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
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
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
Laparoscopic Management of Various Types of Diaphragmatic Hernias – a Fifteen Years Experience From an Advance Laparoscopic Centre
Background: Adult-congenital diaphragmatic hernias and chronic traumatic diaphragmatic hernias are uncommon entities that are often technically challenging to repair. But improvement in laparoscopic techniques and the vast experience in treating hiatus hernias by the advanced laparoscopic surgeons made them possible to treat such cases laparoscopically with better outcome. Materials and Methods: Thirty five different types… 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
Laparoscopic Removal of Inguinal Plug and Patch Mesh for Chronic Groin Pain
Background: Many surgeons disagree on the optimal method of repair for an inguinal hernia. Some surgeons believe that the plug and patch method of repair is a superior alternative to a straight Lichtenstein repair. A recent literature review however describes numerous complications from this method of repair including chronic pain, plug migration and enterocutaneous fistula… Continue Reading
- Type:
- Video Loop Presentations
- 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
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 Incidentally Found Spigelian Hernias: A Case Series and Review of Literature
Background: Spigelian hernias are a rare type of hernia that occurs through a defect in the anterior abdominal wall adjacent to the linea semilunaris. Estimation of their incidence has been reported as 0.12% of all abdominal wall hernias. Traditionally the method of repair has been an open approach and that to, only identified once there… Continue Reading
- Type:
- Posters
- 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
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
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
Laparoscopic Transabdominal Preperitoneal Mesh Repair with Sutured Closure of Lower Abdominal Incisional Hernia – A Single Centre Experience of 15 Cases
Introduction:Lower abdominal scars are a common site for developing incisional hernias. The complex anatomy of the pelvic and lower abdomen limits the size of Intraperitoneal placement of large preperitoneal mesh in such situations help in overcoming this problem.Methods: From Jan 2006 to June 2009, we performed TAPP procedure in 15 patients, of which 13 were… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia in the Elderly: A Safe Option
Introduction: To assess the early outcomes of laparoscopic ventral hernia repair in the elderly.Methods and Procedures: An operating room database of all laparoscopic ventral hernias performed between April 2001 to April 2009 was analyzed retrospectively. Patients were divided into two main groups: Group 1 (patients <65 years of age) and Group 2 (patients > to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Meandering External Iliac Artery: A Frequent Vascular Variant Found During Laparoscopic Inguinal Hernia Repair
Laparoscopic inguinal hernia repair requires extensive preperitoneal dissection for placement of mesh prostheses. Identifying known and expected anatomy within this preperitoneal space is crucial to the successful repair of inguinal hernias without complications. Proper dissection involves confident recognition of major pelvic vasculature. When vascular structures lie within their anticipated anatomic locations they are easily left… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias