Laparoscopic Component Separation for Incisional Hernia Repair and Removal of Infected Mesh
For patients who have previously undergone ventral hernia repair with synthetic mesh, options are limited once they represent with infected mesh. Removal of the mesh leaves a significant defect. Bridging fascial defects with biologic mesh tend to have higher recurrences than using biologics in an underlay fashion. Open separation of components is an option for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Degarengeot\’s Hernia: Laparoscopic Reduction, Repair & Resection of an Incarcerated Appendiceal Mucocele
Overview: Our patient is a 69 year old female who presented for evaluation of rightthigh mass. Initially believed to represent a soft tissue malignancy, the mass waseventually found to be a femoral hernia containing incarcerated appendix. She underwent successful simultaneous laparoscopic TAPP herniorrhaphy and appendectomy. Background: Femoral hernia containing the appendix was first described in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
A Comparison of Outcomes in Open Versus Laparoscopic Surgical Repair of Recurrent Inguinal Hernias
IntroductionInguinal hernia recurrence following surgical repair is a major concern. There are conflicting views in the surgical community regarding the best treatment approach to prevent recurrence. We report our experience with open and laparoscopic repair of recurrent inguinal hernias. Methods After obtaining Institutional Review Board (IRB) approval, we retrospectively reviewed the charts of 98 patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Comparison of Laparoscopic Primary Repair and Open Repair Techniques for Small Ventral Hernias.
Epigastric, umbilical, incisional, parastomal and trocar site hernias are all “ventral” hernias in surgical practice. The use of synthetic materials for repair of ventral hernias tends to be the golden standard. However, there are some situations where the use of a mesh is either unnecessary or contraindicated. Furthermore, these patients should still be given the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Open Tension-free Mesh-plug Versus Transabdominal Preperitoneal(tapp) Versus Totally Extraperitoneal(tep) Laparoscopic Techniques for Primary Unilateral Inguinal Hernia Repair: A Prospective Randomized Controlled Trial
Background Open tension-free mesh-plug hernia repair, transabdominal preperitoneal(TAPP) and totally extraperitoneal(TEP) laparoscopic techniques are common surgical procedures for primary unilateral inguinal hernia repair. However, the choice of surgical procedure is still controversial in China. Objective To compare open tension-free hernioplasty with two laparoscopic hernia repairs. Methods One hundred sixty-four male patients suffering from primary unilateral… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Open Versus Endoscopic Component Separation – a Cost Effectiveness Analysis
BACKGROUND: Component separation technique (CST) has traditionally been performed using an open approach to repair complex abdominal wall hernias. However, major wound morbidities may ensue from the large lipocutaneous skin flaps. Minimally invasive endoscopic approaches have recently been described. It is unclear if the additional cost of endoscopic instruments outweighs any clinical benefits gained from… Continue Reading
- Type:
- Podium Presentations
- 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 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
30-day Readmission After Ventral Hernia Repair: Predictable or Preventable?
Introduction: Thirty-day readmission has become an increasingly scrutinized event in the field of surgery, especially in light of projected cuts in reimbursement. Our objective was to determine if any factors are predictive of 30-day readmission in patients undergoing ventral hernia repair. Methods: We retrospectively reviewed consecutive charts of patients who underwent laparoscopic or open ventral… Continue Reading
- Type:
- Podium 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
Reconstruction of the Anterior Abdominal Wall with Bilateral Endoscopic Component Separation, Laparoscopic Assisted Medialization of the Rectus and Laparoscopic Mesh Placement
Introduction:Standard laparoscopic repair of a large midline ventral hernia with mesh is frequently associated with seroma formation. In addition the rectus muscles cannot be medialized in large defects, thereby potentially leading to a less functional abdominal wall. We present a novel approach of repairing the midline abdominal wall defect while repairing the hernia laparoscopically with… Continue Reading
- Topic:
- Abdominal Wall Hernias
Repair of a Hiatal Defect Using a Rotational Falciform Flap
Background: Closure of the hiatal defect in laparoscopic surgery of the foregut remains a challenging problem. Over the years, several materials have been used- varying compounds of nonabsorbable synthetics as well as absorbable biologic material. Yet, there is a high recurrence rate associated with primary closure and an unacceptably high rate of esophageal erosion and… Continue Reading
- 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
Totally Extraperitoneal (tep) Surgery for Inguinal Hernia: Single Port Endo-laparoscopic Surgery (spes) Vs Standard Laparoscopic Surgery
Single port endo-laparoscopic surgery (SPES) has shown much enthusiasm as this procedure is perceived to create an advantage in terms of better cosmesis and less pain as compared to the standard laparoscopic procedures. Comparing SPES and standard TEP is achieved with the clinical outcomes stated below. From May to August 2009, we prospectively compared 20… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Outcomes of Laparoscopic Ventral Hernia Repair with Routine Defect Closure Using “shoelacing” Technique
INTRODUCTIONLaparoscopic approach has become standard to most ventral hernia repairs. The benefits of minimal access include reduced wound complications, improved cosmesis, and faster functional recovery, among others. However, “bridging” of hernia defects during traditional laparoscopic ventral hernia repair (LVHR) often leads to seromas, bulging and, importantly, does not restore a functional abdominal wall. We have… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias