Video short submission highlighting the case of a 63 year old female who presented with a small bowel obstruction a week after bilateral transabdominal preperitoneal inguinal hernia. Barbed suture had been used to close the peritoneum during the initial surgery. The tails of the suture had been left long. They appeared to be the cause of the obstruction after becoming densely adherent to the bowel and mesentery. Our recommendation at the conclusion of the case is to trim the barbed sutures flush
Introduction: Complex abdominal wall reconstruction requires a myriad of skills to tailor the method of repair. Familiarity with advanced surgical techniques for both open and laparoscopic methods is critical. Deciding when to perform open hernia repair and what type of myofascial release to perform to obtain midline closure requires good understanding of abdominal wall anatomy and can be well demonstrated in the TAR approach.
Case Description: A 66 year-old man with a history of diabetes melli
Missed traumatic diaphragmatic hernias with chronic incarceration is a rare event after blunt or penetrating trauma. The surgical approach can be an open thoracotomy, laparotomy or more recently laparoscopy. Here we present a video with our technique for laparoscopic repair of a traumatic diaphragmatic hernia. The omental contents of the hernia were reduced into the abdomen and the hernia defect was primarily closed with improved quality of life and pulmonary status of the patient post-operative
Introduction: Morgagni’s hernia is a consequence of a congenital defect in the fusion of the central and lateral aspect of the diaphragm. Therefore there is a small retrosternal diaphragmatic defect, through which some abdominal viscera can herniate. We present a case of laparoscopic approach for the treatment of Morgagni’s hernia.
Description of contents: 76 year old woman, who presented to our clinic complaining of occasional abdominal discomfort for many years along with worsening dyspnea du
Case: 52 year old male with a history of vasectomy undergoes laparoscopic TEP bilateral inguinal hernia repair with mesh. After initial recovery, he develops pain and feeling of tugging sensation of the left spermatic cord and testicle.
Hypothesis: Retroperitoneal mesh placement may cause postoperative symptoms affecting the spermatic cord, due to mesh-related adhesions.
Workup: The patient is found to have non-specific 3+ tenderness of the left spermatic cord at the external inguinal ring. He