New Simplified Technique for Closure of Hiatal Hernias Using Quill™ Suture
Angelica Garcia, Abraham Abdemur, Luciano Poggi, Samuel Szomstein, Raul J Rosenthal. Cleveland Clinic Florida Introduction: Closure of diaphragmatic hiatal defects in patients withParaesophageal hernias is one of the most demanding procedures inLaparoscopic surgery. The uses of non-absorbable suture in combination with pledgets, absorbable and non-absorbable mesh have been advocated to achieve low recurrence rates. We… Continue Reading
The Use of a Novel Self Expanding Nitinol Hernia System for Natural Orifice (notes) Inguinal Herniorrhaphy
Danny A Sherwinter, MD, Matthew Dixon, MD. Maimonides Medical Center Department of Minimally Invasive Surgery Introduction: Development of a viable natural orifice (NOTES) technique for inguinal herniorrhaphy (IH) has been primarily hindered by the inadequacy of available endoscopic instrumentation to effect peritoneal dissection and mesh fixation. In this study we describe our initial preclinical experience… Continue Reading
A Novel Endoscopic Surgical Device for Real-Time Measurement of Hernia Defects and Other Anatomic Geometries
Gyusung Lee, PhD, Ivan M George, Adrian Park, MD. University of Maryland Objective of the technology or device.At the University of Maryland we are developing a novel device (US patent pending) that will allow surgeons to measure the size and shape of a hernia defect so that mesh size and potentially shape can be more… Continue Reading
A Laparoscopic Approach to Components\’ Separation and Incisional/Ventral Hernia Repair
Raymond J Ippolito, MD, Beth A Collins, MD. Hospital of Saint Rapheal New Haven, Connecticut Advances in surgical techniques and improvements in synthetic and biological meshs have allowed for the repair of large and complicated hernias that would not have been attempted in the past. Components' separation has provided for excellant mobilization of the abdominal wall… Continue Reading
Antimicrobial Efficacy of a Novel Minocycline/rifampin Composite Mesh Coating in a Rabbit Model of Open Ventral Hernia Repair
Yuri W Novitsky, MD, Jeffrey R Scott, PhD. Case Western Reserve University; C.R. Bard, Inc. (Davol) INTRODUCTION: Most hernia repairs today are performed with the use of a synthetic prosthesis. However, mesh infection continues to represent a potential major complication that can lead to significant patient morbidity and recurrence. The search for mesh products that… Continue Reading
Single Incision Total Extra-Peritoneal Laparoscopic Inguinal Hernia Repair Using a New Device: A Case Report
David S Lee, MD, Tomasz Rogula, MD PhD. Cleveland Clinic Foundation, Bariatric Metabolic Institute Background: Laparoscopic inguinal hernia repair continues to gain acceptance and has become the preferred approach for bilateral and some recurrent inguinal hernias. Further advances in technology and instrumentation have allowed surgeons to now perform these operations through a single incision. We… Continue Reading
Laparoscopic Repair of a Chronic Traumatic Diaphragmatic Hernia
Etienne Auger-Dufour, MD, Gerald Fried, MD, Liane Feldman, MD, Lorenzo Ferri, MD PhD. Montreal General Hospital, McGill University Health Center Case presentationThis video demonstrates the laparoscopic repair of a chronic traumatic diaphragmatic hernia in a 44 year-old female patient. She had a motor vehicle crash fifteen years ago. She is now presenting with abdominal pain… Continue Reading
- Topic:
- Abdominal Wall Hernias
Selective Use of Mesh in Laparoscopic Paraesophageal Hernia Repair: an Attractive Option
E. Auger-Dufour, MD, L.E. Ferri, MD PhD, L.S. Feldman, MD, M.C. Vassiliou, MD, P. Kaneva, G.M. Fried, MD. Steinberg-Bernstein Center for Minimally Invasive Surgery & Innovation, McGill University, Montreal, Canada. INTRODUCTION: Use of mesh in laparoscopic paraesophageal hernia repair has been associated with an improved short-term recurrence rate in randomized control trials. However, numerous case… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Choice of Laparoscopic Paraesophageal Hernia Repair with Or Without Mesh: A Decision Analysis
Nadia Obeid, MD, Vic Velanovich, MD. Henry Ford Hospital Background: Controversy exists on whether laparoscopic paraesophageal hernia repair should be done with or without mesh. Arguments for use of mesh center on decreased incidence of recurrence. Arguments against the use of mesh center on increased incidence of severe long-term adverse events. We performed a decision… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Hiatal Hernia Repair with Biologic Mesh Reinforcement Reduces Recurrence Rate in Small Hiatal Hernias
Elizabeth M Schmidt, MD, Jason F Reynoso, MD, Dmitry Oleynikov, MD. University of Nebraska Medical Center Introduction: The use of biological mesh for crural reinforcement during hiatal herniorrhaphy has been shown to decrease recurrence rates in patients with hiatal hernia greater than 5cm. However, there remains some controversy as to the benefit of crural reinforcement… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Predicting Continued Or Recurrent Symptoms Following Laparoscopic Paraesophageal Hernia Repair
E L Albright, MD, M Plymale, MSN RN, D L Davenport, PhD, J S Roth, MD. University of Kentucky Introduction: Recurrent complaints of abdominal pain, bloating and dysphagia are problematic in the post-operative period following laparoscopic paraesophageal hernia repair and often lead to radiologic evaluation or intervention. While the majority of patients do well, recurrence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Giant Paraesophageal Hiatal Hernias. a New Definition and a New Management
NIAZY M SELIM, MD PhD MBChB FACS. UNIVERISTY OF KANSAS Introduction: Over the past decade, yet challenging, laparoscopic surgery became the standard approach for the repair of paraesophageal hiatal hernias (PEH). The giant PEH is defined in the literature according to the size of the hernia sac. Although the size of the hiatal defect is… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Surgeon Use of Mesh for Hiatal Hernia Repair – A Survey of SAGES Members
Jason M Pfluke, MD, C. Daniel Smith, MD. Mayo Clinic in Florida INTRODUCTION - Mesh use as an adjunct to hiatal hernia repair has been suggested to be safe and effective. Concern has been raised about the risk of mesh related complications like erosion, and the higher risk of complications if redo hiatal surgery is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Tension-Free Anatomical Reconstruction of Complex Hiatal Hernia Using Porcine Dermal Collagen
D Oweis, MBBS MRCSEd, D Veeramootoo, MBBS MRCS MD, NJ Smart, MBBSHons PhD MRCSEd, SA Wajed, MA BMBCh MChir FRCS. Department of Upper Gastro-Intestinal Surgery, Royal Devon and Exeter NHS Foundation trust, Exeter, United Kingdom. Introduction:The management of complex para-oesophageal hernias has been the subject of much debate. Direct symptoms such as dysphagia, regurgitation, shortness… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Hiatal Hernias: Pathophysiologic Theories and Implication for Research
P. Marco Fisichella, MD, Cynthia Weber, MD, Vydia Shankaran, MD, Christopher S Davis. Loyola University Medical Center Objectives: Though diaphragmatic hernias have been recognized for centuries, their pathophysiology is still widely debated. The purpose of this study is to review the current literature regarding the pathophysiology of hiatal hernia development and outline implications for research… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias