Hiatal Hernia Repair with Biologic Mesh Reinforcement Reduces Recurrence Rate in Small Hiatal Hernias
Elizabeth M Schmidt, MD, Jason F Reynoso, MD, Dmitry Oleynikov, MD. University of Nebraska Medical Center Introduction: The use of biological mesh for crural reinforcement during hiatal herniorrhaphy has been shown to decrease recurrence rates in patients with hiatal hernia greater than 5cm. However, there remains some controversy as to the benefit of crural reinforcement… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Surgeon Use of Mesh for Hiatal Hernia Repair – A Survey of SAGES Members
Jason M Pfluke, MD, C. Daniel Smith, MD. Mayo Clinic in Florida INTRODUCTION - Mesh use as an adjunct to hiatal hernia repair has been suggested to be safe and effective. Concern has been raised about the risk of mesh related complications like erosion, and the higher risk of complications if redo hiatal surgery is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Mesh Fixation with a Barbed Anchor Suture Results in Significantly Less Strangulation of the Abdominal Wall
Calvin Lyons, MD, Rohan Joseph, MD, Nilson Salas, MD, Patrick R Reardon, MD, Barbara L Bass, MD, Brian J Dunkin, MD. The Methodist Hospital Introduction: Laparoscopic ventral hernia repair using an underlay mesh frequently requires suture fixation across the abdominal wall which results in significant postoperative pain. This study investigated the utility of a novel… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Outcomes of Ventral Hernia Repair in the Non Obese and the Obese
Mohamed Dahman, MD, Katherine Graw, MD, Anna Dietrich-Covington, NP, Bruce Schirmer, MD, Peter Hallowell, MD. Department of Surgery, University of Virginia Health System, PO Box 800709, Charlottesville, VA 22908, USA Introduction: Obesity has been associated with an increased incidence of hernia recurrence, wound infection, and possible worse outcomes after hernia repair. With more major abdominal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
The Coming of Age of Complex Laparoscopy in a Community Teaching Hospital: Practice Patterns Learned From a Laparoscpic Ventral Hernia Repair Model
Ashwin A Kurian, MD, Sidhbh Gallagher, MD, Robert Josloff, MD. Abington Memorial Hospital Objective: Assess practice patterns in the incorporation of complex laparoscopy by general surgeons in a community teaching hospital using a laparoscopic ventral hernia repair (LVHR) model.Methods: Univariate and multivariate regression analysis of patient and intraoperative variables was conducted on a prospectively acquired… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Surgical Management of Large Hiatal Hernia After a Failed Anti-Reflux Surgery
Arpad Juhasz, MD PhD, Abhishek Sundaram, MBBS MPH, Masato Hoshino, MD, Tommy H Lee, MD, Sumeet K Mittal, MD. Department of Surgery, Creighton University Medical Center, Omaha, NE, USA Background: The objective of this study was to evaluate outcomes for patients who underwent re-operative intervention after a failed anti-reflux surgery and had a large recurrent… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Meta-Analysis of Studies Looking Into Staple Versus Fibrin Glue Mesh Fixation in Laparoscopic Total Extra Peritoneal Repair of Inguinal Hernia
Amit Kaul, MD, Susan Hutfless, PhD, Senan A Hamed, MD, Kevin Tymitz, MD, Hamilton Le, MD, Hien Nguyen, MD, Michael Marohn, MD. Johns Hopkins University School of Medicine INTRODUCTION - Fixation of mesh is typically performed to minimize risk of recurrence in laparoscopic inguinal hernia repair. Mesh fixation with staples has been implicated as a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Risk Factors for Incisional Hernia After Laparoscopic Colon Resection: Midline Versus Transverse Extraction Site
Lawrence Lee, MD, Salman Al-Sabah, MD, Pepa Kaneva, MSc, Sender Liberman, MD, Patrick Charlebois, MD, Barry Stein, MD, Gerald Fried, MD, Liane Feldman, MD. McGill University INTRODUCTION: Despite the use of smaller incisions in laparoscopic colon resection compared to open surgery, incisional hernia (IH) remains a source of considerable morbidity. A midline specimen extraction site… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Fixation of Biologic Mesh At the Hiatus with Fibrin Or Polyethylene Glycol (PEG) Sealant in a Porcine Model
Eric D Jenkins, MD, Sopon Lerdsirisopon, MD, Kevin P Costello, Lora Melman, MD, Margaret M Frisella, RN, Brent D Matthews, MD, Corey R Deeken, PhD. Dept. of Surgery, Section of Minimally Invasive Surgery, Washington University School of Medicine (St. Louis, Missouri) OBJECTIVES: Despite evidence that biologic mesh reinforcement improves outcomes for paraesophageal hernia repair, biologic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Fixation of Polypropylene Mesh On the Rabbit Abdominal Wall Using Poly L-Lactic Acid (plla) Nanosheet
Keiichi FUJINO, MD PhD, Manabu KINOSHITA, MD PhD, Hidekazu YANO, MD, Akihiro SAITOH, Toshinori FUJIE, PhD, Kahoko NISHIKAWA, PhD, Keiichi IWAYA, MD PhD, Shinji TAKEOKA, PhD, Daizoh SAITOH, MD PhD, Yuji TANAKA, MD PhD. Department of General Medicine, National Defense Medical College Introduction: Polypropylene mesh (PPM) used to repair abdominal wall hernias often induces dense… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Pilot Study of Objective Measurement of Abdominal Wall Function in Ventral Incisional Hernia Patients
Michael Parker, MD, Ross F Goldberg, MD, Maryane M Dinkins, PT, Horacio J Asbun, MD, C Daniel Smith, MD, Steven P Bowers, MD. Mayo Clinic Florida Introduction: Outcomes after ventral incisional hernia (VIH) repair are currently only measured by recurrence rate or measures of quality of life. There are no metrics available to objectively evaluate… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Inguinal Hernia Repair with Undescended Testes Removal
Rahul Singh, MD, Archana Ramaswamy, MD. University of Missouri In this video, we present a patient who was found to have an undescended testes during a laparoscopic TEP inguinal hernia repair. During the dissection a tubular structure attached to an ovoid soft mass was seen within the hernia sac. Following mobilization this mass was pushed… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Old Traumatic Diaphragmatic Hernia
Takeshi Naitoh, MD FACS, T Onogawa, MD, H Yoshida, MD, S Ottomo, MD, T Morikawa, MD, S Kimura, M Unno, MD. Department of Surgery, Tohoku University Hospital The patient was mid 30's year-old male. He was carried to the emergency room of our hospital with severe epigastralgia and back pain. Abdominal CT scan showed prolapsed… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Morgagni Hernia Repair
Minhao Zhou, MD, John J Kelly, MD. UMass Memorial Medical Center IntroductionMorgagni hernia is a rare congenital diaphragmatic hernia with a variety of surgical approaches to repair both transthoracic and transabdominal. We present a video of our laparoscopic approach. Methods and ProceduresA 37 year old obese female presents with 2 year history of worsening shortness… Continue Reading
- Topic:
- Abdominal Wall Hernias
Foramen of Morgagni Hernia: Laparoscopic Patch Repair
Thomas Ng, MD, Beth Ryder, MD, Shair Ahmed, MD. Brown University, Rhode Island Hospital Introduction:Foramen of Morgagni hernias are extremely rare. Most are asymptomatic and found incidentally, however may present with vague non-specific abdominal complaints. Upon diagnosis, operative intervention should be undertaken for the risk of incarceration and strangulation. Repair should include complete sac excision… Continue Reading
- Topic:
- Abdominal Wall Hernias