Clinical Predictors of Operative Complexity in Laparoscopic Ventral Hernia Repair: A Prospective Study
Introduction: Due to uncertainties about the complexity of laparoscopic ventral hernia repair in varying patient populations, surgeons may be reluctant to perform this procedure. The aim of this study is to delineate risk factors that can be identified in the preoperative setting that predict longer operative times and complexity in laparoscopic ventral hernia repair. Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral/incisional Hernia Repair with Tissue Augmentation and Transfascial Fixation, 17 Years Follow Up
BACKGROUND:Incisional hernias develop in 2%-20% of laparotomy incisions, necessitating approximately 90000 ventral hernia repairs per year. Although a common general surgical problem, a "best" method for repair has yet to be identified, as evidenced by documented recurrence rates of 25%-52% with primary open repair, there is controversy regarding the closure of the defect and the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Prospective Evaluation of Adhesion Characteristics to Intraperitoneal Mesh and Adhesiolysis-related Complications During Laparoscopic Re-exploration After Prior Ventral Hernia Repair
Introduction: The risks and operative complexity of reoperation after ventral hernia repair has not been defined for barrier meshes designed for intraperitoneal placement. The purpose of this study is to define the adhesion characteristics of absorbable and nonabsorbable barrier-coated meshes and to report adhesiolysis-related complications during laparoscopic re-exploration after prior ventral hernia repair with intraperitoneal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Transabdominal Pre-peritoneal Laparoscopic Hernia Repair Allows Diagnosis and Appropriate Treatment of Occult Bilateral Hernias
INTRODUCTION: Transabdominal pre-peritoneal (TAPP) laparoscopic repair has become established as a suitable primary treatment modality for inguinal hernias. The diagnosis and subsequent repair of occult bilateral hernias has been described by a number of authors. In this situation TAPP is thought to be superior to both open and extra-peritoneal laparoscopic repair because it avoids unnecessary… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Tep Repair of a Bilateral Obturator Hernia
Introduction: Obturator hernias (OH) are rare and difficult to diagnose. While they account for as few as 0.073% of all hernias, their mortality can be as high as 70%. OH affects women more commonly than men (ratio ~8:1). Other risk factors are emaciation, multiparity, and chronic conditions that increase the intra-abdominal pressure such as COPD… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Is It Necessary to Do Exploration of the Right Side During Tep Repair for the Left Inguinal Hernia?
INTRODUCTION: Laparoscopic herniorrhaphy (LH) LH has ability to examine an asymptomatic contralateral side and repair occult contralateral hernia coincidentally with less morbidity. In this prospective study, we aimed to examine the result of diagnostic exploration of the right side during laparoscopic totally extraperitoneal (TEP) repair for the left side inguinal hernia.METHODS: A prospective study of… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Congenital Bilateral Morgagni\’s Hernia
Background: Morgagni’s hernia is a rare type of congenital diaphragmatic hernia that presents as a defect in the anterior aspect of the diaphragm. It typically presents in the pediatric population and is rarely diagnosed in adults. Only 3% of diaphragmatic hernias are Morgagni’s type, and only 4% of these are found to present bilaterally. Surgical… Continue Reading
- Topic:
- Abdominal Wall Hernias
Is Unilateral Laparoscopictep Inguinal Hernia Repair a Job Half Done? a Case in Favor of Bilateral Repairs.
Introduction: Laparoscopic bilateral totally extraperitoneal (TEP) repair in unilateral hernias is conspicuous in published literature in its absence. There are no studies or data on the feasibility, advantages or disadvantages of bilateral repairs in all cases or in any subset of patients of unilateral primary inguinal hernia. The objective of our study is to study… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Inguinal Hernia Repair for Occult (non-palpable) Groin Hernias in Women with Chronic Pelvic Pain
Objective: For many women with chronic pelvic pain (CPP), non-palpable groin hernias represent a common potentially treatable cause. Despite history and physical exam findings which are suggestive of hernia, the lack of a palpable impulse may cause the diagnosis to be missed. Laparoscopic techniques provide a minimally invasive means for evaluating and treating occult hernias… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Rives-stoppa Incisional Hernia Repair Combined with Laparoscopic Separation of Abdominal Wall Components: A Novel Approach to Complex Abdominal Wall Closure
Introduction: The Rives-Stoppa hernia repair is the gold standard for mesh repair of complex incisional hernias. The rate of wound infection can be reduced if fascial closure is achievable between the skin and the prosthetic mesh. For larger defects, fascial closure is not often possible without raising large skin flaps for separation of the abdominal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Comparative Analysis of Freestanding Ambulatory Surgery Center Utilization for Inguinal Hernia Repair
Introduction: Freestanding ambulatory surgery centers (ASCs) use has greatly increased. No study has evaluated the utilization of ASCs for inguinal hernia repair (IHR). This study compares patient factors, hernia types, and approaches (laparoscopic vs. open) for IHR performed at ASC and non-ASC facilities. Methods: Patients 18 years or older undergoing elective outpatient IHR were identified… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Totally Extraperitoneal Hernia Repair Versus Open Hernia Repair: Comparison of Perioperative Outcomes
IntroductionLichtenstein repair is generally accepted as a safe and widely practiced. Laparoscopic TEP herniorrhaphy is a recent technique and now increasing in number, but not generally accepted because of technical difficulties and not established peri-operative outcomes. This study compares perioperative outcomes and complications between open Lichtenstein repair and laparoscopic TEP repair.MethodsThis study is retrospective study… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Feasibility and Potential Advantages of Transporous Mesh Fixation By a Laparoscopic Spray System (lss) in Inguinal Hernia Repair
Background. Chronic pain after inguinal hernia repair is often due to nerve injury by penetrating mesh fixation devices, such as staples, tacks or sutures. The cumulative incidence of pain, numbness and discomfort after surgery for inguinal hernia is reported to be as high as 30%. Tissue sealants have been proposed to provide atraumatic mesh fixation… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Incisional Hernias Following Renal Transplantation
Introduction: While laparoscopic mesh repair is gaining popularity as the standard technique for incisional hernia repairs, it has not so far been reported in renal transplant recipients. Technical challenges, including proximity to the allograft and the absence of a fascial margin make laparoscopic repair difficult. However, the lower recurrence rates, fewer complications, and shorted hospital… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Impact of Different Commercially Available Antiadhesive Barriers in Experimental Ipom Hernia Repair Using a Polypropylene Mesh
Background:Intraperitoneal onlay mesh plastic technique (IPOM) is a common technique for ventral hernia repair. Adhesion formation, seroma formation, impared functionality of the abdominal wall, and chronic pain are frequently observed complications. Adhesions are probably the most important side effect and can be evoked by meshes as well as fixation devices. Different mesh concepts for adhesion… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias