Laparoscopic Inguinal & Ventral Hernia Repair
Presented by: SIUH/SUNY Downstate Medical Center
Course Director: George Ferzli, MD, FACS
Tuesday, March 12, 2002
Lecture: 7:30 AM – 12:30 PM, Lab: 1:30 PM – 5:00 PM
Objectives:
Upon completion of this course, the participant would have: 1) Reviewed inguinal anatomy; 2) Reviewed different types of laparoscopic inguinal hernia repair; 3) Reviewed different types of laparoscopic incisional/ventral hernia repair; 4) Ability to identify and implement techniques unique to Laparoscopic hernia repair; 5) Gained an understanding of different prosthetic materials and devices used to anchor, suture and staple; 6) Reviewed potential complications and how to avoid them: and 7) Watched videos and/or live surgery of various hernia repairs.
Who Should Attend:
Surgeons, residents, and fellows interested in minimally invasive surgery should attend this course. GI assistants and nurses are also welcome for the didactic portion.
Program:
Welcome and introduction
Zenilman
Operative anatomy for inguinal and ventral hernias
Cacchione
Preparing the OR: equipment and materials
DeTurris
Patient selection; Pre-op workup for inguinal and ventral hernia repairs
Allen
Anesthetic choices
Sayad
Break
Choice of mesh for inguinal and ventral hernia repair
Henniford
Technique of ventral hernia repair
Voeller
Outcomes and complications of ventral hernia repair
Park
Round table discussion: How to treat recurrences after lap ventral hernia repairs.
Should we treat every inguinal hernia?
Fitzgibbons
Technique of transabdominal inguinal hernia repair
Bittner
Technique of totally extraperitoneal inguinal hernia repair
Ferzli
Outcomes and complications of TAP and TEP
Felix
Modalities of mesh placement
Katkhouda
Round table discussion: TAP vs TEP
Causes of recurrences and how to avoid them
Felix
Laparoscopic repair of giant scrotal hernias
Ferzli
Special considerations: femoral, obturator hernias
Steinberg
Laparoscopic repair of recuurent hernias
Fitzgibbons
Recurrences after laparoscopic hernia repair: Can they be treated laparoscopically?
Bittner
Results of comparative studies and the learning curve
Fingerhut
Round table discussion: Lap or Open
LAB: Inguinal and Ventral hernias (porcine model)
-trocar placement for large ventral hernias
-sizing and forming appropriate mesh prosthesis
-technique of mesh introduction, orientation, and fixationCourse Description:
Minimally invasive hernia repair continues to evolve as new technology is introduced, new procedures are developed and new approaches for standard procedures are created. Surgeons in practice and in training need hands-on experience to determine which new developments are relevant to them and to master new technology and techniques. This hands-on course will discuss the new developments in laparoscopic inguinal and ventral hernia repair. A sampling of the latest equipment, approaches and techniques will be available under the instruction of laparoscopic experts.
Lab Description:
Participants will review, implement and practice incisional/ventral and inguinal hernia repair on porcine animal models.
Logistics:
Casual attire for lectures. Scrubs will be provided for the lab. Transportation to the lab and lunch will be provided for lab participants. Transporation will be provided to SUNY Downstate from the New York Hilton and Towers. Shuttles will be available to take lab participants to the Ethicon lab in Somerville, NJ, and return to the NY Hilton.
CME Certification:
These activities have been planned and implemented in accordance with the Essentials and Standards of the Accreditation Council for Continuing Medical Education (ACCME). The SUNY Downstate Medical Center is accredited by the ACCME to provide continuing medical education to physicians. The SUNY Downstate Medical Center takes responsibility for the content, quality and scientific integrity of this CME activity. The SUNY Downstate Medical Center designates this CME activity for a maximum of 6 credits in category 1 credit towards the AMA Physicians Recognition Reward. Each physician should claim only those hours that he/she spent in educational activity.
Corporate Support:
Ethicon Endo-Surgery, Tyco, Karl Storz Endoscopy, Davol.
[Table of Contents] [General Information] [Schedule at a Glance] [Hands-on Courses] [Appropriateness Conference]
[Surgeons-in-Training Session] [Postgraduate Courses] [Scientific Sessions - Friday] [Scientific Sessions - Saturday]
[Industry Education Night] [Exhibitors] [Invited Faculty] [Lunches] [Learning Center & Poster Program]
[Social Programs & Special Events] [Accompanying Person Tours] [Hotel Information]