Introduction
Laparoscopic Roux en Y Gastric Bypass (LRYGB) is the commonest procedure performed for morbid obesity generally with good results. Some of the known surgical complications include anastomotic leaks, small bowel obstruction which includes internal hernias through the Petersen’s defect. We present a previously unreported complication of a traumatic parahiatal diaphragmatic hernia containing an incarcerated remnant stomach.
Case Report
The patient is a forty five year old female who
Objective:
Superior epigastric and subxiphoid hernias pose a difficult problem for repair. In an open repair the immobility of the tissues makes approximating the fascia difficult. In a laparoscopic repair, one often is unable to fix the superior or superior lateral aspect of the mesh to the abdominal wall as this can overlap the diaphragm, costal margin or pericardium. We describe a technique of fixating the mesh inferiorly with a standard tacking device and using a fibrin sealant to adhere th
Inguinodynia following laparoscopic hernia repair is thought to occur in X% of patients. The majority of patients with severe pain are managed conservatively with analgesia and neuomodulators prescribed by practitioners working in “pain clinics” with varying success.
The aim of managing these patients is to improve their quality of life and in some instances enabe them to return to normal activity.
The work up of these patients requires a thorough history, clinical examination and musculoskele
Introduction: Closure of diaphragmatic Hiatal defects is one of the most demanding procedures performed laparascopically with a reported high recurrence rate. Mesh reinforcement in combination with non-absorbable suture has been proposed in order to solve this problem.
Methods: Between 2010 and 2012, patients who underwent laparoscopic hiatal hernia repair were retrospectively reviewed. Patients were assessed with office visits and by telephone with the gastroesophageal reflux disease-health re
INTRODUCTION
Outcomes from a patient series based on the laws of physics are presented to support a novel incisional/ventral hernia reconstruction. The technique incorporates multiple symmetric suture lines for dispersement of incurred forces. Multiple symmetric suture lines are the prominent distinction of this original repair.
METHODS AND PROCEDURES
A total of 88 consecutive patients with incisional/ventral hernias were repaired. All hernias were repaired using open bilateral components s