The Comparison of Component Separation Technique (CST) Versus No Component Separation Technique in the Repair of Large Ventral Hernias
Sean R Maloney, Kathryn A Schlosser, Tanushree Prasad, Paul D Colavita, Kent W Kercher, Vedra A Augenstein, B. Todd Heniford. Carolinas Medical CenterIntroduction: CST allows mobilization of the abdominal wall to allow in an attempt to close the midline fascia. This technique has been associated with increased wound complications. The aim of this study is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Three Dimensional Hernia Analysis: Size Does Matter
Kathryn A Schlosser, Sean R Maloney, Tanushree Prasad, Paul D Colavita, Vedra A Augenstein, Brant T Heniford. Carolinas Medical CenterAims: BMI and hernia defect size are strongly associated with outcomes after open ventral hernia repair (OVHR). The impact of abdominal subcutaneous fat (SQFV), intra-abdominal volume (IAV), hernia volume (HV), ratio of HV to intra-abdominal volume… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Component separation in large midline hernia repair-there is an alternative.
Alex Karatassas1, O I Rodrigues2, K E Elistner2, A Jacobs2, J Read2, N Ibrahim2, J Saunders2. 1University of Adelaide Discipline of Surgery TQEH, 2Hernia Institute AustraliaIntroduction: Component separation (CS) involves division of the lateral abdominal muscles, allowing movement of a muscle section, restoring the midline and muscle function. CS is utilised to enable midline or near… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Should Component Separation Technique (CST) be Used for Abdominal Wall Reconstruction (AWR) in the Presence of Contamination?
Sean R Maloney, Kathryn A Schlosser, Tanushree Prasad, Kent W Kercher, Paul D Colavita, Vedra A Augenstein, B. Todd Heniford. Carolinas Medical CenterBackground: CST is a complex operation that can be very helpful in AWR for large defects. Consensus exists that CST should be reserved for a definitive repair, as CST may not be repeatable.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Outcomes Using Indocyanine Green Angiography with Perforator-Sparing Component Separation Technique for Abdominal Wall Reconstruction
Jenny M Shao, MD1, Yewande Alimi, MD, MS1, Dylan Conroy, BS2, Parag Bhanot, MD1. 1Medstar Georgetown University Hospital, 2Georgetown University School of MedicineBackground: Complex incisional hernia repairs using component separation techniques can have associated wound complications as high as 57%. Major and minor flap and wound complications can lead to mesh infections, hernia recurrence, reoperations,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Comparative Review of Outcomes: Laparoscopic and Robotic Enhanced-View Totally Extraperitoneal Rives-Stoppa Abdominal Wall Reconstruction
Alex Addo, MD1, Richard Lu, MD1, Stephanie Parlacoski, BA1, Zachary Ewart, MD2, Andrew Broda, BS1, Reza Zahiri, DO1, Igor Belyansky, MD, FACS1. 1Anne Arundel Medical Center, 2WellSpan HealthBackground: Since the publication by Dr. Jorge Daes of enhanced-view totally extraperitoneal (eTEP) technique in 2012 describing laparoscopic access to the retrorectus space, there has been continued innovation… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Determinants of 90-day readmission following ventral hernia repair with and without myocutaneous flap reconstruction
James W Feimster, MD, Sabha Ganai, MD, PhD, MPH, Steve Scaife, PhD, John D Mellinger, MD. Southern Illinois University School of MedicineIntroduction: Readmission status is an important clinical and economic component of healthcare outcomes. Readmission following ventral hernia repair has not been well-studied with national level data. This study aims to compare readmission rates for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Comparative Analysis of Myofascial Medialization Following Anterior versus Posterior Component Separation in a Cadaveric Model
