Meta-Analysis of Studies Looking Into Staple Versus Fibrin Glue Mesh Fixation in Laparoscopic Total Extra Peritoneal Repair of Inguinal Hernia
Amit Kaul, MD, Susan Hutfless, PhD, Senan A Hamed, MD, Kevin Tymitz, MD, Hamilton Le, MD, Hien Nguyen, MD, Michael Marohn, MD. Johns Hopkins University School of Medicine INTRODUCTION - Fixation of mesh is typically performed to minimize risk of recurrence in laparoscopic inguinal hernia repair. Mesh fixation with staples has been implicated as a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Femoral Hernia Sac Laparoscopy: A Case Report
Alexander Ramirez Valderrama, MD, Dan Ruiz, MD, Alexander Kraev, MD, Venkata R Kakarla, MD, Howard Tiszenkel, MD FACS. New York Hospital Queens Departmen Of General Surgery. Abdominal CT scan with multiple dilated small bowel and right femoral hernia sac containing small bowel. 5 mm trocar through hernia sac surrounded with Allis clamp. Vascular congestion in… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Risk Factors for Incisional Hernia After Laparoscopic Colon Resection: Midline Versus Transverse Extraction Site
Lawrence Lee, MD, Salman Al-Sabah, MD, Pepa Kaneva, MSc, Sender Liberman, MD, Patrick Charlebois, MD, Barry Stein, MD, Gerald Fried, MD, Liane Feldman, MD. McGill University INTRODUCTION: Despite the use of smaller incisions in laparoscopic colon resection compared to open surgery, incisional hernia (IH) remains a source of considerable morbidity. A midline specimen extraction site… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Pilot Study of Objective Measurement of Abdominal Wall Function in Ventral Incisional Hernia Patients
Michael Parker, MD, Ross F Goldberg, MD, Maryane M Dinkins, PT, Horacio J Asbun, MD, C Daniel Smith, MD, Steven P Bowers, MD. Mayo Clinic Florida Introduction: Outcomes after ventral incisional hernia (VIH) repair are currently only measured by recurrence rate or measures of quality of life. There are no metrics available to objectively evaluate… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Inguinal Hernia Repair with Undescended Testes Removal
Rahul Singh, MD, Archana Ramaswamy, MD. University of Missouri In this video, we present a patient who was found to have an undescended testes during a laparoscopic TEP inguinal hernia repair. During the dissection a tubular structure attached to an ovoid soft mass was seen within the hernia sac. Following mobilization this mass was pushed… Continue Reading
- Topic:
- Abdominal Wall Hernias
Histologic Analysis of Gore® Bio-A® Tissue Reinforcement Six Months After Implantation in Laparoscopic Paraesophageal Hernia Repair
Jeffrey S Mandel, MD FACS. Savannah Surgical Oncology, Savannah, GA Compared with open surgical procedures, laparoscopic repair of paraesophageal hernias (PEH) has been associated with a more rapid recovery, a shorter hospital stay, less pain, and fewer perioperative complications. Prosthetic mesh is routinely implanted during PEH repairs with the aim of mitigating hernia recurrence, but… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Prevention of Port Site Hernia After Laparoscopic-Assisted Colectomy
Kazuteru Watanabe, Shoichi Fujii, Hirokazu Suwa, Kenji Tatsumi, Mitsuyoshi Ota, Chikara Kunisaki, Yasushi Ichikawa, Itaru Endo. Yokohama City University Medical Center, Gastroenterological Center, Yokohama, Japan Background Although laparoscopic colorectal cancer resection is becoming increasingly popular, port site hernia (PSH) has remained a problem for surgeon following laparoscopic surgery. It worsens satisfaction and the quality of… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Simulation Education: for TAPP and TEP Laparoscopic Inguinal Hernia Repair
Y Kurashima, MD PhD, P A Kaneva, MSc, L S Feldman, MD, G M Fried, MD, M C Vassiliou, MD MEd. Steinberg-Bernstein Centre for Minimally Invasive Surgery McGill University Laparoscopic inguinal hernia repair (LIHR) has been shown to be advantageous for bilateral or recurrent hernias, however, it has not gained widespread acceptance. One of the… Continue Reading
- Topic:
- Abdominal Wall Hernias
Hybrid Hernia Repair: A Real Experience in Soft Cadaver
Suthep Udomsawaengsup, MD, Amarit Tansawet, MD, Suppa-ut Pungpapong, MD, Chadin Tharavej, MD, Patpong Navicharern, MD. Chula Minimally Invasive Surgery Center, Chulalongkorn University, Bangkok, Thailand Background: Familiarizing with the anatomy is a key to success groin hernia repair. Methods: We introduced an innovative training in soft cadaver of which surgical anatomy, dissecting plane and vital structures… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laser Guided Laparoscopic Ventral Herniorrhaphy
Danny A Sherwinter, MD, Matthew Dixon, MD. Maimonides Medical Center Department of Minimally Invasive Surgery Introduction: Excellence in laparoscopic ventral herniorrhaphy (LVH) requires precise mesh placement and meticulous transfascial suture placement. Yet despite these demanding requirements, LVH is routinely performed using nothing more than visual estimations, leading to inadequate mesh coverage, inaccurate suture placement and… Continue Reading
Novel Technique for Significant Cost Reduction in Laparoscopic Inguinal Hernia Repair
dmitry nepomnayshy, MD, anton galitsky, MD, desmond birkett, MD. lahey clinic OBJECTIVES: Growth in healthcare costs is a significant concern for sustainable healthcare delivery around the world. In our institution, we have seen a 50% -100% rise in the costs of operating room supplies over the last decade. For the first time, we were made… Continue Reading
Laparoscopic Assessment and Histology of Human Acellular Dermis (strattice®) in Pd Patients with Abdominal Wall Hernias
Brian P Rose, ScB, Florias A Morfesis, MD. Owen Drive Surgical Clinic of Fayetteville Introduction: In rare instances, we are able to re-operate on patients laparoscopically who have had previous hernia repair surgery with mesh. In this single case report, we highlight a patient who underwent incisional hernia repair with Strattice biologic and then 13… Continue Reading
New Technique for Fascial Defect Approximation During Laparoscopic Ventral Hernia Repair with Mesh
Irving Jorge, MD, Victor Maciel, MD, Henry J Lujan, MD. Mount Sinai Hospital, Jackson South Community Hospital, Miami, FL Objective: Recently, some authors have advocated closure of the hernia defect prior to mesh placement so as to recreate the abdominal wall. Advantages cited include increased mesh overlap, more physiologic repair, improved functional results, better cosmesis,… Continue Reading
A New Mesh for Laparoscopic Ventral Hernia Repair
Ashraf A Bakr, Professor Dr. Dr Soliman Fakeeh Hospital Introduction: Laparoscopic ventral hernia repair (LVHR) is becoming the standard procedure for ventral hernia repair. As the technique is refined, search continues for the perfect mesh and the perfect method of fixation. The perfect mesh is thought to have the following criteria• No adhesion formation• No… Continue Reading
Novel Mesh for Laparoscopic Inguinal Hernia Repairs – Self-Gripping, Minimal Fixation
Kenric M Murayama, MD. University of Pennsylvania Medical School - Dept. of Surgery Objective: Demonstrate feasibility of using a new mesh for laparoscopic inguinal hernia repair that requires minimal fixation. Methods: A retrospective review of a single surgeon experience from March 2010-January 2011 with a novel monofilament polyester mesh with a resorbable polylactic acid (PLA)… Continue Reading