Laparoscopic ventral hernia repair with intraperitoneal onlay mesh —results from a general surgical unit

ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research

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ConclusionsBD does not consistently result in 15-min time saving during TEP. Use of a disposable balloon dissector can be deferred in the experienced hands.Trial registrationClinicalTrials.gov (NCT03276871).
Source: Hernia - Category: Sports Medicine Source Type: research
ConclusionsIPOM for the general surgeon is a relatively safe and effective method of repairing ventral hernias, with a low recurrence rate.
Source: Irish Journal of Medical Science - Category: General Medicine Source Type: research
AbstractBackgroundControversy exists regarding the clinical utility of routine preoperative upper gastrointestinal (GI) fluoroscopy in morbid obese patients undergoing laparoscopic sleeve gastrectomy (LSG). The aim of our study was to determine the efficacy of these studies in detecting hiatal hernias (HH).MethodsThe institution ’s prospectively maintained, IRB-approved database was retrospectively queried to identify all consecutive patients who underwent LSG between 2011 and 2017. All patients underwent routine preoperative upper GI fluoroscopy. Reports from all imaging studies were retrospectively reviewed and com...
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionSynchronous VHR and BS in a bariatric unit is feasible with low recurrence rate. Laparoscopic VHR has lower complication rates than open, apart from seroma formation. Patients with diabetes have higher risk of infection.
Source: Surgical Endoscopy - Category: Surgery Source Type: research
AbstractPurposeTrocar site hernias (TSH) at the umbilical site following laparoscopic cholecystectomy forms the majority of the studies about TSH and there is a missing data in literature about lateral sided TSH. We aimed to evaluate the incidence and factors affecting lateral sided TSH occurrence following laparoscopic abdominal wall hernia repair (LAHR).MethodsPatients who underwent LAHR between March 2013 and 2015 were included in the study. Open approach with blunt dissection for optical trocar insertion and z-shaped suture for closure were used in 22 cases initially (Group 1). Sharp dissection and continuous suture fo...
Source: Hernia - Category: Sports Medicine Source Type: research
Background: The repair of a complex abdominal hernia has an important morbimortality. We propose laparoscopic sleeve gastrectomy as the first step in the treatment of hernias with loss of domain in patients with morbid obesity.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
This study aims to describe the clinical experience in terms of efficacy and safety with laparoscopic ventral hernia repair using the ParietexTM Composite mesh (Covidien Sofradim Production, Trevoux, France) in severely obese patients (body mass index ≥35) compared with non-severe obese patients in a seven-year single-center cohort. MATERIAL AND METHODS: All patients with a primary ventral or incisional hernia admitted to our hospital from 2006 until December 2012 who underwent a laparoscopic repair with the Parietex Composite mesh were included in this study. Pain scores using a numeric rating were collected prospe...
Source: Minimally Invasive Therapy and Allied Technologies - Category: Surgery Tags: Minim Invasive Ther Allied Technol Source Type: research
We present a case of 60-year-old man with a body mass index of 45.3 kg/m2 with a large recurrent ventral hernia. We performed a lap sleeve gastrectomy with laparoendoscopic anterior component separation with IPOM. The operative steps included hernia contents reduction, conventional sleeve gastrectomy, anterior component separation on either side, intra-corporeal closure of hernia defect and placement of a composite mesh. Patient recovery was uneventful. Concomitant bariatric surgery with laparoendoscopic component separation with IPOM may be safe, but more studies are required.
Source: Journal of Minimal Access Surgery - Category: Surgery Authors: Source Type: research
This article showcases a method for laparoscopic repair of Morgagni hernias using both primary closure and mesh reinforcement.Operative approachThere were three obese women who presented in adulthood with cardiopulmonary symptoms; in all cases, the symptoms were attributable to local compressive effects of large Morgagni hernias. All three hernias were repaired laparoscopically, first by approximating the diaphragm to the fascia of the anterior abdominal wall, followed by insertion of a composite mesh, tacked to the diaphragm, to buttress the closure. All patients had excellent outcomes with symptom resolution.DiscussionTh...
Source: Hernia - Category: Sports Medicine Source Type: research
Perforated duodenal ulcer after gastric bypass is rare. There have been less than 25 reported cases of duodenal perforation after Gastric bypass. Although most peptic ulcers after gastric bypass surgery occur in the roux limb as marginal ulcers, duodenal ulceration and perforated ulcers in the secretory limb can also present with acute abdominal pain with or without free air in the peritoneal cavity on imaging studies. Laparoscopy is recommended for post gastric bypass patients presenting with acute abdominal signs to rule out internal hernias and other pathology.
Source: Surgery for Obesity and Related Diseases - Category: Surgery Authors: Source Type: research
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