Laparoscopic Incisional Hernia Repair: A Retrospective Review of a Modified Technique
INTRODUCTION: Incisional hernias have a reported incidence of 15% following abdominal surgery. Open repair of these hernias can have a recurrence rate as high as 50%. Laparoscopic mesh repair may decrease the recurrence rate and offers the well-known benefits of minimally invasive surgery- chiefly less pain, better cosmetic results, and quicker recovery. Most laparoscopic incisional… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Use of Light, Partially Absorbable Mesh in Open Inguinal Hernia Repair Reduces Post-operative Pain and Complications: Preliminary Data with Cousin 4d-dome
Introduction: 60 hernia repairs in 56 patients were surveyed over a thirteenmonth period, based on hypothesis of less inflammatory reaction equalsless pain. Methods: We accumulated a survey asking patients at their level of pain and discomfort performing certain tasks. The survey consisted of 5 questions with the first modeling that of the Carolina Comfort Scale,… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraduodenal Hernia Repair
Paraduodenal hernias are the commonest type of internal hernia, affecting 2-3% of the population. Paraduodenal hernias arise from a deficiency in midgut rotation. However, unlike malrotation, the duodenum crosses the midline and the cecum is located in the right lower quadrant. 75% of paraduodenal hernias are left sided. The peritoneum-lined sac, known as Landzert’s fossa,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Post-operative Chronic Pain and Recurrence Following Laparoscopic Inguinal Hernia Repair: To Staple or Not to Staple?
The purpose of this study was to review the experiences of a single surgeon who, over a 17-year period, performed a total of 3125 laparoscopic inguinal hernia repairs in 2540 patients. In the first 1700 repairs, the mesh was tacked and in the last 1425 repairs, the mesh was not tacked. We then compared the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Inguinal Hernia Repair: a Retrospective Study Based on the 17-year Experience of a Single Surgeon.
This purpose of this study was to determine the safety and success rate of laparoscopic inguinal herniorrhaphy. This is a retrospective study reviewing the experience of one surgeon during a 17-year period between 1992 and 2009, where 3,125 laparoscopic inguinal hernia repairs were done in 2,540 patients. All patients had TEP repair and a total… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Preclinical Evaluation of Novel Design for a Resorbable Mesh Fixation Device
PurposeThe purpose was to evaluate a novel design for resorbable mesh fixation with regards to biocompatibility, prevention of mesh migration and to determine if the resorbable material produced any adverse effect on tissue integration. Methods Eight female Yorkshire pigs underwent surgical creation of a 1.5cm fascial defect on each side of the abdominal midline. Defects… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Lumbar Hernia Repair with Bone Anchor Fixation
INTRODUCTION: Lumbar hernias are rare defects of the posterolateral abdominal wall. Surgical repair of lumbar hernias is challenging because they are bounded inferiorly by the iliac bone, which makes adequate mesh fixation difficult. We demonstrate a method of a laparoscopic lumbar hernia repair utilizing bone anchor fixation at the inferior border. METHODS: The patient is… Continue Reading
- Topic:
- Abdominal Wall Hernias
Against Occam\’s Razor: Tap Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug
Against Occam’s Razor: TAP Repair of Recurrent Inguinal Hernia with Concomitant Inversion of Original Polypropylene Plug The patient is a 42 year old female who had undergone an open left inguinal hernia repair 13 years ago. She presents to clinic with a 1 year history of a recurrent left groin mass in the area of… Continue Reading
- Topic:
- Abdominal Wall Hernias
A Prospective Randomized Study Comparing Laparoscopic Totally Extra Peritoneal (tep) Repair Versus Trans Abdominal Pre-peritoneal (tapp) Repair for Inguinal Hernia Repair
BackgroundLaparoscopic inguinal hernia repair has the advantage of lesser pain, early recovery and lesser wound morbidity. There is no consensus on the best groin hernia repair. There are two standard techniques of Laparoscopic Inguinal hernia repair – Total Extra Peritoneal repair (TEP) and Trans - Abdominal Pre-Peritoneal repair (TAPP). There are not many trials available… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Traumatic Flank Hernia
Introduction: Traumatic flank hernias are caused by a blunt abdominal trauma with resultant detachment of the oblique musculofascial complex at the iliac crest and/or costal margin. Given such proximity to the bony structures and essential absence of the healthy fascia to anchor the mesh, traumatic flank hernias represent a challenging surgical problem. Although laparoscopic repair… Continue Reading
- Topic:
- Abdominal Wall Hernias
Standardized Trans-Abdominal Suturing with the Imesh Stitcher Device
Introduction In Laparoscopic hernia repair , particularly abdominal herniorrhaphy, fixation of the prosthetic mesh to the abdominal wall is commonly achieved by using tacks ( staples ) and/or trans-fascial sutures. Previous studies have shown trans-fascial suture fixation to be up to 2.5 times stronger than tacks. A correlation between fixation without sutures and hernia recurrence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Comparative Biomechanical Evaluation of Hernia Mesh Fixation with Fibrin Sealant (fs) Containing 4 Vs. 500 Iu Thrombin in Pigs
Background: The atraumatic fixation of meshes by fibrin sealant (FS) has been established for both open and laparoscopic techniques of hernia repair. This study was performed to evaluate the use of FS in hernia mesh fixation with different polymerization speed (thrombin concentrations), using commercial hernia meshes, and in two techniques, TAPP and IPOM. Methods: A… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Impact of Atraumatic Fibrin Sealant Vs. Staple Mesh Fixation in Tapp Hernia Repair on Chronic Pain and Quality of Life – Results of a Randomized Controlled Study
Background. Mesh reinforcement has become the standard of care in the repair of open and laparoscopic inguinal hernia repair. Chronic pain after inguinal hernia repair is often due to nerve injury by penetrating mesh fixation devices, such as staples, tacks or sutures. In several studies on hernioplasty, atraumatic mesh fixation with fibrin sealant (FS) proved… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Polyester Composite Versus Ptfe in Laparoscopic Ventral Hernia Repair
Polyester Composite versus PTFE in Laparoscopic Ventral Hernia RepairIntroduction:Both polyester composite (PCO) and polytetrafluoroethylene (PTFE) dual meshes are commonly utilized for laparoscopic ventral hernia repair. Sparse information exists, however, comparing perioperative and long-term outcome by mesh repair. Methods:A prospective database was utilized to identify 116 consecutive patients who underwent laparoscopic ventral hernia repair at The… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Experience of Single-site Laparoscopic Hernioplasty
Background: Inguinal hernia is a good indication for laparoscopic surgery. Recently,single-site laparoscopic surgery is widespread, especially for cholecystectomy, oophorectomy and appendectomy. But single-site laparoscopic hernioplasty is not often performed, because highly complex operative skills are involved. We report a case of single-site laparoscopic transabdominal preperitoneal (TAPP) hernia repair.Method: A 58-year-old woman with symptomatic left inguinal… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias