Use of Chemical Components Separation for Primary Wound Closure in an Open Abdomen
Natasza M Posielski, BS, Clayton C Petro, MD, Yuri W Novitsky, MD, Hooman T Soltanian, MD, Michael J Rosen, MD. University Hospitals Case Medical Center. Introduction: A 58-year-old male with gallstone pancreatitis developed abdominal compartment syndrome requiring a decompressive laparotomy at an outside hospital. Ten days later his fascial defect remained >30cm wide and he… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraesophageal Hernia Repair with Collis Gastroplasty and Diaphragmatic Relaxing Incision
Geoffrey Chow, MD, Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. This video shows a laparoscopic repair of a type III paraesophageal hernia. Despite full mobilization, a short esophagus was present and a stapled Collis-type wedge fundectomy was performed as an esophageal lengthening procedure. Additionally,… Continue Reading
- Topic:
- Abdominal Wall Hernias
Foramen of Winslow Hernia: A Minimally Invasive Approach
Cristina R Harnsberger, MD, Elisabeth C McLemore, MD, Ryan C Broderick, MD, Peter Yu, MD, Martin A Berducci, MD, Catherine Beck, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. Hernias through the Foramen of Winslow have traditionally been managed via an open surgical approach. The case… Continue Reading
- Topic:
- Abdominal Wall Hernias
Complex Laparoscopic Repair of Giant Type IV Hiatal Hernia after Esophagectomy
Fredrick Che, MD, Nojan Toomari, DO, Ninh Nguyen, MD. University of California Irvine Medical Center. 69 year old male with a history of esophageal adenocarcinoma status post laparoscopic and thoracoscopic Ivor Lewis esophagectomy, presented with abdominal pain and symptoms of bowel obstruction. Images performed showed a giant type 4 hiatal hernia with transverse and descending… Continue Reading
- Topic:
- Abdominal Wall Hernias
An Umbrella Approach to Large Or Massive Incisional Hernias with Open Components Separation and Biologic Mesh Reinforcement
Gordon Lee, BS, Audriene Sanchez, MS, Heidi Ryan, MD, Shawn Tsuda, MD, FACS. University of Nevada School of Medicine. Background: Large (> 10 cm diameter) or massive (> 20 cm diameter) or complex hernias remain a challenge with frequent complications. Ideal patient selection for techniques including open or endoscopic components separation, reinforcement with porous prosthetics… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Patient Reported Outcomes Following Laparoscopic Ventral Hernia Repair
R M Antiel, MD, MA, S C Dupont, MD, M J Samaha, K V Ballman, PhD, J Bingener, MD. Mayo Clinic, Rochester MN. Introduction: Approximately 90,000 ventral hernia repairs are performed in the US each year. Patients expect fast recovery after laparoscopic ventral hernia repair (LVHR) and undisturbed postoperative quality of life. Some patients however… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prospective comparison between Reduced Port Laparoscopic Hiatal Hernia Repair and Usual 5 port one
Koji Hattori, MDPhD, Takeshi Tanaka, MD, Kazunao Nakano, MD, Isao Toura, MDPhD. Endoscopic Surgery Center, Gyotoku General Hospital. Background Since 2009 we had performed Single Incision Laparoscopic Cholecystectomy in 200 cases. We recognize this procedure for patients to prefer to. So in a few cases we tried to perform Hiatal Hernia Repair with the procedures… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Mesh infection salvage with locally bee-honey application.
Esmer David, phd, Salas Monica, phd, Alvarez-tostado Fernando, phd, Muniz Alejandro, phd. Central Hospital. Mesh infection is a catastrophic complication after hernia repair. Honey has bactericidal activity reported since 1892. Present 4 cases of salvage of infected mesh after abdominal hernia repairs with bee-honey. Presentation. Case 1: 34 years old man with incisional ventral hernia… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic parastomal hernia repair with defect closure: Techniques and preliminary results
Suthep Udomsawaengsup, MD, Soravith Vijitpornkul, MD, Pakkavuth Chanswangphuvana, MD, Ajjana Techagumpuch, MD, Suppa-ut Pungpapong, MD, Chadin Tharavej, MD, Patpong Navicharern, MD. Chula Minimally Invasive Surgery Center, Chulalongkorn University. Background Parastomal hernia is common after stoma formation. Laparoscopic parastomal hernia repair provides an acceptable short-term result but incidence of seroma and recurrence is still high. Defect… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Selective Placement of Synthetic Mesh During Clean-Contaminated Laparoscopic Bariatric Procedures is Safe
Edward J Hannoush, MD, Kurt E Roberts, MD, Robert L Bell, MD, Andrew J Duffy, MD. Yale University. Yale School of Medicine.. Introduction: Simultaneous laparoscopic repair of abdominal ventral hernia with intraperitoneal synthetic mesh in patients undergoing laparoscopic-stapled bariatric surgery is generally considered ill advised due to the assumed higher risk of infectious complications. However… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Underlay Versus Retrorectus Mesh Placement in Complex Ventral Hernia Repair Utilizing Endoscopic Component Separation
M Gustafson, MD, R Kimball, MD, B Pellini, MD, I Daoud, MD, FACS. Department of Minimally Invasive Surgery, St. Francis Hospital and Medical Center; Hartford, CT. Introduction: Abdominal wall reconstruction for complex abdominal wall defects remains a challenge. Although open component separation with medialization of the rectus muscles restores integrity and function of the abdominal… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Influence of Hiatal Hernia Size On Recurrence Rate Following Laparoscopic Hiatal Hernia Repair
Aaron M Williams, BA, Salomon Levy, MD, Daniel L Davenport, PhD, Margaret Plymale, MSN, RN, J. Scott Roth, MD. The University of Kentucky, Department of Surgery, Division of Gastrointestinal Surgery and Minimally Invasive Surgery. INTRODUCTION: The cranio-caudal height of a hiatal hernia has been demonstrated to be associated with the rate of recurrence following laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Parastomal Hernia Repair: No Different Than a Laparoscopic Ventral Hernia Repair?
Salomon Levy, MD, Margareth Plymale, RN, Daniel P Davenport, Phd, J.Scott Roth, MD. University of Kentucky. Introduction: Parastomal hernias are a common complication following stoma creation occurring in up to 50% of stomas. Laparoscopic repair of parastomal hernias (LPH) utilizing a Sugarbaker technique has been demonstrated to have excellent outcomes. Laparoscopic parastomal hernia repair utilizes… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prospective evaluation of self-gripping mesh (Parietex Progrip(tm)) without additional fixation during laparoscopic total extraperitoneal (TEP) inguinal hernia repair: one year results in 102 hernias
Andrew Bates, MD, Mark Reiner, MD, Andrew Wu, MD, Brian P Jacob, MD. Mount Sinai Medical Center, NYC. Background: The use of self-gripping mesh during laparoscopic TEP inguinal hernia repairs may eliminate the need for any additional fixation without added concern for mesh migration. Long term outcomes are not yet prospectively studied in a controlled… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Single Umbilical Tangenital Incision (SUTI) Lap-TEP Inguinal Hernia Repair
Jun-Beom Park, MD, Myung-Hoon Lim, MD, Ji-Young Sul, PhD, MD. Chungnam National University Hospital. INTRODUCTION – Single port laparoscopic inguinal hernia repair has been performed to improve the cosmesis compared to that of conventional multi-port procedures. But the cosmetic result of single port Lap-TEP is not superior to that of TAPP hernia repair. The aim of this study is… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias