Laparoscopic Suprapubic Hernia Repair in the Overweight Population
Background: Laparoscopic suprapubic hernia repair (LSHR) is technically challenging, requiring difficult, dissection in the superior pelvis. Obesity creates an added complexity to the repair itself, and to the complications and recurrences that may develop.Methods: We retrospectively reviewed 22 overweight and obese patients who underwent LSHR by one surgeon between the years of 2005 to 2007.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Mechanisms of Ventral Hernia Recurrence Following Laparoscopic Repair
Objective: To determine mechanisms of ventral hernia recurrence following laparoscopic repair.Background: Laparoscopic ventral hernia repair techniques have demonstrated low recurrence rates in recent years. Mechanisms of recurrence following open repair are well-documented, but there is less data defining how laparoscopically-repaired hernias recur.Methods: We performed a retrospective analysis of 25 patients who had previously undergone at… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
“Clinically Significant Reason for TAPPS over TEPPS?”
Introduction: Would the ability to diagnose unexpected secondary findings be a crucial factor to choose TAPPS over TEPPS? The primary surgeon of this abstract incidentally diagnosed a liver malignancy that prompted this question. Over the years, debate between the two approaches has been an on-going issue. Neither surgery has demonstrated definitive superiority over the other.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Trans-gastric Ventral Abdominal Wall Placement of a Biologic Mesh
Introduction:We proposed a feasibility study to determine if biologic mesh may be safely placed in the abdomen in a transgastric fashion, as a precursor to attempting transgastric ventral hernia repair.Methods:Six swine underwent upper endoscopy after decontamination of the stomach with povidone-iodine (Betadine). Under endoscopic guidance the gastric wall was perforated. A plastic overtube was introduced… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
A Minimally Invasive Approach to a ‘ Seatbelt Hernia’
A MINIMALLY INVASIVE APPROACH TO A ‘ SEATBELT HERNIA’.Elyssa Feinberg MD, Aksim Rivera MD, Suttatip Vechvitvarakul MD , Ajay K Chopra MD.Jacobi Medical Center, Albert Einstein College of Medicine, Bronx NYIntroduction: Traumatic abdominal wall hernias are often the result of improperly worn lap and shoulder seat belts. Most cases of traumatic lumbar/flank hernias described have… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Obesity Contributes to Recurrence after Laparoscopic Incisional Hernia Repair
Objective: Obesity is a known risk factor for the development of incisional hernias. Despite the widespread use of prosthetic mesh, recurrence rates for open repair in obesity remain high. The magnitude of mechanical force exerted on the abdominal wall in obese individuals may contribute to a higher than expected recurrent incisional hernia rate. Laparoscopic ventral… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Open Hernia Repair neccessity in Basic Surgical Training
Introduction With the increasing uptake of laparoscopic hernia repairs, there could be concern that the availability of this basic open training procedure will be less for the current cohort of trainees as consultants and experienced registrars are doing more hernia repairs laparoscopically. This study aimed to determine whether there was a reduction in trainee exposure… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Human fibrin sealant (Tisseel) for hiatal mesh fixation in an experimental model in pigs
Introduction The fixation of hiatal meshes with perforating devices, such as tacks or sutures, can be associated with potentially life threatening complications1. Fibrin sealant (FS, Tissucol, Baxter Biosciences, Vienna, Austria) is successfully used for atraumatic mesh fixation in inguinal and incisional hernia repair2,3. The rationale of this study was to test the potential of FS… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias