Spigelian hernia constitute about 0.12 to 0.2% of all abdominal hernias usually found between 50-60 yrs, affecting both sides and both sexes equally. The absence of typical hernia-type symptoms and the lack of physician experience with such hernias, makes early recognition difficult. The elective treatment of spigelian hernias is by open surgery, or by laparoscopy. The use of laparoscope has si...

Diaphragmatic injuries are relatively rare and as such frequently missed, particularly if they occur as a rare event on the right-sided dome. Even if detected in the early phase, the concomitant injury of other organs may delay the time to repair. The delay in surgical correction may aggravate additional adherences between thoracic and abdominal organs and cause the diaphragmatic muscle to retr...

Laparoscopic transabdominal preperitoneal inguinal hernia repair is a safe and effective technique. In this study we tested the hypothesis that self-gripping mesh used with the laparoscopic approach is comparable to polypropylene mesh in terms of perioperative complications, against a lower overall cost of the procedure. We carried out a prospective randomized trial comparing a group of 30 pati...

Laparoscopic repair of incisional hernia has been shown safe and efficacious, with low rates of conversion to open, short hospital stay, moderate complication rate, and low recurrence. Using the benefits of open retromuscular, sublay repair, the laparoscopic approach provides adequate mesh overlap and allows for identification of the entire abdominal wall fascia at risk for hernia formation. Fi...

BACKGROUND AND OBJECTIVES Mesh fixation in laparoscopic ventral hernia repair typically involves the use of tacks, transabdominal permanent sutures, or both of these. We compared postoperative pain after repair with either of these 2 methods. METHODS Patients undergoing laparoscopic ventral hernia repair at the Mount Sinai Medical Center were prospectively enrolled in the study. They were sor...

BACKGROUND Incisional hernia is a frequent complication of abdominal surgery. The object of this study was to confirm the safety, efficacy, and feasibility of laparoscopic treatment of abdominal wall defects. METHODS Fifty consecutive laparoscopic abdominal and incisional hernia repairs from September 2001 to May 2003 were compared with 50 open anterior repairs. RESULTS The 2 groups were no...

BACKGROUND The aim of this report was to review our early experience of the last 7 years with repairs of congenital duodenal obstruction (CDO) to determine the efficacy and outcomes of laparoscopic repairs compared to laparotomy. METHODS A retrospective review was conducted on all neonate (<30 days) with CDO between 2009 and 2015. Patients with duodenal atresia, stenosis, web, and annular pan...

Laparoscopic repair of traumatic intraperitoneal bladder rupture is safe and effective technique. We here report case 49 year male with proven by CT urogram after sustaining blunt trauma abdomen injury, repaired laparoscopy Patient recovered without any complications was discharged on postoperative day 6 under stable condition. we conclude that if injury identified early conditions feasible, la...

The pre-operative assessment of the patient, and the precautions against infection and DVT are identical to the open “mesh” procedure. The surgery requires the development of a preperitoneal space behind the abdominal muscles using a balloon dissector in the first instance and a subsequent structural balloon to maintain the space, together with insufflation with Carbon dioxide to facilitate vis...

Laparoscopic hernioplasty is a technique which can present a number of specific complications. This paper reviews the complications that can occur during laparoscopic hernia repair and ways to avoid them; it also describes the surgical technique used successfully in over 1000 cases. Initial experience suggests that complications can be avoided with adequate knowledge, attention to surgical anat...