SAGES Resident Webinar: Optimizing Outcomes for Inguinal Hernia Repair


Matthew Goldblatt, MD – Course Moderator/Speaker
Andrew Kastenmeier, MD – Faculty Speaker
David Chen, MD – Faculty Speaker
Brian Jacob, MD – Faculty Speaker

Open inguinal hernia repair by Dr. Matthew Goldblatt–2:03
inguinal hernia overview–3:03
indications for hernia repair–4:49

Keyword(s): 10 lb lifting restriction, 10 mm camera, 10 mm trocar, 12th rib, 20 lb lifting restriction, 2014 European Hernia Society Guidelines, 3-D hernia devices, 5 mm trocar, A-delta fibers, A-fib, abdominal cavity, abdominal wall laxity, ablation, absorbable material, absorbable synthetic material, aching, active, acute emergency, adipose tissue, adult pts, advantages, air, allodynia, American Hernia Society, American Journal of Surgery, anatomical variations, anatomy, anchor, anesthetic, Annals of Surgery, anterior abdominal wall, anterior approach, anterior pelvis operation, anterior rectus sheath, anterior repair, anterior superior iliac spine tubercle, aponeurosis, apposition, apron, arcuate line, arms tucked, ASIS, asymptomatic, athletes, autoimmune diseases, autonomic nerves, balloon, balloon inflation, balloon-tip trocar, ballooon dissector, Bassini repair, behavioral therapy, bilateral hernia, bilateral inguinal hernia, biologics, BJS, bladder, bladder drainage, bladder injury, bleeding, blood, blunt dissection, board examiners, board question, bone, bowel, branch, bulge, C-fibers, cadaveric dissection, camera, canal, candidate membership, catheter, caudal, causes, cauter hook, centralized pain, chief resident, chopstick maneuver, chronic groin pain, chronic pain, classification, clinic, clinical experience, clinical presentation, clip, clip applier, co-morbidities, CO2, Cochrane Database of Systematic Reviews, Cochrane Review, colon, complication rate, complication rates, confounders, conjoined tendon, conjoint tendon, consensus conference guidelines, consent, contradindications, controversy, Coopers ligament, Coopers ligament repair, COPD, cord lipoma, coronal view, cost, cost reduction techniques, Coumadin, court, Cr, cremasteric muscles, cross-sectional imaging, CT, cystectomy, cystotomy, deafferentiation hypersensitivity, debridement, deep mesh infections, deep pelvic plexus, defibrillator, Desarda repair, desk job, diagnostic evaluation, diagnostic information, diagnostic tool, direct contact, direct defect, direct hernia, direct nerve injury, direct space, disability paperwork, disadvantages, discharge, dissection, double trunk, DVT, dx, efficacy, EHS 2014 guidelines, elevated WBC, emergent problem, endoloop, enterotomy, entrapment, entrapment neuralgia, epigastric vessels, epigastrics, ER, Europe, exercise, exposure, external oblique, external spermatic vein, Facebook, false negatives, fat pad, female, femoral hernia, femoral space, femoral triangle, femoral vein, fever, fibrin glue, fixation devices, fixation techniques, flank, floor, Foley, foot of bed, foot pedal, foreign travel, formed anatomic mesh, functional results, general anesthesia, general surgeons, genetic factors, genital branch, genital nerve, genitofemoral nerve, Gerotas fascia, GFN trunk, giant hernias, Gilbert repair, Gilberts plug, glue, glue fixation, GN entrapment, golf, gonadal vessels, graspers, groin, groin exploration, groin hernias, groin neuroanatomy, groin pain, Groin Pain Trial Group, Hasson trocar, hazard ratio, heavy lifting, hematoma, hernia contents, hernia defect, hernia reduction, hernia sac, hernia sac reduction, hernia space, hernia spaces, hernia truss, herniorrhaphy, Hesselbachs triangle, high ligation, hockey, hole, hx of, hyperalgesia, hyperesthesia, hyperpathia, hypoesthesia, hypokalemic, IASP, IHC, ileohypogastric nerve, ileoinguinal nerve, ileopubic tract, iliac vein, iliac vessels, iliohypogastric nerve, ilioinguinal nerve, ilioinguinal neurectomy, iliopubic tract, implant, inadequate coverage, incarcerated hernia, incidence, indications, indications for surgery, indirect hernia, indirect inguinal hernia, indirect space, infected field, inflammation, infraumbilical incision, inguinal canal, inguinal hernia surgery, inguinal herniorrhaphy, inguinal region, inguinodynia, initial operation, injury, institution, intermembrane septum, internal oblique, internal oblique aponeurosis, internal ring, international guidelines, interrupted sutures, interventional injections, interventional tx, intestine, intra-abdominal, intramuscular IHG nerve, intraperitoneal view, investing fascia, isolation, Italy, JACS, JAMA, Journal of Minimal Access Surgery, Journal of Neurosurgery, junior faculty, key concepts, key hole technique, knee, knuckle, L1, laborers, lacunar ligament, lamina propria, landmarks, lap approach, lap inguinal hernia repair, lap repair, lap retroperitoneal access, lap self-fixating mesh, lap technique, lap techniques, lap TEP, lap triple neurectomy, lap view, laparoscope, laparoscopic view, laparoscopically, laparoscopy, lateral femoral cutaneous nerve, lateral space, lawyers, laying down, learning curve, left inguinal hernia, lesions, level 1 studies, Level A evidence, liability, Lichtenstein repair, lifting, ligaments, lightweight mesh, linea alba, litigious, LN, local anesthesia, local anesthetic, long-term outcome, low midline, lower abdominal muscle, lump, lupus, MAC, macroporous monofilament mesh, major complications, management principles, managment, manipulation, Maryland dissector, Mastery of Surgery, McVay repair, mechanical, mechanical pressure, medial recurrence, medical students, men, mentor, mesh, mesh fixation, mesh insertion, mesh migration, mesh overlap, mesh placement, mesh plug, mesh products, mesh reconfiguration, mesh repair, mesh shrinkage, meshoma, meta-analysis, midline, midline incision, minimally symptomatic, mobile, monitors, motor nerve, MR-neurography, MR-nuerogram, MRI, MS, multicenter trial, muscle fibers, muscle insertion, myopectineal orifice, narcotics, nationwide follow-up study, necrotic SB, nerve blocks, nerve damage, nerve entrapment, nerve fibers, nerve identification, nerve injury, nerve symptoms, nerves, Netherlands, Netherlands Hernia Society, network, neural tissue, neuroanatomy, neuroma, neuropathic medication, neuropathic pain, neuropathy, nociceptive pain, non-abosorbable braided suture, non-surgical pain management tx, nonopidoids, numb, numbness, NY algorithm, obstruction, obstructive symptoms, occult hernias, onlay mesh, op reports, open approach, open inguinal hernia repair, open preperitoneal inguinal hernia repair, operative approaches, operative neurectomy series, operative steps, operative tx, option, oral boards, orchialgia, orchiectomy, outcomes, outpt, outpt procedure, pain, pain scores, pain team, palpation, parasthesia, paravasal nerves, paravasal neurectomy, parietal compartment, patch, patch technique, pathologist, pathology, pathophysiology, peanut dissector, pelvic floor, pelvis, penetration, penrose, perc drain, perineural scarring, periosteum, peritoneal defect, peritoneal edge, peritoneal sac, peritoneum, permanent sutures, phantom pain, pharmacologic therapy, PHS mesh, plug & patch repair, plug repair, plumber, polyactic acid microhooks, polyester mesh, port placement, port-site hernias, post op pain, post op recommendations, posterior rectus sheath, posterior repair, postherniorrhaphy neuralgia, postherniorrhaphy neuropathic inguinodynia, preperitoneal incision, preperitoneal onlay, preperitoneal space, preservation pragmatic neurectomy, preventable injuries, preventio, prevention, previous lap repair, previous open repair, primary care provider, primary hernia, primary tissue closure, prior abdominal operations, prior inguinal hernia repair, ProGrip, prospective randomized study, prostate, prostate cx, prostatectomy, prosthetic, prosthetic mesh, protective fascia, protocol, proximal end implantation, psoas, psychological, psychological factors, pt factors, pt positioning, pt preference, pt satisfaction, pt selection, pt size, pubic bone, pubic symphysis, pubis, pus, quantitative testing, R1 recurrence, R2 recurrence, R3 recurrence, radiation, RCT, re-exploration, re-recurrence, recommendations, recovery, rectroperitoneal neurectomy, rectus muscle, recurrence etiology, recurrence rates, recurrences, recurrent groin hernia surgery, recurrent hernia, reference standard, referral, relaxing incision, reoperation, research, residency, resident, resident education committee, retract, retractors, retroperitoneal fat, retroperitoneal nerve anatomy, retroperitoneoscopic neurectomy, retrorectus space, retrorespective review, return to activity, return to normal activities, return to work, right groin, right inguinal hernia, risk, robot, robotic prostatectomy, robotic proximal vas neurolysis, running, S retractors, S&S, SAGES, SAGES member, SAGES Pearls 2011, SAGES TV, SBO, scar, scar tissue, scarring, Schwartzs Principles of Surgery, scissors, scrotal hernias, scrotoplasty, scrotum, segment, self-gripping, self-gripping mesh, sensory disturbances, sensory nerve, sensory threshold, seroma, sex, shared trunk, shelving edge of tissue, Shouldice repair, side effects, sit, sitting up, sleep, soccer, social factors, soft tissue contusion, specialized centers, specialized equipment, spermatic cord, spermatic cord structures, spinal, sponsoring member, sports, sports physical, squeezing, stabbing, stakeholders, stand, standing up, staples, statistical significance, Stoppa operation, strangulation, students, subcostal, subcostal nerve, suction, Sunderland Grades nerve classification, supine, suprapubic catheters, surgeon experience, Surgical Clinics of North America, Surgical Endoscopy, surgical evolution, surgical organization, surgical pathophysiology, surgical tx, suspicion, suture, suture entrapment, suture material, suture repair, sutures, Swedish database, Swedish hernia registry, symptomatic hernia, tack, tacker, tacks, tailored approach, TAPP, TAPP dissection, technical aspects, technical error, tension, tension free, tension-free repair, TEP access, testicle, testicular innervation, testicular pain, testicular structures, testis, thigh, throbbing, Tinels sign, TIPP, tissue, tissue handling, tissue ingrowth, tissue injury, tissue repair, titanium tacks, torsion maneuver, Trabucco repair, training, transversalis fascia, traumatic neuroma, travel, Triangle of Doom, Triangle of Pain, triangulate, tricks, triple neurectomy, tx, U.S., UA, UHS mesh, ultrastuctural changes, umbilical hernia, umbilicus, underreported, unilateral hernia, unilateral hernia repair, unresponsive, upper body, ureter, urethra, urine, urologists, variability, vas deferens, vascular antomy, vascular injury, vascular structures, vasculature, vasectomy, virgin plane, viscera, visceral injury, visualization, void, vomiting, walk, Wantz repair, Wantz technique, watchful waiting, window, work, workers compensation, worldwide, wound complications, wound infection, WSJ

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