Results of Laparoscopic Repair of Primary and Recurrent Incisional Hernias At a Single Uk Institution
IntroductionLaparoscopic incisional hernia repair has been gaining increasing recognition with its perceived benefits of shorter hospital stay, decreased postoperative pain and the ability to diagnose and treat previously unrecognised defects at the time of operation. In this study incisional hernia repairs at a single UK institution between 1994 and 2008 were analysed with respect to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Rare Case of Laparoscopic Repair of a Strangulated Obturator Hernia
Introduction: Obturator hernias are rare, comprising less than 0.1% of all hernias and occurring in approximately 0.4% of bowel obstructions. Typically these hernias affect elderly, frail, debilitated women; 85% of patients are female with mean age of 82 years and mean weight of 34.5 kg. Only 1 of 10 cases is correctly diagnosed preoperatively. The… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Prospective Randomized Study Comparing Suture Mesh Fixation Vs Tacker Mesh Fixation for Laparoscopic Repair of Incisional and Ventral Hernias
BackgroundRecurrence is one of the major problems after open incisional hernia repair. Laparoscopic incisional hernia repair has brought down the recurrence rate to less than 10%. The main causes of recurrence have been inadequate mesh size, fixation of mesh and patient factors. The issue of mesh fixation to the abdominal wall in laparoscopic ventral hernia… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia in the Elderly: A Safe Option
Introduction: To assess the early outcomes of laparoscopic ventral hernia repair in the elderly.Methods and Procedures: An operating room database of all laparoscopic ventral hernias performed between April 2001 to April 2009 was analyzed retrospectively. Patients were divided into two main groups: Group 1 (patients <65 years of age) and Group 2 (patients > to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Simultaneous Laparoscopic Hernioplasty and Laparoscopic Cholecystectomy
Background: Inguinal hernia and cholecystolithiasis are common diseases, and it is not rare for a patient to suffer from both. There is a good indication for laparoscopic surgery. We here report 5 cases of simultaneous laparoscopic hernioplasty and laparoscopic cholecystectomy.Method: In 5 cases, we performed simultaneous laparoscopic hernioplasty and laparoscopic cholecystectomy from November 2008 to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Predictors of in Hospital Length of Stay After Laparoscopic Ventral Hernia Repair: A Multi Variate Logistic Regression Analysis.
Introduction: To elucidate the variables that significantly predict the in hospital length of stay (LOS) after a laparoscopic ventral hernia repair (LVHR).Methods and Procedures: Univariate analysis of patient and intraoperative variables was conducted on an operating room database of laparoscopic ventral hernia repairsperformed between April 2001 to April 2009. Analysis was performed using either chi-square… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of Incidentally Found Spigelian Hernias: A Case Series and Review of Literature
Background: Spigelian hernias are a rare type of hernia that occurs through a defect in the anterior abdominal wall adjacent to the linea semilunaris. Estimation of their incidence has been reported as 0.12% of all abdominal wall hernias. Traditionally the method of repair has been an open approach and that to, only identified once there… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Meandering External Iliac Artery: A Frequent Vascular Variant Found During Laparoscopic Inguinal Hernia Repair
Laparoscopic inguinal hernia repair requires extensive preperitoneal dissection for placement of mesh prostheses. Identifying known and expected anatomy within this preperitoneal space is crucial to the successful repair of inguinal hernias without complications. Proper dissection involves confident recognition of major pelvic vasculature. When vascular structures lie within their anticipated anatomic locations they are easily left… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Evaluation of Intraperitoneal Placement of Absorbable and Nonabsorbable Barrier Coated Mesh Secured with Fibrin Sealant (new Zealand White Rabbit Model)
Introduction: The purpose of this study is to evaluate the acute and chronic fixation strength of fibrin sealant as an alternative fixation method for laparoscopic ventral hernia repair (LVHR). Methods: Representative mesh types for LVHR included one nonabsorbable barrier mesh (Composix™), and three absorbable barrier meshes (Sepramesh™, Proceed and Parietex™ Composite). Macroporous polypropylene mesh (Prolite… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Fibrin Glue for Intraperitoneal Laparoscopic Mesh Fixation: A Comparative Study in a Swine Model
Introduction: A conventional method of mesh fixation in laparoscopic ventral hernia repair is transfascial sutures with tacks. This method has been associated with low recurrence rates, but yields significant morbidity from pain and bleeding. Fibrin glue has been used successfully in inguinal hernia repairs with decreased incidence of chronic pain without an increase in recurrence… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Single Incision Laparoscopic Surgery (SILS): Bilateral Total Extraperitoneal (tep) Inguinal Hernia with Simultaneous Umbilical Hernia Repair
INTRODUCTION: Single incision laparoscopic surgery (SILS) is a novel alternative to laparoscopic surgery, and can be performed with multiple trocars or a single port access (SPA) device. While SILS has been demonstrated in a variety of procedures, its use for inguinal hernias is just emerging and may continue to evolve. This video demonstrates the feasibility… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Incisional Hernia Repair: A Retrospective Review of a Modified Technique
INTRODUCTION: Incisional hernias have a reported incidence of 15% following abdominal surgery. Open repair of these hernias can have a recurrence rate as high as 50%. Laparoscopic mesh repair may decrease the recurrence rate and offers the well-known benefits of minimally invasive surgery- chiefly less pain, better cosmetic results, and quicker recovery. Most laparoscopic incisional… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Use of Light, Partially Absorbable Mesh in Open Inguinal Hernia Repair Reduces Post-operative Pain and Complications: Preliminary Data with Cousin 4d-dome
Introduction: 60 hernia repairs in 56 patients were surveyed over a thirteenmonth period, based on hypothesis of less inflammatory reaction equalsless pain. Methods: We accumulated a survey asking patients at their level of pain and discomfort performing certain tasks. The survey consisted of 5 questions with the first modeling that of the Carolina Comfort Scale,… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraduodenal Hernia Repair
Paraduodenal hernias are the commonest type of internal hernia, affecting 2-3% of the population. Paraduodenal hernias arise from a deficiency in midgut rotation. However, unlike malrotation, the duodenum crosses the midline and the cecum is located in the right lower quadrant. 75% of paraduodenal hernias are left sided. The peritoneum-lined sac, known as Landzert’s fossa,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Post-operative Chronic Pain and Recurrence Following Laparoscopic Inguinal Hernia Repair: To Staple or Not to Staple?
The purpose of this study was to review the experiences of a single surgeon who, over a 17-year period, performed a total of 3125 laparoscopic inguinal hernia repairs in 2540 patients. In the first 1700 repairs, the mesh was tacked and in the last 1425 repairs, the mesh was not tacked. We then compared the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias