Laparoscopic Repair of a Giant Hernia of Morgagni
John R Frederick, MD, Kenric Murayama, MD. University of Pennsylvania School of Medicine Summarry of surgical case: 72 year-old male with a past medical history of asthma and GERD presented to the ER complaining of nausea and vomiting associated with chest pain and dyspnea. His emesis contained both fresh and clotted blood. Objective findings… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Morgagni Hernia Repair
Hui Sen Chong, MD, Kevin D Helling, MD. University of Iowa Hospital and Clinics A 46-year-old female presented with a 2-month history of upper abdominal pain, right-sided chest pain, and shortness of breath. CT imaging revealed a Morgagni type hernia with incarcerated fat above the diaphragm. Laparoscopic repair of the hernia defect was performed… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Post-supradrenalectomy diaphragmatic hernia with colonic occlusion: A laparoscopic repair
Ramon Vilallonga, PhD, Enric Caubet, PhD, Oscar Gonzalez, PhD, Jose Manuel Fort, PhD, Manuel Armengol. Universitary Hospital Vall d'Hebron. Barcelona. Background: The diaphragmatic hernia is defined as the passage of visceral structures through a defect in the diaphragm wall. The acquired, may be secondary to penetrating abdominal trauma or iatrogenic causes after surgery. Method:… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia Repair With Mesh Positioning System
George Rossidis, MD, Bo T Neichoy, MD, Angel M Caban, MD. University of Florida, Department of Surgery We present the case of a 47 years old female status post open appendectomy for perforated appendicitis, with a resultant 8x7 cm incisional hernia. An alternative hernia repair is presented with the use of a mesh positioning system,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Real-time Fluorescent Videoangiographic Evaluation Demonstrate Preservation of Vascular Supply During Total Endoscopic and Laparoscopic Component Separation
J Roberto Ramirez Gavidia, MD, Kalman Bencsath, MD, Matthew Kroh, MD, Bipan Chand, MD, Sricharan Chalikonda, MD. Cleveland Clinc Foundation INTRO DUCTION:The endoscopic component separation (ECST) technique for hernia repair has been shown to decrease wound morbidity when compared to open component separation. This may in part be due to the preservation of blood… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Removal of Infected Hernia Mesh With Bowel Repair
Nicholas Gaudet, John Hagen, Laz Klein. University of Toronto THERE are over 90,000 laparoscopic ventral hernia repairs done in United States every year. The reported incidence of mesh infection ranges from 0.5% to 10%. The usual management after failed conservative treatment is laparotomy and removal of mesh. This typically involves a large laparotomy incision… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of a Morgagni Hernia in an Adult
P D Colavita, MD, M E Studstill, BS, V B Tsirline, MD, B T Heniford, MD. Carolinas Medical Center, Charlotte, NC Morgagni hernia is a rare congenital diaphragmatic hernia. In this video, we describe laparoscopic reduction of the hernia, removal of the hernia sac, followed by dual surface ePTFE mesh placement with both transdiaphragmatic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Incarcerated Bilateral Morgagni Hernia
Kristin Stevens, MD, Gordon Wisbach, MD, Karen Hanna, MD, Brian Barbick, MD MPH. Naval Medical Center San Diego Laparoscopic Repair of Incarcerated Bilateral Morgagni Hernia Introduction: We present a case of a completely laparoscopic repair of a large chronically incarcerated bilateral morgagni hernia containing small bowel. Methods: Our patient is a seventy six year… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Management of Chronic Inguinal Pain; Mesh Plug Removal
Nikolai R Bildzukewicz, MD, Marcos Michelotti, MD, Alisa Coker, MD, Bryan Sandler, MD, Takayuki Dotai, MD, Mark Talamini, MD, Santiago Horgan, MD, Garth Jacobsen, MD. University of California at San Diego Mesh plug insertion can lead to chronic inguinal pain. As surgeons move towards lightweight mesh materials for laparoscopic inguinal hernia repair (LIHR), large… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Lumbar Hernia Repair
Edward D Auyang, MD MS, Andrew S Wright, MD. Department of Surgery, University of Washington Introduction:Lumbar hernias are rare clinical entities with less than 400 reported in the literature. They were first described by deGarangeor in 1731. Petit later characterized the inferior lumbar triangle hernia in 1783 and Grynfeltt the superior lumbar triangle hernia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic TAPP repair of Grynfeltt hernia
Christian G Massier, MD, Carl Yood, MD. Cleveland Clinic, Cleveland, Ohio Purpose A very simple laparoscopic technique to repair a superior lumbar hernia is described. Method The case of an 67-year-old patient with a symptomatic Grynfeltt lumbar hernia is reported. The diagnosis was made by physical examination and confirmed by computed tomography scan. Results… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Predictors of Poor Outcomes in Functionally Dependent Patients Undergoing Elective Ventral Hernia Repair
Drew Reynolds, MD, Daniel Davenport, PhD, J. Scott Roth, MD. University of Kentucky INTRODUCTION:Pre-operative functional health status has previously been shown to affect outcomes following ventral hernia repair. As the patient population ages, there is an associated increase in comorbidities and concomitant decrease in patients’ autonomy. Within the ACS NSQIP database, progressive lack of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Abdominal Wall Hernias
Patterns of Deterioration and Improvement in Abdominal Wall Function After Ventral Incisional Hernia Repair: Results of a Prospective Study
Ross F Goldberg, MD, Armando Rosales-velderrain, MD, Tatyan M Clarke, MD, Michael Parker, MD, Madi Dinkins, Mauricia A Buchanan, RN, John A Stauffer, MD, Horacio J Asbun, MD FACS, C Daniel Smith, MD FACS, Steven P Bowers, MD FACS. Mayo Clinic - Florida Introduction:Using our previously validated and reported abdominal wall strength score (AWSS),… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Abdominal Wall Hernias
Long Term Follow Up of Laparoscopic Tep Hernia Repair Using Slit Medium Size Polypropylene Mesh
Sugandi Hardjanto, MD. Kasih Ibu Hospital Objectives: Concerning shrinkage of polypropylene mesh about 40% after 6 weeks (invitro), so the size of mesh graft is very important to avoid the development of recurrence. The objectives of the study is to determine whether medium (12x8 cm) slit polypropylene mesh is an adequate size for reinforcement… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Abdominal Wall Hernias
A Modified Access Technique Combining Tapp and Tep to Facilitate Extraperitoneal Inguinal Hernia Repair Using Mini-instruments.
Gustavo L Carvalho, MD PhD, Marcelo P Loureiro, MD PhD, Eduardo A Bonim, MD MSc, Christiano P Claus, MD MSc, Frederico W Silva, MD, Antonio M Cury, MD, Flavio A Fernandes Jr., MD, Adriano C Sales, Student. Oswaldo Cruz University Hospital and UNIPECLIN, Faculty of Medical Sciences, University of Pernambuco - Recife and Positivo University… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias