Preperitoneal repair of bilateral inguinal hernia using Stoppa technique (giant prosthetic repair of visceral sac). The synthetic mesh is placed between.

Slides:



Advertisements
Similar presentations
MODIFIED GRID IRON, (F. UGAHARY), HERNIOPLASTIE, USING A NEW SELF EXPANDABLE PROSTHESIS. THE REALLY MINIMAL INVASIVE PREPERITONEAL APPROACH: REVIEW, RESULTS.
Advertisements

LAPAROSCOPIC INGUINAL HERNIA SURGERY IS IT NECESSARY, IS IT ADVANTAGEOUS? Asoc. Prof.Dr. Orhan Yalçın Ministry of Health Okmeydanı Education and Research.
A Single ‐ Center Experience of Open Lateral Abdominal Wall Hernia Repairs Patel PP, DO, Warren J, MD, Cobb WS, MD, Carbonell AM, DO Methods A retrospective.
Dissection of the distal ureter. (A) Urinary bladder
Intraperitoneal view of polytetrafluoroethylene mesh used for laparoscopic ventral incisional hernia repair. The mesh is in place on the posterior aspect.
Intraperitoneal view of expanded polytetrafluoroethylene mesh used for laparoscopic ventral incisional hernia repair. The mesh is in place on the posterior.
Reproduced with permission from Albert MA, Ridker PM
Brief pain inventory. (Reproduced with permission from the University of Texas MD Anderson Cancer Center, Department of Symptom Research, Houston, TX.
Mapleson D circuit. Note that the fresh gas inlet (FGI) is distal to the adjustable pressure-limiting (APL) valve and proximal to the patient end. (Reproduced.
A. Layers of the abdominal wall in an anterior open approach to hernia repair. B. Identification of indirect and direct hernia sacs once the spermatic.
Annular suturing techniques. A. Interrupted sutures. B
The defect is converted to a parallelogram with angles of 60 and 120 degrees, and the flap is designed accordingly. (Adapted from Morrow CP, Curtin JP.
Laparoscopic inguinal hernia repair (A→D). (Used with permission of Dr
Transection of the utero-ovarian ligament
Reproduced from Hadzic A
Reproduced from Hadzic A
Treatment pathways for stage IIIA and stage IIIB breast cancer.
Wedge resection of ear: (a) method of ear block with local anaesthesia infiltrated subcutaneously; (b) wedge of ear removed; (c) suturing in layers Source:
Incidence of CIN2 and 3 and cervical cancer
An above-knee artificial leg invented by Ambroise Paré (mid-16th century). (From Paré A: Oeuvres Complétes, Paris, 1840, with permission from the National.
Adapted from Weiss et al. J Am Coll Cardiol. 1998;31:
Uterine artery ligation
The myometrium is incised carefully to avoid cutting the fetal head
(Reproduced with permission from Jemal A, et al: Cancer statistics, CA Cancer J Clin 58:71, 2008.) Source: Chapter 17. The Breast, Schwartz's Principles.
Ludwig Rehn, a surgeon from Frankfurt, Germany, who performed the first successful suture of a human heart wound. (Reproduced with permission from Mead.
The H double advancement flap: (a) excision of tumour with planned flaps; (b) pulling the flaps together; (c) flaps sutured to repair defect Source: Skin.
Reproduced with permission from Chang JB, Stein TA
Formation of vitamin C radical by reduction of the vitamin E radical
Cross-section of the abdominal wall demonstrating a “sublay “ or “Stoppa” incisional hernia repair with mesh (green) placed in the retrorectus position.
Astronauts on the space station exercise with straps holding them down on specialized treadmill surfaces. Photo courtesy of NASA. Source: The Biomechanics.
Using the prosthesis as an assisting hand
Communication strategy: increasing mammogram use
Vane anemometer. (Reproduced with permission from Morgan GE, Mikhail MS, Murray MJ. Clinical Anesthesiology. 4th ed. New York, NY: McGraw-Hill; Figure.
Staging of endometriosis
Oral contraceptive pill hormonal components
Schematic representation of the main divisions of the respiratory tract. (Reproduced, with permission, from Junqueira LC, Carneiro J: Basic Histology:
Schematic demonstrating placement of transfascial sutures lateral to the rectus muscle securing the mesh in place (Stoppa repair). (A) Upper abdominal.
Survival rates after thyroidectomy for papillary, mixed papillary-follicular, follicular, medullary, and undifferentiated thyroid cancer. Source: Thyroid.
Direct and indirect action of free electrons created by ionizing radiation. (Reproduced, with permission, from Hall EJ, Giaccia AJ. Radiobiology for the.
Technique of varicose vein stripping
Peritoneal incision overlying the sacrum.
Scaphoid fracture. A. Scaphoid fracture nonunion. B
Spectrum of inguinoscrotal disorders. A: Normal anatomy
Reproduced with permission from Chang JB, Stein TA
(F) A femoral hernia follows the course of the femoral artery and vein into the anterior thigh inferior to the inguinal ligament. Source: Chapter II-1.
Illustration of the actions of contraction of the intercostal muscles, abdominal muscles, and accessory muscles. (Reprinted with permission of the publisher.
Midsagittal section through the brain of a patient with a brain stem tumor. Histologic findings showed the tumor to be an ependymoma. Source: Discussion.
A: High female anatomic anomaly. Low vaginal fistula
Proportions of human cancer deaths attributed to various factors
A close relationship exists between heterotopic nodules and cortical regions in bilateral PNH, with an epileptogenic network including both structures.
Local anesthetic infiltration into the chest wall for tube thoracostomy. (Reproduced, with permission, from Reichman EF, Simon RR: Emergency Medicine Procedures.
Perineum of an elderly woman with multiple medical comorbidities and Bowen disease following radical vulvectomy and split-thickness skin graft reconstruction,
Afferent and efferent limbs of the bowel are placed parallel to each other with their antimesenteric borders. Stay sutures of a 3-0 delayed monofilament.
Total infralevator exenteration
[Reproduced with permission from Healey JE, Hodge J (eds): Surgical Anatomy, 2nd ed. Toronto: BC Decker, 1990, p 153.] Source: Chapter 35. Abdominal Wall,
Inguinal hernia repair
(Reproduced with permission from Afifi AK, Bergman RA
(Reproduced with permission from Amato AA, Russell JA
(Reproduced, with permission, from Emiliano Chavira, MD.)
Incisional hernia repair using Stoppa technique
Incarcerated hernia. A. An incarcerated femoral hernia is demonstrated as a small bowel segment herniated through the femoral canal. B. In an incarcerated.
Decision tree for ulcerative colitis
Adapted with permission from Hsia, J et al
Survival rates for patients with AJCC stages I–IV melanoma
Diagram of the placement of a peritoneal dialysis catheter through the abdominal wall into the peritoneal cavity. (From Sowinski KM, Churchwell MD, Decker.
An artist's sketch of complex reconstructive surgery
Types of vulvectomy used in the treatment of vulvar cancer. A
Epigastric hernia. Note closeness to ­midline and the presence in upper abdomen. The herniation is through the linea alba. Source: Hernias & Other Lesions.
Algorithm for determining intubation sequence for a child with a known difficult airway. Source: Airway Management of a 6-Year-Old with Pierre Robin Syndrome.
Mammogram images (A, B) indicate an irregular mass in the upper outer left breast. Ultrasound of the left breast (C) shows this to be a solid, hypoechoic.
Presentation transcript:

Preperitoneal repair of bilateral inguinal hernia using Stoppa technique (giant prosthetic repair of visceral sac). The synthetic mesh is placed between the myopectineal orifice and the peritoneal sac, and envelops the sac, which holds it in place with the patient in the upright position. Extension of the mesh into the retropubic space and into the iliac fossa bilaterally is also a crucial component of repair of a lower abdominal incisional hernia. (Adapted and reproduced with permission from Wantz GE. Atlas of Hernia Surgery. New York, NY: Raven Press, 1991.) Source: Bioprosthetic and Prosthetic Materials in Abdominal Wall Reconstruction and Hernia Repair, Radical and Reconstructive Gynecologic Cancer Surgery Citation: Bristow RE, Chi DS. Radical and Reconstructive Gynecologic Cancer Surgery; 2015 Available at: https://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/1577/bri_ch20_f004.png&sec=95458805&BookID=1577&ChapterSecID=95458788&imagename= Accessed: October 15, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved