THE CONTRIBUTION OF SPECIFIC ENHANCED RECOVERY AFTER SURGERY (ERAS) PROTOCOL ELEMENTS TO REDUCED LENGTH OF HOSPITAL STAY AFTER VENTRAL HERNIA REPAIR
Walker Ueland, BS, Margaret A Plymale, DNP, RN, Daniel L Davenport, PhD, Mary C Plymale, BS, John S Roth, MD, FACS. University of KentuckyIntroduction: Ventral hernia repair (VHR) is a commonly-performed procedure that may be associated with prolonged hospitalization. Enhanced Recovery after Surgery (ERAS) protocols are intended to decrease hospital length of stay (LOS). This… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
LAPAROSCOPIC VERSUS OPEN UMBILICAL HERNIA REPAIR IN PATIENTS WITH OBESITY
K N Williams, MD, L Hussain, MSc, MHA, K Meister, MD. TriHealthIntroduction: There's currently not a well-accepted optimal procedure for umbilical hernia repair (UHR) in patients with obesity when comparing laparoscopic repair (LR) versus open repair (OR). The purpose of this study was to evaluate if there is a difference in post-operative complications after LR versus OR… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Parastomal Hernia Repair Delays Recurrence Relative to Open Repair
Patrick Keller, BS, Margaret A Plymale, DNP, RN, You Wei Lin, BS, Daniel L Davenport, PhD, John S Roth, MD, FACS. University of KentuckyIntroduction: Parastomal hernia is a common problem with frequent recurrences. Mesh repair is widely accepted to be superior to non-mesh repair, yet the most favorable surgical approach is a subject of continued… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Too Big to Breathe: Predictors of Respiratory Failure (RF) after Open Abdominal Wall Reconstruction (AWR)
Kathryn Ann Schlosser, Sean R Maloney, Tanushree Prasad, Paul D Colavita, Vedra A Augenstein, Brant T Heniford. Carolinas Medical CenterAims: Increased intra-abdominal pressure after AWR is hypothesized to contribute to postoperative RF. The impact of abdominal subcutaneous fat volume (SQFV), intra-abdominal volume (IAV), hernia volume (HV), and ratio of HV:IAV (loss of domain) is even… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
RoboTAR Made Easy: Distilling the Key Steps
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Santiago Horgan, MD, Garth R Jacobsen, MD. UC San DiegoIncreasingly large numbers of patients have large and complex abdominal wall defects, often from multiple prior abdominal… Continue Reading
- Topic:
- Abdominal Wall Hernias
INVERTING THE Y-AXIS: THE FUTURE OF ABDOMINAL WALL RECONSTRUCTION IS UPSIDE DOWN
Noah B Zuker, MD, FACS, Michael R Oakley, MD. Claxton-Hepburn Medical CenterMinimally invasive abdominal wall reconstruction continues to evolve with technological advancement. This video describes a useful method for modified robotic retrorectus hernia repair with improved visualization and surgeon ergonomics. The use of an inverted camera image is demonstrated with reassignment of the surgical instruments… Continue Reading
- Topic:
- Abdominal Wall Hernias
Subcutaneous Onlay Laparoscopic Approach For Repair of Ventral Hernia and Diastasis Recti
David M Pechman, MD, David Weithorn, MD, Flavio Malcher, Diego Camacho. Montefiore Medical CenterIn this video, we perform a subcutaneous onlay laparoscopic approach (SCOLA) procedure for a young woman with venral hernia and diastasis recti following multiple pregnancies. Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 94044Program Number: V010Presentation Session: Hernia / Miscellaneous… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic repair of large Morgagni hernia with mesh reinforcement
Voranaddha Vacharathit, MD, Jordan Apfeld, MD, Michael Rosen, MD, Ajita Prabhu, MD. Cleveland ClinicThis video abstract demonstrates the laparoscopic repair of a large congenital 7x6cm Morgagni hernia defect with incarcerated stomach, proximal duodenum, and transverse colon. The patient was symptomatic for prior obstructive symptoms, postprandial emesis and substernal chest pain, and severe GERD refractory to… Continue Reading
- Topic:
- Abdominal Wall Hernias
Acute Obstruction of Ileal Conduit After Ventral Hernia Repair
Jennifer A Minneman, Andrew Wright. UWThis is a case report of acute obstruction of an ileal conduit after laparoscopic ventral hernia repair with a Sugarbaker-style reinforcement of the ileal conduit.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95728Program Number: V013Presentation Session: Hernia / Miscellaneous PotpourriPresentation Type: Video Continue Reading
- Topic:
- Abdominal Wall Hernias
Robotic Repair of Lumbar Hernia
Saeed Arefanian, MD, Margaret Frisella, RN, Jeffrey Blatnik, MD. Washington University in St. LouisBackground: Lumbar hernia is a rare type of hernia. Different methods have been used for surgical repair of this abdominal wall defect, including open and laparoscopic techniques. Here we present the robotic-assisted repair of a left side lumbar hernia. Description: A 59-year-old… Continue Reading
- Topic:
- Abdominal Wall Hernias
Neurectomy with Hybrid Laparoscopic-Robotic Device for Chronic Groin Pain After Open Inguinal Hernia Repair
Kelly Haisley, MD, Michael Antiporda, MD, Richard Jamison, MD, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case of a minimally invasive neurectomy using a hybrid laparoscopic/robotic device for the treatment of chronic groin pain after open inguinal hernia repair. Background: The patient is a 38 year old… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Retroperitoneal Triple Neurectomy for Chronic Post-operative Inguinal Pain
David M Krpata, MD. Cleveland ClinicChronic post-operative inguinal pain (CPIP) can be debilitating for patients and remains a challenge for surgeons to manage. This video demonstrates a laparoscopic retroperitoneal triple neurectomy for a patient with CPIP who has failed multiple prior interventions including nerve injections, medications, open exploration and laparoscopic tack removal following a total-extra… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia Repair Utilizing Dermal Autologous Nonepithelial Graft
Michael W Cook, MD, FACS, Jude Barber. Louisiana State University Health Science CenterThere has been a lot of recent discussion regarding the optimal material for reinforcement of ventral hernia defects. Tissue repairs were commonplace prior to the advent of synthetic meshes. Synthetic meshes are cost effective and cut down on recurrence rates. However, when mesh… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic repair of a right-sided paraduodenal hernia: A case report
Kaitlin Edwards, MD1, Brianna Greenberg2, Ashley Vergis, MMed, MD, FRCSC, FACS1. 1University of Manitoba, 2University of Limerick IrelandWe present a case of a 26-year-old male with a 1-day history of dull, aching abdominal pain radiating to his back as well as intermittent episodes of nausea, vomiting, and bloating over the past two years. With limited… Continue Reading
SUBCUTANEOUS VIDEOSURGERY APPROACH FOR THE ABDOMINAL WALL DEFECTS (SVAWD)
Willy P Souza, Thiago B Manesco, Gil A Tosta, Barchi C Leandro, Maurice Y Franciss, Bruno Zilberstein. GastromedIntroduction: Although epigastric hernia is very common in the population and its repair procedure is relatively simple, it is observed that there is no consistent and universally accepted approach to the correction of epigastric hernias. Is recognized the… Continue Reading