Repair of a Hiatal Defect Using a Rotational Falciform Flap
Background: Closure of the hiatal defect in laparoscopic surgery of the foregut remains a challenging problem. Over the years, several materials have been used- varying compounds of nonabsorbable synthetics as well as absorbable biologic material. Yet, there is a high recurrence rate associated with primary closure and an unacceptably high rate of esophageal erosion and… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Loss of Domain Incisional Hernia Combining Endoscopic Myofascial Advancement Flaps, Medialization of the Rectus Sheath, and Mesh Reinforcement: A Case Series
OBJECTIVE: To evaluate our initial experience with combining bilateral endoscopic myofascial advancement flaps, medialization of the rectus sheath, and mesh reinforcement for laparoscopic repair of loss of domain incisional hernias.METHODS: A retrospective chart review was performed on all patients having completed a laparoscopic incisional hernia repair combining bilateral endoscopic myofascial advancement flaps, medialization of the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Totally Extraperitoneal (tep) Surgery for Inguinal Hernia: Single Port Endo-laparoscopic Surgery (spes) Vs Standard Laparoscopic Surgery
Single port endo-laparoscopic surgery (SPES) has shown much enthusiasm as this procedure is perceived to create an advantage in terms of better cosmesis and less pain as compared to the standard laparoscopic procedures. Comparing SPES and standard TEP is achieved with the clinical outcomes stated below. From May to August 2009, we prospectively compared 20… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Outcomes of Laparoscopic Ventral Hernia Repair with Routine Defect Closure Using “shoelacing” Technique
INTRODUCTIONLaparoscopic approach has become standard to most ventral hernia repairs. The benefits of minimal access include reduced wound complications, improved cosmesis, and faster functional recovery, among others. However, “bridging” of hernia defects during traditional laparoscopic ventral hernia repair (LVHR) often leads to seromas, bulging and, importantly, does not restore a functional abdominal wall. We have… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Totally Extraperitoneal Preperitoneal (tepp) Inguinal Hernia Repair Using Fetal Bovine Dermal Tissue (surgimend).
Laparoscopic preperitoneal hernia repair is a viable option for the repair of initial and recurrent inguinal hernias. It is particularly appealing for the treatment of recurrent or bilateral inguinal hernias. Since the technique of laparoscopic inguinal hernia repair was first described in 1989 by Schultz, Graber and Pietrafitta, it has undergone a number of modifications.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Hiatal Mesh Is Associated with Major Resection At Revisional Operation.
Introduction: The use of mesh to potentiate the hiatal closure during laparoscopic foregut surgery is increasing among surgeons, as some consider this the standard of care. Our objective is to evaluate the incidence of mesh removal during revisional foregut surgery and to examine the complications that can arise from the use of mesh near the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
In Vivo Fluorescence Imaging of Staphylococcus Aureus Biologic Mesh Infection – a 30 Day Analysis
BACKGROUND: Infection in the setting of hernia repair poses a difficult challenge, and biologic mesh might perform favorably in this setting. The specific response of different biologic mesh constructs to infection is unclear. Using fluorescent-labeled bacteria and innovative in vivo imaging quantitative bacterial analysis, we evaluated the response of two biologic mesh prosthetics to staphylococcus… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Bochdalek Hernia
Bochdalek hernia develops from mal-development in the fusion of the cephalic fold of the pleuroperitoneal membrane. It was first described by Bochdalek in 1848. It is most frequently diagnosed in neonates or children, while its presence in adult is rare. Perforation or necrosis of the involved organ is a feared complication and surgical repair constitutes… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Abdominal Wall Hernias Using Fetal Bovine Dermal Tissue (surgimend).
Laparoscopic repair of abdominal wall hernias using non-absorbable permanent prosthetic materials is a well-recognized alternative to open surgery. The popularity of these techniques has increased over the years and in some institutions is performed more frequently than the open techniques. The use of these materials in the abdominal cavity in apposition to bowel has necessitated… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Total Extraperitoneal Inguinal (tep) Herniorrhaphy for Primary Inguinal Herna: 3-year Experience of a Minimally Invasive Fellowship Trained Surgeon
Introduction- The aim of this study is to report the outcomes following TEP repair for primary unilateral inguinal hernias, performed by a single surgeon (ME) with minimally invasive surgical fellowship training. TEP repair for unilateral primary inguinal hernia remains a topic of discussion. Reported higher rates of recurrence are likely due to cases done while… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Comparative Patient Reported Outcomes in Laparoscopic Intraperitoneal Onlay Mesh Repair for Ventral Hernia with or Without Defect Closure – A 9-year Follow Up Case Controlled Study
Objective of StudyIntra-peritoneal onlay mesh (IPOM) is the gold standard technique of laparoscopic ventral hernia repair (LVHR), a ‘standard of care’ day care procedure. We have reported vest over pant closure of defect (VOPCOD) preceding IPOM in LVHR raising debate of anatomical restoration for functional compliance versus compromise with the ‘tension free repair’ principle. Hence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Single-incision Totally Extraperitoneal Inguinal Hernia Repair Is a Useful Precursor to More Complex Single-incision Laparoscopic Operations
Many general surgeons initially perform single-incision laparoscopic surgery during cholecystectomy. The potential for bile duct injury makes single-incision cholecystectomy potentially dangerous while the surgeon is overcoming his learning curve. This describes one surgeon’s experience with single-incision totally extraperitoneal (TEP) inguinal hernia repair prior to performing more complex single-incision laparoscopic cases. Methods: All patients who underwent… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Single Incision Ventral Hernia Repair: The Initial Experience
Introduction: Laparoscopic ventral hernia repair (LVH) requires several skin incisions for trocar placement. We have developed a single incision approach to LVH repair. The technique was introduced in clinical practice to any consenting patients who were candidates for a standard multi-port laparoscopic hernia repair. A consecutive series of patients were then followed to evaluate feasibility.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Totally Extraperitoneal Repair of a Spigelian Hernia
TOTALLYEXTRAPERITONEALREPAIROFASPIGELIANHERNIA Allocco, Frances MD; Reardon, Patrick MD; Saad, Mohamed MD; Dunkin, Brian MD Spigelian hernias are rare and account for up to 2% of abdominal wall hernias. In the past these were repaired using an open technique, but over the past two decades, there have been a growing number of reports of laparoscopic repairs. Over… Continue Reading
- Topic:
- Abdominal Wall Hernias
Physicomechanical Evaluation of Absorbable and Nonabsorbable Barrier Composite Meshes for Laparoscopic Ventral Hernia Repair
INTRODUCTION: The objective of this study was to compare the physicomechanical properties of composite prostheses with both absorbable and nonabsorbable barriers. The primary function of these barriers is to prevent adhesion formation. It is unknown how these barriers affect the physicomechanical properties of the prostheses. Seven composite prostheses commonly utilized for laparoscopic ventral hernia repair… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias