Laparoscopic ventral
and incisional hernia repair

EDITORS : Didier Mutter (MD, PhD, FACS), Antonio D'Urso (MD, PhD)
Chief Editor : Jacques Marescaux (MD, FACS, Hon. FRCS, Hon. FJSES)

OBJECTIVES

To present the current best possible standard in the laparoscopic management of a ventral and incisional hernia focusing on specific points:
  • Current guidelines
  • Indications
  • Risk factors
  • Defect measurement
  • Mesh type and fixation
  • Complications

State of the art

Live from Antonio D'Urso, MD, PhD

Tuncay öztürk, TURKEY
2018-05-26 23:46
excellent presentation. thanks
SAWADOGO Windbé Fidèle, BURKINA FASO
2018-03-27 20:07
Much thanks!
Charalampos Farantos, GREECE
2018-01-27 21:27
Excellent and very helpfull presentation
Mahmoud Al-Mukhtar, IRAQ
2018-01-26 15:19
Much thanks for your kind expert work and demonstrations
Pranas Sniuolis, LITHUANIA
2017-07-02 16:21
Thank You very much after courses my operations are minimal invasive more and more
Rohan Khairatkar, INDIA
2017-03-19 11:51
very good discussion
Ahmed Faeq, IRAQ
2017-02-17 17:18
Thank you sir for your excellent effort it is informative and digestive.
Mahmoud Al-Mukhtar, IRAQ
2017-01-26 11:03
Dear Sir,
Much thanks for your excellent offerts to improve the domain of laparoscopic surgery allover the world
Arnold Ozaeta, PHILIPPINES
2017-01-20 12:57
Informative. Tnx
Pankaj Kumar SAHA, BANGLADESH
2017-01-18 13:58
Thanks for excellent video presentation
Saeed Alshomimi, SAUDI ARABIA
2017-01-13 19:43
outstanding presentation
Zoe Vlamaki, UNITED KINGDOM
2016-12-25 23:49
Thank you for your informative presentation
CHAIRAT JERAJAPREEDEE, THAILAND
2016-12-20 10:13
Informative and Excellent
Presentation
Kostas Lasitiotakis, GREECE
2016-12-14 01:40
nice
Arslan KARAMAN, TURKEY
2016-12-12 20:46
Very nice and educational video. thank you so much
datta ram, INDIA
2016-09-20 17:01
excellent presentation
Francisco Ramirez Cisneros, MEXICO
2016-09-06 02:08
Very good presentation
Julián Pina Arroyo, SPAIN
2016-07-02 14:20
Excelent video.Very good
meleleo leonardo, ITALY
2016-06-02 17:46
thank..excellent
kutbettin altun, TURKEY
2016-05-25 13:09
thank you, very good
eugène diémé, SENEGAL
2016-05-13 14:49
very
good
mazhar raja, UNITED KINGDOM
2016-03-21 23:59
Very good
Marcelo Protasio, BRAZIL
2016-03-10 12:44
Excellent video!
Congratulation!
God bless America!
ymer durmishi, SWITZERLAND
2016-02-28 19:45
Excellent
giuseppe antonio coiro pompeo, VENEZUELA
2016-01-27 01:24
Excellent and thanks
ilir shani, ALBANIA
2016-01-26 23:00
Helpful. Thanks
abdelaziz gharbi, TUNISIA
2016-01-25 11:39
excellent and comprehensive
omar mahmoud, SAUDI ARABIA
2016-01-24 19:52
excellent very helpful
JONATHAN MALABANAN, PHILIPPINES
2016-01-24 00:13
excellent and comprehensive
JONATHAN MALABANAN, PHILIPPINES
2016-01-24 00:13
excellent and comprehensive
sandro sanna, ITALY
2016-01-22 19:07
Very clear presentation
elsanousi tairab, SAUDI ARABIA
2016-01-18 12:45
comprehensive,audiovisual technical presentation,fantastic
Aziz Ur Rehman, PAKISTAN
2015-11-19 06:36
nice presentation
Omar Alejandro Ortega Valencia, COLOMBIA
2015-11-12 05:23
You teach very clear, your presentation is excellent, congratulations, I asked you: in case of infection of the surgical wound, should I remove of the mesh?
thanks.
muhammad imran, PAKISTAN
2015-11-01 08:18
excellent presentation.
Abdalla glessa, LIBYAN ARAB JAMAHIRIYA
2015-10-20 11:05
Nice and clear presentation.
dale ho, CANADA
2015-10-18 05:35
Practical and comprehensive presentation. Well done!
mahmoud nassar, SAUDI ARABIA
2015-09-29 21:08
Good presentation\n
christopher magagula, SOUTH AFRICA
2015-08-15 00:16
Very informative
ozan andaç erbil, TURKEY
2015-08-07 19:40
Thank you so much
ayman arafa, EGYPT
2015-07-19 16:05
Excellent presentation \nBut after all these complications, laparoscopy for incisional hernia is still recommended
She Zhanfei, CHINA
2015-07-19 15:26
Very helpful for me! Thanks.
Bilianskyi Leonid, UKRAINE
2015-07-19 12:53
Very very beautiful and useful information. Thank you, so much.
DrSudam Patil, INDIA
2015-07-19 05:28
Beautiful presentation, very elaborative. Thank You.
carlos campos, CHILE
2015-07-18 06:27
Excelllent!
Mario Alfredo Ramos Morales, MEXICO
2015-07-05 01:53
Thanks you so much, greetings from Hermosillo México
Juan Diaz, MEXICO
2015-07-03 06:15
Thanks for sharing with us... From Juárez, México
Carlos Zapata, COLOMBIA
2015-06-28 05:02
Excellent presentation, congratulations
VICTOR DELAPENA, MEXICO
2015-06-25 02:33
Thank you Dr. Dürso
KADABA SRIMURTHY, INDIA
2015-06-15 05:08
Dear sir, we in Bangalore are ardently following your technique but we are having recurrences following lap repair. Can you share with us your rate of recurrences.
pablo garcia, COLOMBIA
2015-06-09 00:42
Very complete and clear lecture.\nThank you Dr. D' Urso.
Saidi Hassan, KENYA
2015-05-24 07:43
Great presentation.
Hector Roldan, CANADA
2015-05-24 02:39
Excellent presentation
thanks.
ibrahim khalifa, EGYPT
2015-05-22 23:03
GREAT LECTURE.\nIF I DECIDE TO CLOSE THE DEFECT, HOW TO DO IT?
sajad ahmad salati, SAUDI ARABIA
2015-05-22 16:31
Great presentation.
Gerardo Gonzalez, MEXICO
2015-05-21 23:33
What kind of suture do you recommend for deffect clusure ?

Surgical procedure

murat akbaba, TURKEY
2018-02-12 13:06
i think intrabdominal measurement is a better option.Thank you
mahdi hemati, IRAN, ISLAMIC REPUBLIC OF
2018-01-14 19:38
very good
Gustavo Avila , BOLIVIA
2017-11-04 04:00
Maravilloso
Gustavo Avila , BOLIVIA
2017-11-04 04:00
Maravilloso
datta ram, INDIA
2016-09-20 17:56
Excellent Talk ...very clear .....
Omar La Ruta, BOLIVIA
2016-08-04 19:23
Very useful and enlightening. Thank you.
eugène diémé, SENEGAL
2016-05-13 15:40
formidable
discours simple clair et précis avec film très instructif
kurikala raghu, INDIA
2016-01-22 10:51
Excellent,videos,lectures,thank you websurg
Dimitrios Gialvalis, GREECE
2015-11-25 17:13
Very precise and organised lecture and videos.
Nitu Valentin, FRANCE
2015-07-24 10:58
Very good. Congratulations
Mahmoud osman, EGYPT
2015-05-28 09:21
Very useful and simple way to learn
Sergio Alberto Weckmann, MEXICO
2015-05-27 01:29
Excellent Lecture. Congratulations.
abel briceño, VENEZUELA
2015-05-24 19:41
Un video muy didactico.Dios les pague.
Mesh fixation during laparoscopic repair of abdominal wall hernia is a crucial point. In this short video, we present the key point for a good mesh fixation.

