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
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
Physicomechanical Evaluation of Absorbable and Nonabsorbable Barrier Composite Meshes for Laparoscopic Ventral Hernia Repair
INTRODUCTION: The objective of this study was to compare the physicomechanical properties of composite prostheses with both absorbable and nonabsorbable barriers. The primary function of these barriers is to prevent adhesion formation. It is unknown how these barriers affect the physicomechanical properties of the prostheses. Seven composite prostheses commonly utilized for laparoscopic ventral hernia repair… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Polyester Composite Versus Ptfe in Laparoscopic Ventral Hernia Repair
Polyester Composite versus PTFE in Laparoscopic Ventral Hernia RepairIntroduction:Both polyester composite (PCO) and polytetrafluoroethylene (PTFE) dual meshes are commonly utilized for laparoscopic ventral hernia repair. Sparse information exists, however, comparing perioperative and long-term outcome by mesh repair. Methods:A prospective database was utilized to identify 116 consecutive patients who underwent laparoscopic ventral hernia repair at The… Continue Reading
- Type:
- Posters
- 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
Preclinical Evaluation of Novel Design for a Resorbable Mesh Fixation Device
PurposeThe purpose was to evaluate a novel design for resorbable mesh fixation with regards to biocompatibility, prevention of mesh migration and to determine if the resorbable material produced any adverse effect on tissue integration. Methods Eight female Yorkshire pigs underwent surgical creation of a 1.5cm fascial defect on each side of the abdominal midline. Defects… 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
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
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
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
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
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
Single-incision Totally Extraperitoneal Inguinal Hernia Repair Is a Useful Precursor to More Complex Single-incision Laparoscopic Operations
Many general surgeons initially perform single-incision laparoscopic surgery during cholecystectomy. The potential for bile duct injury makes single-incision cholecystectomy potentially dangerous while the surgeon is overcoming his learning curve. This describes one surgeon’s experience with single-incision totally extraperitoneal (TEP) inguinal hernia repair prior to performing more complex single-incision laparoscopic cases. Methods: All patients who underwent… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias