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
Prospective Evaluation of Adhesion Characteristics to Intraperitoneal Mesh and Adhesiolysis-related Complications During Laparoscopic Re-exploration After Prior Ventral Hernia Repair
Introduction: The risks and operative complexity of reoperation after ventral hernia repair has not been defined for barrier meshes designed for intraperitoneal placement. The purpose of this study is to define the adhesion characteristics of absorbable and nonabsorbable barrier-coated meshes and to report adhesiolysis-related complications during laparoscopic re-exploration after prior ventral hernia repair with intraperitoneal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Prospective Randomized Comparison of Conventional Lictenstein Versus Self-Adhesive Mesh Repair for Inguinal Hernia.
Inguinal hernia repair is one of the most common procedures performed during surgical practice. New methods and materials are introduced for a better outcome for this procedure as well as a better quality of life and postoperative period. This study compares conventional Lichtenstein hernia repair with sutureless self-adhesive mesh repair in terms of operative time,… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prospective Randomized Double Blind Placebo Controlled Trial of Postoperative Elastomeric Pain Pump Devices Following Laparoscopic Ventral Hernia Repair.
Introduction: The laparoscopic repair of ventral hernias can result in significant postoperative pain resulting in prolonged length of hospital stay, increased narcotic utilization, and patient dissatisfaction. Elastomeric pain pump devices with local analgesics may result in a significant reduction in postoperative discomfort after laparoscopic ventral hernia repair. We evaluated the effect of continuous infusion of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Rives-stoppa Incisional Hernia Repair Combined with Laparoscopic Separation of Abdominal Wall Components: A Novel Approach to Complex Abdominal Wall Closure
Introduction: The Rives-Stoppa hernia repair is the gold standard for mesh repair of complex incisional hernias. The rate of wound infection can be reduced if fascial closure is achievable between the skin and the prosthetic mesh. For larger defects, fascial closure is not often possible without raising large skin flaps for separation of the abdominal… Continue Reading
- Type:
- Podium Presentations
- 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
Tep Repair of a Bilateral Obturator Hernia
Introduction: Obturator hernias (OH) are rare and difficult to diagnose. While they account for as few as 0.073% of all hernias, their mortality can be as high as 70%. OH affects women more commonly than men (ratio ~8:1). Other risk factors are emaciation, multiparity, and chronic conditions that increase the intra-abdominal pressure such as COPD… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Combined Laparoscopic Approach to Incarcerated Inguinal Hernia
Background: The laparoscopic preperitoneal repair of inguinal hernias is an accepted and widely used approach, and several reports have demonstrated its advantages over an open repair. Incarcerated hernia is still considered an indication for an open repair, for several reasons, including the technical complexity, availability of trained laparoscopic surgeon for an emergent procedure, and the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Impact of Different Commercially Available Antiadhesive Barriers in Experimental Ipom Hernia Repair Using a Polypropylene Mesh
Background:Intraperitoneal onlay mesh plastic technique (IPOM) is a common technique for ventral hernia repair. Adhesion formation, seroma formation, impared functionality of the abdominal wall, and chronic pain are frequently observed complications. Adhesions are probably the most important side effect and can be evoked by meshes as well as fixation devices. Different mesh concepts for adhesion… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Transabdominal Pre-peritoneal Laparoscopic Hernia Repair Allows Diagnosis and Appropriate Treatment of Occult Bilateral Hernias
INTRODUCTION: Transabdominal pre-peritoneal (TAPP) laparoscopic repair has become established as a suitable primary treatment modality for inguinal hernias. The diagnosis and subsequent repair of occult bilateral hernias has been described by a number of authors. In this situation TAPP is thought to be superior to both open and extra-peritoneal laparoscopic repair because it avoids unnecessary… 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