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Purpose: Over the last decade, there has been a rapid rise in the development and refinement of abdominal wall repair (AWR) techniques. Numerous cadaveric AWR training courses have been set up with the goal of helping practicing surgeons learn and incorporate them into their surgical repertoire. Some maybe excellent but their quality and consistency are unknown.
View Article and Find Full Text PDFAre Surgeons Going to Be Left Holding the Bag? Incisional Hernia Repair and Intra-Peritoneal Non-Absorbable Mesh Implant Complications.
J Clin Med
February 2024
Acute Care, and Hepatobiliary Surgery and Regional Trauma Services, University of Calgary, Calgary, AB T2N 1N4, Canada.
Ventral incisional hernias are common indications for elective repair and frequently complicated by recurrence. Surgical meshes, which may be synthetic, bio-synthetic, or biological, decrease recurrence and, resultingly, their use has become standard. While most patients are greatly benefited, mesh represents a permanently implanted foreign body.
View Article and Find Full Text PDFThe use of a porcine model to teach advanced abdominal wall dissection techniques.
Surg Endosc
December 2023
University of Adelaide, Adelaide, Australia.
Background: In the era of minimally invasive surgery, it is clear that a robust simulation model is required for the training of surgeons in advanced abdominal wall reconstruction. The purpose of this experimentation was to evaluate whether a porcine model could be used to teach advanced minimally invasive abdominal wall dissection techniques to novice surgeons. Secondary objectives included: time to completion, identification of various anatomical landmarks, to note the difference in porcine and human models and finally, the ability to dock a Da Vinci Xi robotic platform on the porcine model.
View Article and Find Full Text PDFAnatomical causes for why retrorectus repair requires component separation at smaller hernia width than other repairs.
J Plast Reconstr Aesthet Surg
June 2023
Department of Surgery, J N Medical College, AMU, Aligarh, Uttar Pradesh 202002, India. Electronic address:
Robotic repair of non-midline hernias.
J Robot Surg
June 2023
Prisma Health Upstate, Department of Surgery, University of South Carolina School of Medicine Greenville, 701 Grove Rd, Support Tower 3, Greenville, SC, 29607, USA.
Non-midline abdominal wall hernias present unique anatomic challenges, making repair more complex. The constraints of the peritoneal cavity, pelvis, and costal margin limit the utility of intraperitoneal mesh repair, and extra-peritoneal repairs have traditionally been performed using open techniques, often resulting in higher wound morbidity. Advances in minimally invasive surgery make visualization and dissection of such complex cases feasible, with all the attendant benefits of a minimally invasive over an open approach.
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