Arnab Majumder, MD1, Luis Martin-Del-Campo, MD1, Heidi J Miller, MD2, Dina Podolsky, MD3, Hooman Soltanian, MD1, Yuri W Novitsky, MD, FACS3. 1University Hospitals Cleveland Medical Center, 2University of New Mexico, 3Columbia UniversityBackground: Component separation during ventral hernia repair remains an integral step during abdominal wall reconstruction. Although a multitude of techniques have been described, anterior… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
The Association of Penicillin Allergy with Outcomes after Open Ventral Hernia Repair (OVHR)
Kathryn A Schlosser, MD, Sean R Maloney, MD, James M Horton, MD, Tanushree Prasad, Paul D Colavita, Brant T Heniford, Vedra A Augenstein. Carolinas Medical CenterAims: 8% of the US population reports a penicillin allergy (PA), with 1-2% demonstrating true allergy upon testing. PA patients often receive non-beta-lactam antibiotic surgical prophylaxis. This study evaluates the relationship… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
The Impact of Internet Based Patient Self-Education of Surgical Mesh on Patient Attitudes and Health-care Decisions Prior to Surgery
Matthew P Miller, Saeed Arefanian, MD, Jeffrey A Blatnik, MD. Washington University School of MedicineIntroduction: As internet access improves, patient self-education is increasing. However, patient surgical background, e-literacy and media exposure influences how and what information patients search for on-line. This impacts patient concern, healthcare decisions and subsequent patient-physician interactions. The purpose of this study is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
EVALUATING EFFECTIVENESS OF COGNITIVE BEHAVIORAL THERAPY WITHIN MULTIMODAL TREATMENT FOR CHRONIC GROIN PAIN AFTER INGUINAL HERNIA REPAIR
Miles Landry, MBBS, Rachel Lewis, MD, Michael Lew, MD, Brandie Forman, Hernia Clinician, Bruce Ramshaw, MD. UTMCKIntroduction: The development of chronic groin pain after inguinal hernia repair is a complex problem with many potential factors contributing to its development. Factors interacting to result in the development of chronic pain include medical conditions, surgical technique, mesh choice… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
THE CONTRIBUTION OF SPECIFIC ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL ELEMENTS TO REDUCED LENGTH OF HOSPITAL STAY AFTER VENTRAL HERNIA REPAIR
Walker Ueland, BS, Margaret A Plymale, DNP, RN, Daniel L Davenport, PhD, Mary C Plymale, BS, John S Roth, MD, FACS. University of KentuckyIntroduction: Ventral hernia repair (VHR) is a commonly-performed procedure that may be associated with prolonged hospitalization. Enhanced Recovery after Surgery (ERAS) protocols are intended to decrease hospital length of stay (LOS). This… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
LAPAROSCOPIC VERSUS OPEN UMBILICAL HERNIA REPAIR IN PATIENTS WITH OBESITY
K N Williams, MD, L Hussain, MSc, MHA, K Meister, MD. TriHealthIntroduction: There's currently not a well-accepted optimal procedure for umbilical hernia repair (UHR) in patients with obesity when comparing laparoscopic repair (LR) versus open repair (OR). The purpose of this study was to evaluate if there is a difference in post-operative complications after LR versus OR… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Parastomal Hernia Repair Delays Recurrence Relative to Open Repair
Patrick Keller, BS, Margaret A Plymale, DNP, RN, You Wei Lin, BS, Daniel L Davenport, PhD, John S Roth, MD, FACS. University of KentuckyIntroduction: Parastomal hernia is a common problem with frequent recurrences. Mesh repair is widely accepted to be superior to non-mesh repair, yet the most favorable surgical approach is a subject of continued… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Too Big to Breathe: Predictors of Respiratory Failure (RF) after Open Abdominal Wall Reconstruction (AWR)
Kathryn Ann Schlosser, Sean R Maloney, Tanushree Prasad, Paul D Colavita, Vedra A Augenstein, Brant T Heniford. Carolinas Medical CenterAims: Increased intra-abdominal pressure after AWR is hypothesized to contribute to postoperative RF. The impact of abdominal subcutaneous fat volume (SQFV), intra-abdominal volume (IAV), hernia volume (HV), and ratio of HV:IAV (loss of domain) is even… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias