V042: Antonio D Lassaletta, MD

 

BEST OF VIDEO 3


Keyword(s): foreign body, nonabsorbable tacker, Occams razor TAPP repair, plug & patch repair, polyester mesh, polypropylene plug, recurrent inguinal hernia, transabdominal approach

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09/22/2010
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  1. Profile Photo
    SAGES Webmaster on Sep 22, 2010
    This video was accepted for presentation at the 2010 SAGES Scientific Session via a peer-review process
  2. Profile Photo
    Amit Kaul on Nov 16, 2010
    nice video, just wondering if it could have been attempted by extra-peritoneal approach.
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    Ashkan Moazzez on Nov 16, 2010
    Nice video. TAP also allows for full examination of the abdomen for other causes of pain (ie. adhesion/erosion of the plug into bladder or colon, GYN problems and so on)
  4. Profile Photo
    Adewale Adisa on Nov 16, 2010
    Good effort. Its usually difficult working in scarred tissue and I agree that a TAP may be more advantageous here than TEP
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    Eyad Wohaibi on Nov 16, 2010
    the clip is not clear. Nice commentery
  6. Profile Photo
    Pankaj Garg on Nov 16, 2010
    Good demonstration of a difficult case. Signifies relevance of TAP in difficult cases.
  7. Profile Photo
    Don Selzer on Nov 16, 2010
    Agreed, TAP made this a more manageable procedure but it could have been approached with a TEP method. Still, this is a relatively common problem and this video demonstrates a safe method of addressing it.
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    Thomas Eustis on Nov 16, 2010
    Nice case. I really like the apparent handling of the polyester mesh. I wonder how much pain she had postop. I would have been worried about using cautery to excise the prior mesh increasing the risk of nerve injury. I heard the doctor say that they use a minimum number of tacks, but it looked like they closed the peritoneal defect with the non-absorbable tacks also.
  9. Profile Photo
    Peter Lydon on Nov 16, 2010
    This could have been done with a TEP approach. I would have preferred suture closure of the peritoneum given the tacks were placed so close to the bladder. The tacks looked like absorbatacks, not titanium tacks.
  10. on Nov 22, 2010
    This video is good.

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