Combined Transabdominal and Preperitoneal Obturator Hernioplasty
The patient is a 91 y/o female who presented to the hospital with new onset abdominal pain and distention. CT of the abdomen/pelvis revealed an incarcerated left obturator hernia with evidence of bowel obstruction.This video submission demonstrates combination of the transabdominal and extraperitoneal techniques for reduction and repair of an incarcerated left obturator hernia. Session:… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Minimally Invasive Functional Abdominal Wall Reconstruction: A New Paradigm in Ventral Hernia Repair.
Laparoscopic ventral hernia repair has resulted in significant reduction of wound complications as compared to standard open techniques. However, the current laparoscopic approach requires bridging of an adynamic sheet of prosthetic material. This can result in paradoxical abdominal wall motion during straining. Abdominal wall bulging and a poor functional and cosmetic outcome can result in… Continue Reading
- Topic:
- Abdominal Wall Hernias
The Combined Laparoscopic Approach to Incarcerated Inguinal Hernia
Background: The laparoscopic preperitoneal repair of inguinal hernias is an accepted and widely used approach, and several reports have demonstrated its advantages over an open repair. Incarcerated hernia is still considered an indication for an open repair, for several reasons, including the technical complexity, availability of trained laparoscopic surgeon for an emergent procedure, and the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of a Right Paraduodenal Hernia
This video will discuss an interesting case of a 43 year old female with intermittent crampy abdominal pain. She underwent diagnostic laparoscopy which revealed a somewhat unexpected finding of a right paraduodenal hernia. The video will further discuss the relevant anatomic boundaries of this kind of hernia, as well as the etiology and clinical presentation.… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral Hernia Repair Has an Advantage of Detecting Occult Hernia Defects
Objectives: It has been reported that laparoscopic exploration shows multiple hernia defects that were not detected on physical examination. The objective of this study was to describe the superiority of laparoscopic approach in detecting occult hernia defects and the precise size of hernia defects.Methods: A total of 35 consecutive patients who underwent laparoscopic ventral hernia… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Novel Technique for Biomaterial Repair of Hiatal Hernias
Objective: Established recurrence rates after primary hiatal hernia repair are between 9 and 27%. Lightweight prosthetic mesh reinforcement is effective in reducing recurrence but carries the risk of esophageal erosion. Bioprosthetics may reduce recurrence rates but can be cumbersome to secure into position. We describe a technique to place GORE™ BIO-A™ tissue reinforcement that is… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Clinical Predictors of Operative Complexity in Laparoscopic Ventral Hernia Repair: A Prospective Study
Introduction: Due to uncertainties about the complexity of laparoscopic ventral hernia repair in varying patient populations, surgeons may be reluctant to perform this procedure. The aim of this study is to delineate risk factors that can be identified in the preoperative setting that predict longer operative times and complexity in laparoscopic ventral hernia repair. Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Ventral/incisional Hernia Repair with Tissue Augmentation and Transfascial Fixation, 17 Years Follow Up
BACKGROUND:Incisional hernias develop in 2%-20% of laparotomy incisions, necessitating approximately 90000 ventral hernia repairs per year. Although a common general surgical problem, a "best" method for repair has yet to be identified, as evidenced by documented recurrence rates of 25%-52% with primary open repair, there is controversy regarding the closure of the defect and the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Prospective Evaluation of Adhesion Characteristics to Intraperitoneal Mesh and Adhesiolysis-related Complications During Laparoscopic Re-exploration After Prior Ventral Hernia Repair
Introduction: The risks and operative complexity of reoperation after ventral hernia repair has not been defined for barrier meshes designed for intraperitoneal placement. The purpose of this study is to define the adhesion characteristics of absorbable and nonabsorbable barrier-coated meshes and to report adhesiolysis-related complications during laparoscopic re-exploration after prior ventral hernia repair with intraperitoneal… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Transabdominal Pre-peritoneal Laparoscopic Hernia Repair Allows Diagnosis and Appropriate Treatment of Occult Bilateral Hernias
INTRODUCTION: Transabdominal pre-peritoneal (TAPP) laparoscopic repair has become established as a suitable primary treatment modality for inguinal hernias. The diagnosis and subsequent repair of occult bilateral hernias has been described by a number of authors. In this situation TAPP is thought to be superior to both open and extra-peritoneal laparoscopic repair because it avoids unnecessary… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Tep Repair of a Bilateral Obturator Hernia
Introduction: Obturator hernias (OH) are rare and difficult to diagnose. While they account for as few as 0.073% of all hernias, their mortality can be as high as 70%. OH affects women more commonly than men (ratio ~8:1). Other risk factors are emaciation, multiparity, and chronic conditions that increase the intra-abdominal pressure such as COPD… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Is It Necessary to Do Exploration of the Right Side During Tep Repair for the Left Inguinal Hernia?
INTRODUCTION: Laparoscopic herniorrhaphy (LH) LH has ability to examine an asymptomatic contralateral side and repair occult contralateral hernia coincidentally with less morbidity. In this prospective study, we aimed to examine the result of diagnostic exploration of the right side during laparoscopic totally extraperitoneal (TEP) repair for the left side inguinal hernia.METHODS: A prospective study of… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias