Laparoscopic Hernia Training
Laparoscopic Hernia Repair is a technique to fix tears in the abdominal wall (muscle) using small incisions, telescopes and a patch (mesh). Laparoscopic repair offers a shorter return to work and normal activity for most patients. Laparoscopic hernia repair may be performed for the same indications as conventional (anterior) repair. The role of laparoscopic inguinal hernia repair in treatment of an uncomplicated, unilateral hernia is unresolved. Large, randomized, prospective trials will be needed to definitively settle the question of whether the added risks and costs are worth the benefits. Trans-abdominal preperitoneal (TAPP) or totally extraperitoneal (TEP) laparoscopic inguinal herniorrhaphy may offer specific benefits in the following situations.
1. Recurrent hernia-Laparoscopic repair is a logical choice for patients with recurrent inguinal hernias. Conventional (anterior) repair for recurrent hernia is technically difficult because of scar tissue and distorted anatomy. It carries a failure rate as high as 30% in some series. The laparoscopic approach allows the repair to be performed through healthy tissue and may achieve a lower failure rate.
2. Bilateral hernias-Bilateral hernias can be repaired simultaneously without additional incisions or trocar sites.
3. Patients undergoing another laparoscopic procedure. A patient with an inguinal hernia can safely undergo laparoscopic herniorrhaphy following the completion of the primary laparoscopic procedure.
History of Laparoscopic Hernia Surgery
Endoscopic Anatomy of Inguinal Region
Mesh/Fixators/Sutures & Sealants for Inguinal Hernia Repair
TAPP – elucidating the techniques & key to success
TEP – elucidating the techniques & key to success
Surgical pearls in Laparoscopic Groin Hernia Surgery
Tricks that take me to a new level
Emerging technology in inguinal hernia
Additional risk factors & prevention
Complicated Groin Hernias – Giant, Recurrent, Incarcerated, Obstructed
Surgical Anatomy of Abdominal wall
Abdominal Incisions & Their Closure Techniques – Evidence Based
Mesh Prosthesis & FixationDevices for LVHR
Lap. Ventral Hernia Repair ( IPOM, IPOM Plus)
Hernia repair in the morbidly obese
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