Intraop & post-op complications with reoperative surgery – Avoiding and managing them

This talk was presented at the 2018 SAGES Meeting/16th World Congress of Endoscopic Surgery by Gina L Adrales during the Masters Hernia: Recurrent Hernias – Making the Best of a Bad Situation on April 11 2018

Keyword(s): abdominal access, adhesiolysis, adhesion barrier, adhesions, anesthesia, anvil, BDI, bile duct injury, biologic mesh, bipolar, bowel complications, bowel injury, bowel obstruction, bowel resection, cautery injury, clips, component separation, contaminated field, costal margin, culture, dissection, edema, enhanced recovery pathway, enterotomy, epigastric bleeding, failure, fish oil, flaxseed, gastric bypass, ginger, herbal, hernia defect, hernia recurrence, incarcerated hernia, incision, incisional hernia, internal hernia, intraop, intraoperative, intraoperitoneal, irrigation, judgement, laparoscopic cholecystectomy, laparoscopic ventral hernia repair, laparoscopy, laparotomy, LVHR, males, masters hernia, mentorship, mesh, mesh contraction, mesh migration, minimally invasive repair, morbidity, mortality, obese, omega 3, omentum, open hernia repair, open technique, optiview, outcomes, patient selection, polypropylene mesh, port, post-op complications, postoperative complications, prehabilitation, readmission, recurrent hernias, reoperative surgery, risk, robotic approach, robotics, scissors, seroma, serosal injury, sharp dissection, SSI, supplements, surgical site infection, suture, tacks, thermal injury, towel clamp, traction injury, trocar, trocar site herniation, ultrasonic dissection, umbilical hernias, vascular injury, Veress needle, visceral injury, VTE prophylaxis

Incidence of incisional hernia–1:38

Reoperative hernia surgery–2:12 Plast Reconstr Surg 2013

JACS 2011

World J Surg 2007

Safe abdominal access–3:10 Cochrane Database Syst Rev 2012

Meticulous adhesiolysis–5:22

Incarcerated hernia–7:03

Residual mesh adhesion & bowel obstruction–9:02

Bowel injury–9:47 Hernia 2013

Serosal injury video clip–10:54

Cautery injury video clip–11:33

Management of bowel injury–12:12 JACS 2014