Could Total Extraperitoneal Hernia Repair Done Under Spinal Anesthesia Without Fixation of Mesh Be Recommended As the First Line Procedure for Unilateral Inguinal Hernias?
Background-Though laparoscopic total extra peritoneal repair (TEP) of inguinal hernia has been recommended as the method of choice for bilateral and recurrent inguinal hernias, yet for unilateral inguinal hernias, both the open and TEP are considered at par.While doing unilateral inguinal hernia repair, TEP has several advantages over the open repair. The pain in the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Flexible Endoscopic Sub-rectal Sheath Tunneling Allowing Intraperitoneal Visualization During Single Incision Ventral Hernia Mesh Repair
Objective: Dual-layer mesh products are optimal for a subset of ventral hernia repair. While small umbilical defects are easily accessed through a single incision, intraperitoneal visualization is limited and only possible prior to mesh placement. The purpose of our study was to evaluate the feasibility of a single-incision flexible endoscopic sub-rectal sheath tunneling technique to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Abdominal Hernias: Can We Determine Defect Size?
Introduction: To analyze ability to accurately determine abdominal wall hernia defect size by pre-operative versus intra-operative examinations. With the continuous growing number of abdominal hernias, more practicing surgeons are beginning to practice laparoscopic repair. The hernia defect is an important aspect of the surgery including mesh sizing for repair and operative planning that is needed… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Nationwide Trends in Incisional Hernias in the Era of Laparoscopic Surgery
NATIONWIDE TRENDS IN INCISIONAL HERNIAS IN THE ERA OF LAPAROSCOPIC SURGERY Authors: Usama Qumsieh, MD, Marek Rudnicki, MD, PhD, Wendy Weller, PhD.Institutions: Metropolitan Group Hospitals/Univ. of Illinois Surgery Residency Program, Chicago, Illinois and Univ. at Albany School of Public Health. OBJECTIVE: Incisional hernias (IH) are observed in 10-15% of patients after open abdominal procedures and… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Single Port Access (spa) Ventral Hernia Repair: Initial Report of 15 Cases
Laparoscopic ventral hernia repair has been demonstrated to be an acceptable and successful technique. Aside from similar, albeit decreased complications compared to open hernia repair, the laparoscopic technique adds the additional complication of port site hernia to its follow up criteria. We originally described a two port repair technique in 2002. Now, we have applied… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Technique and Outcomes for Patients Requiring Laparoscopic Surgery After Large Ventral Hernia Repairs
OBJECTIVE: Patients with ventral hernia repairs risk mesh infection with subsequent surgeries, which can lead to serious morbidity. Such patients need an unorthodox approach to prevent serious complications such as mesh infection or recurrent hernias. METHODS: Patients who had large ventral hernia repairs and subsequently underwent laparoscopic procedures for various purposes were retrospectively reviewed. The… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Umbilical and Paraumbilical Has the Lowest Rate of Recurrence
INTRODUCTION: No firm consensus currently exists on the best technique for the repair of umbilical and paraumbilical hernia in adults. The role of laparoscopic hernioplasty of umbilical hernia remains controversial,and a recent EAES consensus meeting recommended both open mesh, suture or laparoscopic repair for defects under 3cm.METHODS: A retrospective audit was conducted and identified patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Incisional Hernia Repair in Orthotopic Liver Transplant Patients
Laparoscopic incisional hernia repair in orthotopic liver transplant patientsJanine N. Pettiford, MD, John Sweeney, MD, Behnoud Berakhim, and Vadim Sherman, MD. Background: The incidence of incisional hernias in orthotopic liver transplant (OLT) patients is approximately 5-17%. Treatment options are often complicated by the patients’ co-morbidities and immunosuppression. The purpose of this study was to assess… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Presentation, Demographics, and Surgical Management of Bochdalek Hernias in Adults.
Background: Bochdalek hernias are congenital diaphragmatic defects that have been well described in the pediatric literature. The first congenital diaphragmatic hernia was described in the 17th century by Lzarus Riverius and first described clinically by Vincent Alexander Bochdalek in 1848. Although treatment has progressed through the use of thoracoscopic repair in 1995 and laparoscopic repair… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Ventral Hernia Repair in Patients with Cirrhosis.
Introduction: Ventral hernias occur in up to 30% of patients with cirrhosis, however, elective repair is usually delayed until the onset of symptoms and is reserved for low risk patients. Hernia complications such as incarceration are usually treated with an open approach. Refinement of laparoscopic techniques has resulted in decreased morbidity in ventral hernia repairs… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraesophageal Hernia Repair: An Eight Year Experience
Introduction: Mandatory repair of paraesophageal hernias is no longer standard of care with a reported risk of strangulation of 1% per year. Methods of repair vary with regard to surgical approach and technique. We report our experience with laparoscopic paraesophageal hernia repair, using a variety of techniques for repair based on patient comorbidities, age, crural… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Preoperative Pain Does Not Predict Postoperative Pain in Inguinal and Ventral Hernia Repair
.Introduction: Chronic pain is the most common complication following hernia repair. Thus far, the presence of preoperative pain has been of unclear significance as a predictor of postoperative pain. Methods: A query of the International Hernia Mesh Registry was performed to include all inguinal and ventral hernia repairs within the registry. Patients with preoperative pain… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Enhanced Local Peritoneal Leukocyte P38 Activation and Tnf Secretion with Air Versus Co2 Insufflation
Background: Laparoscopic surgery has been shown to decrease systemic stress compared to open abdominal surgery. One of the mechanisms to explain this finding is the effect of carbon dioxide (CO2) as an insufflation gas. Previous studies have shown that peritoneal exposure to CO2 results in a suppressed inflammatory response compared to air exposure. With the… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Hepatic Iron Overload in Patients Undergoing Rygb
BACKGROUND: The most common cause of hepatic iron overload is a genetic mutation (C282Y) that causes an increase in serum transferrin saturation and ferritin levels. Abnormalities in iron metabolism as well as nonalcoholic steatosis are known conditions associated with obesity. The purpose of this study was to analyze the hepatic DNA of morbidly obese patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
The Impact of Co2-pneumoperitoneum on Liver Regeneration After Liver Resection in a Rat Model.
IntroductionDuring the past years, laparoscopic hepatic resection is beeing performed by an increasing number of surgeons. Despite many advantages of the laparoscopic procedure, it is unclear if the pneumoperitoneum affects the postoperative liver regeneration after liver resection. The aim of the present study was to investigate the influence of a CO2-pneumoperitoneum (PP) on liver regeneration… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science