Laparoscopic Hernia Repair

Slides:

Advertisements

Similar presentations

Hernias Dr. Saleh M. Aldaqal MBBS, FRCSI,SBGS

Advertisements

LAPAROSCOPIC INGUINAL HERNIA SURGERY TECHNICAL ASPECTS, CASE SELECTION

INGUINAL HERNIA REPAIR: OPEN vs TEP APPROACHES

ABDOMINAL HERNIAS AND SURGICAL MESHES

Abdominal hernia Different types of abdominal external hernias Anatomy

The third way to treat groin hernia, “the Minimal Open Pre Peritoneal approach”“MOPP” M. Soler J. H Alexandre, described in 1984 a trans inguinal preperitoneal.

What’s New & Cool in Surgery: Where’s the Scar? Richard D. Bloomberg, MD, FACS, FRCSC Surgical Associates of WNY October 2014.

Rob Padwick MRCS MMedEd SpR General Surgery

Herniorrhaphy SUR 111.

Open vs Lap Hernia Repair: Which is Better? R. Matthew Walsh, M.D., F.A.C.S. Vice Chairman, Department of General Surgery.

What inguinal hernia operation and why?

LAP TOTAL EXTRAPERITONEAL HERNIOPLASTY

MODIFIED GRID IRON, (F. UGAHARY), HERNIOPLASTIE, USING A NEW SELF EXPANDABLE PROSTHESIS. THE REALLY MINIMAL INVASIVE PREPERITONEAL APPROACH: REVIEW, RESULTS.

Hernia Abdominal Wall Defect Potential for bowel obstruction

Brandon H. Kilgore, MD, FACS

Dr. Ibrahim Bashayreh RN, PhD

Essentials MA MURPHY FRCSI

Hernia Abnormal protrusion of an organ or tissue, through a defect in its surrounding walls Various sites of the body Most commonly abdominal wall hernia.

LAPAROSCOPIC INGUINAL HERNIA SURGERY IS IT NECESSARY, IS IT ADVANTAGEOUS? Asoc. Prof.Dr. Orhan Yalçın Ministry of Health Okmeydanı Education and Research.

Repair of Inguinal Hernia: Open or Laparoscopic

Sharfi Sarker, MD December 5, 2006

University of California - Irvine Medical Center, Orange, CA

Vic V. Vernenkar, D.O. St. Barnabas Hospital Bronx, NY

بسم الله الرحمن الرحيم IN THE NAME OF ALLAH

Parastomal Hernia Repair

Hernias Dr. Gold-Deutch Ruthie.

LAPAROSCOPIC INGUINAL HERNIA REPAIR

Abdominal Wall Hernia. DefinitionDefinition –External –Interparietal –Internal –Reducible –Non-reducible ( incarcerated) –Strangulated.

Avoiding and Managing Complications for Lap Inguinal Hernia Repair

SILS Complications Dan Geisler, MD, FACS, FASCRS.

Hernias Dr. Sajad Ali (MBBS., MS.)

Objective In Japan, laparoscopic inguinal herniorrhaphy(LH) is not popular. We performed a retrospective study to evaluate the results of LH in our hospital.

Prepared by : Dr. walid elian. No disease of the human body, belonging to the province of the surgeon, requires in its treatment a better combination.

Now What Do I Do? Tough Situations in Inguinal Hernia Repair & How to Avoid or Manage Them.

HERNIA. DEFINITION HERNIA TYPES Primary Incisional.

Laparoscopic versus Open Inguinal Hernia Repair

醫學六 B 林沅.  A 4 month-old boy has a left inguinal palpable mass.

Why/When/How to do TEP and TAPP

Endoscopic Surgery What the GP Needs to Know Abeezar I. Sarela MSc MS FRCS Consultant Surgeon The General Infirmary at Leeds Wharfedale General Hospital.

Single Incision Laparoscopic (SILS) Surgery Guy Nash.

Japan Hernia Market TEPP % TAPP 2, % Lap. 3,360 3% PHSKugel Open 108,640 97% Inguinal 112,000 85% Lap % Open 19,998 99% Ventral 20,200.

Reyes Tubbs Adams Davidson Newton

Important questions As good or better ? Cost effective ? Overall, safer? Is it safe as a cancer operation? Can all surgeons do it? Compare to open surgery.