Specific procedures

jorge armando Ramirez Ortega, MEXICO
2017-04-04 20:00
wht is the tipe of mesh being used here' ? please
jorge armando Ramirez Ortega, MEXICO
2017-04-04 20:00
wht is the tipe of mesh being used here' ? please
jorge armando Ramirez Ortega, MEXICO
2017-04-04 20:00
wht is the tipe of mesh being used here' ? please
Ahmed Faeq, IRAQ
2017-02-17 14:42
nice job thanks
manas satpathy, INDIA
2016-03-01 08:36
websurg with me ,i do justice to my patients n myself
Alexander Ogurtsov, RUSSIAN FEDERATION
2016-02-17 07:50
Thank you for the clear brief comprehensive summery.
LUIS BECERRA, COLOMBIA
2015-12-28 03:29
QUE TIPO DE MALLA UTILIZAN
DR Rameshwar sable sable, INDIA
2015-09-02 10:55
What is the type of mesh being used here? Excellent technique
liming wang, JAPAN
2015-06-12 17:04
Nice work
antonio pereira de oliveira, PORTUGAL
2015-06-03 22:57
Yes, a very good video for technical demonstration.
Winston Ajoy, ECUADOR
2015-05-27 05:04
Good video
DR Rameshwar sable sable, INDIA
2015-05-23 19:21
Very useful @ excellent demonstration
Hernia location in the subxiphoid region involves some changes in mesh fixation. This video shows the laparoscopic approach to this kind of hernia.

Complications

Ali Yildirim, TURKEY
2017-10-19 10:13
TREMENDOUS
Nitu Valentin, FRANCE
2015-07-24 11:06
Bravo
liming wang, JAPAN
2015-06-12 17:08
Wonderful
The objective of this video is to remind the audience that mesh shrinkage is one of the causes of hernia recurrence as it can also affect the course of another operation.

Authors

Antonio D'Urso, MD, PhD
Hôpitaux Universitaires de Strasbourg, France
Didier Mutter, MD, PhD, FACS
Hôpitaux Universitaires de Strasbourg, France
Jacques Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Hôpitaux Universitaires de Strasbourg, France
Adrian Park, MD, FRCSC, FACS, FCS (ECSA)
Anne Arundel Medical Center, United States
Ghassan Sojod, MD
Hôpitaux Universitaires de Strasbourg, France

References

  1. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)) Part 1/3. Surg Endosc 2014;28:2-404.
  2. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)) Part 2/3. Surg Endosc 2014;28:2-404.
  3. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)) Part 3/3. Surg Endosc 2014;28:2-404.
  4. Indications for incisional hernia repair: an international questionnaire among hernia surgeons. Nieuwenhuizen J, Kleinrensink GJ, Hop WJC, Jeekel J, Lange JF. Hernia 2008;12:223-5.
  5. Classification of primary and incisional abdominal wall hernias. Muysoms FE, Miserez M, Berrevoet F, Campanelli G, Champault GG, Chelala E, Dietz UA, Eker HH, El Nakadi I, Hauters P, Hidalgo Pascual M, Hoeferlin A, Klinge U, Montgomery A, Simmermacher RK, Simons MP, Smietański M, Sommeling C, Tollens T, Vierendeels T, Kingsnorth A. Hernia 2009;13:407-14.
  6. Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M. Cochrane Database Syst Rev 2011;(3):CD007781.
  7. Laparoscopic versus open incisional and ventral hernia repair: a systematic review and meta-analysis. Zhang Y, Zhou H, Chai Y, Cao C, Jin K, Hu Z. World J Surg 2014;38:2233-40.
  8. A prospective study comparing the complication rates between laparoscopic and open ventral hernia repairs. McGreevy JM, Goodney PP, Birkmeyer CM, Finlayson SR, Laycock WS, Birkmeyer JD. Surg Endosc 2003;17:1778-80.
  9. Long-term evaluation of adhesion formation and foreign body response to three new meshes. Vogels RR, van Barneveld KW, Bosmans JW, Beets G, Gijbels MJ, Schreinemacher MH, Bouvy ND. Surg Endosc 2014;[Epub ahead of print].
  10. Mesh shrinkage and pain in laparoscopic ventral hernia repair: a randomized clinical trial comparing suture versus tack mesh fixation. Beldi G, Wagner M, Bruegger LE, Kurmann A, Candinas D. Surg Endosc 2011;25:749-755.

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