Laparoscopic Management of Spigelian Hernias
Spigelian Hernias were first described by Josef Klinkosch in 1764 and named after Adriaan von Spieghel the Flemish anatomist who was the first to describe the linea semilunaris. Spigelian Hernias are the most common of the lateral ventral hernias but only account for 1%-2% of all hernias. These hernias most commonly present between the 4th… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraesophageal Hernia Repair: An Eight Year Experience
Introduction: Mandatory repair of paraesophageal hernias is no longer standard of care with a reported risk of strangulation of 1% per year. Methods of repair vary with regard to surgical approach and technique. We report our experience with laparoscopic paraesophageal hernia repair, using a variety of techniques for repair based on patient comorbidities, age, crural… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of a Right Paraduodenal Hernia
This video will discuss an interesting case of a 43 year old female with intermittent crampy abdominal pain. She underwent diagnostic laparoscopy which revealed a somewhat unexpected finding of a right paraduodenal hernia. The video will further discuss the relevant anatomic boundaries of this kind of hernia, as well as the etiology and clinical presentation.… Continue Reading
- 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
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
Laparoscopic Repair of Posterolateral Traumatic Lumbar Hernia, \”it\’s Worth the Wait!\”
Introduction: Posterolateral traumatic lumbar hernias are an uncommon problem. These defects may not be recognized initially, or may develop in a delayed fashion. Immediate and delayed repair have been described. We describe two cases of delayed laparoscopic repair of traumatic posterolateral abdominal wall hernias identified at the time of initial injury.Case 1: A 22 year-old… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Umbilical and Paraumbilical Has the Lowest Rate of Recurrence
INTRODUCTION: No firm consensus currently exists on the best technique for the repair of umbilical and paraumbilical hernia in adults. The role of laparoscopic hernioplasty of umbilical hernia remains controversial,and a recent EAES consensus meeting recommended both open mesh, suture or laparoscopic repair for defects under 3cm.METHODS: A retrospective audit was conducted and identified patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Total Extraperitoneal Repair in Recurrent Inguinal Hernias: Comparing Outcome with Primary Hernia Repair in 937 Patients
Objective- To study the outcome and morbidity parameters of total extraperitoneal (TEP) repair in patients with recurrent inguinal hernia and assess as how they are different from the primary inguinal hernia repair. Patients & Methods- A retrospective analysis was carried out over a three-year period in 937 patients in whom TEP was done. The recurrence… Continue Reading
- Type:
- Podium Presentations
- 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
Laparoscopic Ventral Hernia Repair Has an Advantage of Detecting Occult Hernia Defects
Objectives: It has been reported that laparoscopic exploration shows multiple hernia defects that were not detected on physical examination. The objective of this study was to describe the superiority of laparoscopic approach in detecting occult hernia defects and the precise size of hernia defects.Methods: A total of 35 consecutive patients who underwent laparoscopic ventral hernia… Continue Reading
- Type:
- Posters
- 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
Minimally Invasive Functional Abdominal Wall Reconstruction: A New Paradigm in Ventral Hernia Repair.
Laparoscopic ventral hernia repair has resulted in significant reduction of wound complications as compared to standard open techniques. However, the current laparoscopic approach requires bridging of an adynamic sheet of prosthetic material. This can result in paradoxical abdominal wall motion during straining. Abdominal wall bulging and a poor functional and cosmetic outcome can result in… Continue Reading
- Topic:
- Abdominal Wall Hernias
Minimally Invasive Tension Free Repair of Epigastric Hernias with Diastasis Recti
Abstract Background Repair of ventral epigastric hernias with diastasis recti can be a challenging problem because it may require a large incision thereby leaving a visible scar in the upper abdomen. This scar may not be cosmetically acceptable to the patient. This large scar line is in a highly visible position of the upper abdomen… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Nationwide Trends in Incisional Hernias in the Era of Laparoscopic Surgery
NATIONWIDE TRENDS IN INCISIONAL HERNIAS IN THE ERA OF LAPAROSCOPIC SURGERY Authors: Usama Qumsieh, MD, Marek Rudnicki, MD, PhD, Wendy Weller, PhD.Institutions: Metropolitan Group Hospitals/Univ. of Illinois Surgery Residency Program, Chicago, Illinois and Univ. at Albany School of Public Health. OBJECTIVE: Incisional hernias (IH) are observed in 10-15% of patients after open abdominal procedures and… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Preoperative Pain Does Not Predict Postoperative Pain in Inguinal and Ventral Hernia Repair
.Introduction: Chronic pain is the most common complication following hernia repair. Thus far, the presence of preoperative pain has been of unclear significance as a predictor of postoperative pain. Methods: A query of the International Hernia Mesh Registry was performed to include all inguinal and ventral hernia repairs within the registry. Patients with preoperative pain… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias