Single Incision Ventral Hernia Repair: The Initial Experience
Introduction: Laparoscopic ventral hernia repair (LVH) requires several skin incisions for trocar placement. We have developed a single incision approach to LVH repair. The technique was introduced in clinical practice to any consenting patients who were candidates for a standard multi-port laparoscopic hernia repair. A consecutive series of patients were then followed to evaluate feasibility.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Standardized Trans-Abdominal Suturing with the Imesh Stitcher Device
Introduction In Laparoscopic hernia repair , particularly abdominal herniorrhaphy, fixation of the prosthetic mesh to the abdominal wall is commonly achieved by using tacks ( staples ) and/or trans-fascial sutures. Previous studies have shown trans-fascial suture fixation to be up to 2.5 times stronger than tacks. A correlation between fixation without sutures and hernia recurrence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Impact of Atraumatic Fibrin Sealant Vs. Staple Mesh Fixation in Tapp Hernia Repair on Chronic Pain and Quality of Life – Results of a Randomized Controlled Study
Background. Mesh reinforcement has become the standard of care in the repair of open and laparoscopic inguinal hernia repair. Chronic pain after inguinal hernia repair is often due to nerve injury by penetrating mesh fixation devices, such as staples, tacks or sutures. In several studies on hernioplasty, atraumatic mesh fixation with fibrin sealant (FS) proved… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Total Extraperitoneal Inguinal (tep) Herniorrhaphy for Primary Inguinal Herna: 3-year Experience of a Minimally Invasive Fellowship Trained Surgeon
Introduction- The aim of this study is to report the outcomes following TEP repair for primary unilateral inguinal hernias, performed by a single surgeon (ME) with minimally invasive surgical fellowship training. TEP repair for unilateral primary inguinal hernia remains a topic of discussion. Reported higher rates of recurrence are likely due to cases done while… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Totally Extraperitoneal Repair of a Spigelian Hernia
TOTALLYEXTRAPERITONEALREPAIROFASPIGELIANHERNIA Allocco, Frances MD; Reardon, Patrick MD; Saad, Mohamed MD; Dunkin, Brian MD Spigelian hernias are rare and account for up to 2% of abdominal wall hernias. In the past these were repaired using an open technique, but over the past two decades, there have been a growing number of reports of laparoscopic repairs. Over… Continue Reading
- 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
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
