LAPAROSCOPIC TRANS-ABDOMINAL RETRO-MUSCULAR REPAIR FOR VENTRAL / INCISIONAL HERNIAS: A NOVEL & PROMISING TECHNIQUE
Ashwin A Masurkar, Dr. Masurkar HospitalINTRODUCTION: There has been a need to devise a feasible, reliable and replicable Laparoscopic technique for Ventral / Incisional hernias; with Retro-muscular mesh placement. The reports of complications with Intra-peritoneal Onlay repair using composite meshes makes Retro-muscular mesh placement a safer option. This study is from a small town private… Continue Reading
- Topic:
- Abdominal Wall Hernias
Giant Inguinal Hernia with Loss of Abdominal Domain
Adam S Weltz, MD1, Zachary Sanford, MD1, Devinder Singh2, Robert Hanley3, David Todd4, Igor Belyansky1. 1Department of Surgery, Anne Arundel Medical Center, 2Department of Plastic Surgery, Anne Arundel Medical Center, 3Department of Urology, Anne Arundel Medical Center, 4Department of Radiology, Anne Arundel Medical CenterIntroduction: Giant inguinoscrotal hernias (GIH) are groin hernias that extend below the… Continue Reading
- Topic:
- Abdominal Wall Hernias
ROBOT ASSISTED LUMBAR WALL HERNIA REPAIR
Ricardo Nassar1, Juan David Hernandez1, Juan David Linares1, Erik B Wilson2, Natan Zundel1, Ernesto Pinto1, Andres M Garcia1. 1Hospital Fundacion Santa Fe De Bogota, 2University of Texas Medical School At Houston57 YEAR OLD PATIENT WITH HISTORY OF CLOSED ABDOMINAL TRAUMA AND TRAUMATIC ILIAC CREST FRACTURE THAT EVOLVED INTO A TRAUMATIC LUMBAR WALL HERNIA, WE PERFORMED… Continue Reading
- Topic:
- Abdominal Wall Hernias
ROBOTIC ASSISTED REPAIR OF VENTRAL HERNIA AND DIASTASIS RECTI WITH RECTUS ABDOMINIS MOBILIZATION
Hira Ahmad, MD1, Jeremy Eckstein, MD2. 1Cleveland clinic Florida, 2Memorial Regional HospitalIntroduction: The incidence of ventral hernia can range from 2-30%. Laparoscopic ventral hernia repair has been well described in the literature. We aim to present a new technique of robotic repair of ventral hernia in concurrence with repair of diastasis recti with rectus abdominis… Continue Reading
- Topic:
- Abdominal Wall Hernias
Totally transabdominal preperitoneal repair of a large incarcerated inguinal hernia
Danielle T Friedman, MD. Yale School of Medicine - Department of SurgeryLaparoscopic inguinal hernia repair remains controversial despite growing body of literature. There is a more difficult learning curve compared to open repair. Current recommendations suggest consideration of laparoscopic approach in female patients due to increased risk of recurrence, thought to be related to the higher… Continue Reading
- Topic:
- Abdominal Wall Hernias
Robotic Repair of Recurrent Interparietal Incisional Flank Hernia
Steve R Siegal, MD, Sean B Orenstein, MD. Oregon Health & Science UniversityA 56 year old female presented with a recurrent left flank incisional hernia. She underwent an anterior approach to spinal surgery and develped an incisional hernia postoperatively. This was initially repaired with onlay polypropylene mesh in an open fashion, but recurred. Though somewhat… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Recurrent Inguinal Hernia after Ipsilateral Kidney Transplant
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, James Flippin, MD, Ramarao Ganga, MD, Samuel Szosmtein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaIn this video we demonstrate the safety and feasibility of a transabdominal laparoscopic large inguinal hernia repair after kidney transplant. This is the case of a 69 year old male with a history… Continue Reading
- Topic:
- Abdominal Wall Hernias
EMERGENCY LAPAROSCOPIC PARTIAL SPLENECTOMY IN PEDIATRIC BLUNT SPLENIC TRAUMA
Giancarlo Basili, MD, Dario Pietrasanta, MD, Federico Filidei, MD, Nicola Romano, MD, Aurelio Costa, MD. Pontedera General Hospital, General Surgery DepartmentIntroduction: The incidence of splenic injury in blunt abdominal trauma has been reported as high as 25% in literature. The management has undergone major changes over the past from nearly mandatory laparotomy with splenectomy, to… Continue Reading
- Topic:
- Acute Care Surgery
Emergent Laparoscopic Sleeve Gastrectomy for Gastric Necrosis
Apurva Trivedi, DO1, Jacob A Petrosky, MD2, Jai Prasad, MD2, Ryan D Horsley, DO3. 1Geisinger Wyoming Valley, 2Geisinger Medical Center, 3Geisinger Community Medical CenterThe management of a surgical hemodynamically unstable patient is generally not managed laparoscopically. Our patient is a 47-year-old female with a past medical history of diabetes, asthma, morbid obesity and 24 pack-year… Continue Reading
- Topic:
- Acute Care Surgery
Laparoscopic Ladd Procedure
Brian Bassiri-Tehrani, MD, Robert A Andrews, MD. Lenox Hill HospitalIntroduction: Intestinal malrotation occurs in about 1 in 200 to 1 in 500 live births. Despite this, however, not all patients present with signs and symptoms of an acute obstruction or volvulus. In fact, most patients are asymptomatic and are incidentally diagnosed later in life. Symptomatic… Continue Reading
- Topic:
- Acute Care Surgery
THE LESSER OF TWO EVILS: DEALING WITH COMPLICATIONS AFTER LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY
Guillaume S Chevrollier, MD, Danica N Giugliano, MD, Jennifer A Rich, BS, Jonathan M Stem, MD, Andrew M Brown, MD, Francesco Palazzo, MD, Michael J Pucci, MD. Sidney Kimmel Medical College of Thomas Jefferson University, Department of SurgeryWe present a video case presentation of a patient who developed cholecystolithiasis, choledocholithiasis, and a cystocutaneous fistula after… Continue Reading
- Topic:
- Biliary
GALLBLADDER DUPLICATION: INTRAOPERATIVE DIAGNOSIS USING ICG
Andres E Giovannetti, MD1, Michael Prendergast, MD2. 1UIC-MGH General Surgery Residency, 2Presence St Francis Hospital EvanstonINTRODUCTION: Biliary anatomy is variable and its knowledge is key in the surgical management of our patients. Gallbladder duplication is a rare finding with an incidence estimated of 1:4,000 cases. Was first described in a Roman Emperor’s slave autopsy. Management… Continue Reading
- Topic:
- Biliary
Dome-Down Laparoscopic Cholecystectomy in Acute Cholecystitis
Kamthorn Yolsuriyanwong, MD, Eric Marcotte, MD, Bipan Chand, MD. Loyola University Chicago, Stritch School of MedicineBackground: In normal situations, laparoscopic cholecystectomy (LC) usually starts with dissection from the triangle of Calot upwards towards the dome of the gallbladder. However, the surgeon may encounter a difficult LC, which loss of anatomical details particularly in the triangle… Continue Reading
- Topic:
- Biliary
Type I Choledochal Cyst. Laparoscopic Excision and Roux en Y Hepaticojejunostomy
Mauro Andrés Perdomo Pérez, MD, Pablo Valsangiácomo, Martin Bentancur, Cecilia Chambon, Daniel Gonzalez, Luis Ruso Martinez. Hospital MacielCase presentation of a Todani´s type Ia choledochal cyst. Totally laparoscopic excision and Roux en Y hepaticojejunostomy video. 45-year-old female, presented with right upper quadrant abdominal pain and obstructive jaundice. Laparoscopic cholecistectomy 17 years ago. Seven-year history of… Continue Reading
- Topic:
- Biliary
Laparoscopic Management of Intra-hepatic Gall Bladder Perforation
Ajay Bhandarwar, MS, FICS, FBMS, FALS, FMAS1, Tejas Nikumbh, DNB1, Gajanan Wagholikar, MS, MCh, DNB, FACS, FICS2, Amol Wagh, MS, FMAS, FBMS, FALS, FIAGES1, Eham Arora, MS1, Shubham Gupta, MS1, Jasmine Agarwal1, Gagandeep Talwar1. 1Grant Government Medical College & Sir JJ Group of Hospitals, India, 2Deenanath Mangeshkar Hospital & Research Centre, Pune, IndiaCholecystohepatic communication, i.e.… Continue Reading
- Topic:
- Biliary