D Oweis, MBBS MRCSEd, D Veeramootoo, MBBS MRCS MD, NJ Smart, MBBSHons PhD MRCSEd, SA Wajed, MA BMBCh MChir FRCS. Department of Upper Gastro-Intestinal Surgery, Royal Devon and Exeter NHS Foundation trust, Exeter, United Kingdom. Introduction:The management of complex para-oesophageal hernias has been the subject of much debate. Direct symptoms such as dysphagia, regurgitation, shortness… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Hiatal Hernias: Pathophysiologic Theories and Implication for Research
P. Marco Fisichella, MD, Cynthia Weber, MD, Vydia Shankaran, MD, Christopher S Davis. Loyola University Medical Center Objectives: Though diaphragmatic hernias have been recognized for centuries, their pathophysiology is still widely debated. The purpose of this study is to review the current literature regarding the pathophysiology of hiatal hernia development and outline implications for research… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Morgagni Hernia Repair
Minhao Zhou, MD, John J Kelly, MD. UMass Memorial Medical Center IntroductionMorgagni hernia is a rare congenital diaphragmatic hernia with a variety of surgical approaches to repair both transthoracic and transabdominal. We present a video of our laparoscopic approach. Methods and ProceduresA 37 year old obese female presents with 2 year history of worsening shortness… Continue Reading
- Topic:
- Abdominal Wall Hernias
Foramen of Morgagni Hernia: Laparoscopic Patch Repair
Thomas Ng, MD, Beth Ryder, MD, Shair Ahmed, MD. Brown University, Rhode Island Hospital Introduction:Foramen of Morgagni hernias are extremely rare. Most are asymptomatic and found incidentally, however may present with vague non-specific abdominal complaints. Upon diagnosis, operative intervention should be undertaken for the risk of incarceration and strangulation. Repair should include complete sac excision… Continue Reading
- Topic:
- Abdominal Wall Hernias
The Natural History of Anatomic Failure After Laparoscopic Paraesophageal Hernia Repair
Nathaniel Stoikes, MD, Mary Quasebarth, RN, Brent Matthews, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, MO Introduction: Anatomic failure after laparoscopic paraesophageal hernia (PEH) repair ranges from 20-40%. However, the clinical significance of these recurrences has not been clearly delineated. We reviewed… Continue Reading
The Effect of Laparoscopic Paraesophageal Hernia Repair On Pulmonary Function Test
S. Alnassar ALNASSAR, MD FRCSC, J.Kondra Kondra, MD, J.Clifton Clifton, MSC, R. J Finley Finley, MDFRCSC. College of Medicine , King Saud University Riyadh , Saudi Arabia Objective: A retrospective cohort study was conducted to examine the impact of laparoscopic paraesophageal hernia repair on the pulmonary function test (PFT). Methods: Between 2001 and 2005 there… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Pledgeted Repair of Large Hiatal Hernia Provides Excellent Long Term Results
T kang, MD, H Urrego, MD, A Gridley, MD, W S Richardson, MD. Ochsner clinic foundation Introduction: To reduce recurrence large hiatal hernias are commonly repaired with mesh. There have been few papers on long term follow up of large hiatal hernias with pledgeted (non-mesh) repairs.Methods: All laparoscopic anti-reflux procedures done at Ochsner Medical Center… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Comparative Study of Different Types of Mesh for Laparoscopic Repair of Large Hiatal Hernias
V.V. Grubnik, Prof, A.V. Malynovskyy, V.V. Ilyashenko. Odessa State Medical University Background. The use of mesh for laparoscopic repair of large hiatal hernias may reduce recurrence rates compared to primary suture repair. However, there is a potential risk of mesh-related oesophageal complications due to prosthetic erosion. The aim of this study was to compare effectiveness… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias