Laparoscopic Completely Extraperitoneal Repair of Inguinal Hernia in Children; A Single Institute Experiences with 1,257 Repairs in Comparison with Cut-down Herniorrhaphy.
Aim of the study: Conventional open herniorrhaphy in children has been reported to have 2~3% recurrence and 10~20% postoperative contralateral hernia rates. We developed a unique technique to achieve completely extraperitoneal ligation of patent processus vaginalis (PPV) without any skip areas, sparing the spermatic cord and vessels under laparoscopic control. Our technique should be theoretically… Continue Reading
- Type:
- Podium Presentations
- 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
Fibrin Sealant (Tissucol) Enhances Tissue Integration of cPTFE Meshes and Reduces Early Adhesion Formation in Experimental IPOM Repair
AbstractBackground: The laparoscopic intraabdominal peritoneal onlay mesh repair (IPOM) is a common technique for the reinforcement of multiple ventral hernias or defined defects after laparotomies. However, the placement of synthetic meshes in the intraabdominal cavity can be associated with severe complications. Adhesions frequently originate from the implant and protruding parts of fixation devices, presenting a… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Endoscopic Totally Extraperitoneal Repair for Bilateral Inguinal Hernias
INTRODUCTION: The benefits of the laparoscopic approach in inguinal hernia surgery are most evident when performed for bilateral cases. A single surgery to address bilateral pathologies would be practical and cost efficient. MATERIALS & METHODS: Our single centre series involves a retrospective review of 74 consecutive patients who underwent endoscopic totally extraperitoneal (TEP) repair for… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
CT Mapping of Anterior Abdominal Wall Defects.
INTRODUCTION: Ventral hernia is a challenging surgical problem. Occult ventral hernia defects contribute to the relatively high recurrence rate after open surgical repair.METHODS: 44 patients underwent comprehensive physical examination, CT scan, and laparoscopy for ventral hernia. Hernia defects were mapped using all three methods and the results were compared. Descriptive statistics were used to analyze… Continue Reading
- Type:
- Posters
- 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
A Paradigm Shift in Ventral Hernia Repair. Laparoscopic Component Separation During Laparoscopic Ventral Hernia Repair.
Component separation is an important technique in the repair of ventral hernias because it allows restoration of the normal anatomic relationship of the rectus muscles while maintaining a tension-free repair. Our group has previously reported on fully laparoscopic component separation as an important tool in the repair of ventral hernias. This technique allows for protection… 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