From the Rooter to the Tooter: Common GI Hernias Tony Weaver, D.O. Surgery

Healing Hands Clinic Dr.Ashwin Porwal Consultant Coal Surgeon, M.B.B.S, D.Nlorect.B. (Surgery), Dip. Proctology (Italy), Dip. Laparoscopy (EITS- IRCAD,

For gall bladder stones

Inguinal Hernia.

Advantages of laparoscopic surgery

Marina Yiasemidou, MBBS, MSc CT1 General Surgery

THE ABDOMINAL WALL is a complex structure composed primarily of muscle, bone and fascia . Its major function is to protect the enclosed organs of the gastrointestinal.

TAPP REPAIR FOR INGUINAL HERNIA -

Dr.Ishara Maduka M.B.B.S. (Colombo)

Inguinal and Hiatal Hernias

Role of Laparoscopy in Management of Hernias

بسم الله الرحمن الرحيم.

1: Cardiff Transplant Unit, University Hospital of Wales, Cardiff

Inguinal hernia repair

Miguel-A. Carbajo Caballero, MD, PhD

腹腔鏡疝氣手術 Laparoscopic Herniorraphy for Inguinal Hernia Feng-Chuan Tai, MD Department of General Surgery, Cathay General Hospital 一般外科戴鋒泉醫師.

Hysterectomy Hysterectomy is the surgical removal of the uterus. It is the second most common type of major surgery performed on women of childbearing.

Interposition of the omentum and/or the peritoneum in the emergency repair of large ventral hernias with polypropylene mesh Magdy A. Sorour International.

Transferable Competency Adominal Wall Surgery

Minimally Invasive Surgery

Gasless Laparoscopic Surgery

Bankart Lesion Thomas J Kovack DO.

SPIGELIAN HERNIA : A CASE REPORT

Colorectal and General Surgical Topics Relevant to GPs GP update meeting Addington Practice Tuesday 26th March 2014 Mr Steve Warren.

Presentation transcript:

Laparoscopic Hernia Repair Gordon Buchanan Consultant Colorectal, Laparoscopic and General Surgeon

Background Colorectal Surgery – Lap and Open General and Emergency Surgery Lap Appendicectomy Lap Cholecystectomy Hernia – why not lap?

What is possible ? Laparoscopic Inguinal Hernia Laparoscopic Femoral Hernia Laparoscopic Umbilical Hernia Laparoscopic Ventral Hernia Laparoscopic Incisional Hernia

Advantages Less Pain Smaller scars Lower Wound infection Faster Return to activity Several hernias fixed through same incisions

Cautions Relative Absolute Complex abdominal surgery Previous preperitoneal surgery Irreducible hernia (especially left side) Absolute Inability to tolerate general anesthesia.

NATIONAL INSTITUTE FOR CLINICAL EXCELLENCE - 2004 Laparoscopic surgery for inguinal hernia repair 1.1 Laparoscopic surgery is recommended as one of the treatment options for the repair of inguinal hernia. 1.2 To enable patients to choose between open laparoscopic - transabdominal preperitoneal [TAPP] - totally extraperitoneal [TEP], fully informed of all risks and benefits associated with each of the three procedures.

TEP Developing a plane

Increase Laparoscopic Inguinal Hernia Repair

Risks Risks of any operation (anaesthetic, DVT etc) Risks specific to inguinal hernia repair: Immediate: Bleeding at the time of surgery Damage to the testicular vessels or other structures (rare) Early: Haematoma in wound or scrotum Infection of the wound (<5%), Retention of urine.

Late: Recurrence: <5% life time risk. Damage to nerves Normal to expect some numbness below scar as cutaneous nerves are divided gaining access to the inguinal canal. Ongoing groin pain 3-5% - damage or entrapment of ilioinguinal nerve

Post op Daycase / 1 night No restrictions Driving 24hrs Exercise – as comfort allows Return to work 4 days Heavy lifting as they wish Sex – Encouraged

Incisional Hernia Laparoscopy New meshes against bowel Smaller scars Less wound infection Size of defect

Summary Laparoscopic Repair Most types hernia Quicker recovery Caution in complex abdomen Less pain