Hands On Practice of Extracorporeal Weston Knot and demonstration of Laparoscopic Myomectomy and Laparoscopic Ventral Hernia Repair
Event Date: Mon - 18 Aug, 2014
Event Time: 12:00 am
Location: World Laparoscopy Hospital, Gurgaon
Institute: WLHLaparoscopic Ventral Hernia Repair with On-lay mesh repair (IPOM) is a commonly performed procedure. The surgeon must learn how to select the size of the mesh depending on the size of the defect. The surgeon must discuss with the patient about the type of mesh he will be using e.g., Prolene or Dual or Proceed mesh , the cost differential of various meshes and the post operative precautions etc. Today the surgeons and gynecologist learnt the two port ventral Hernia repair. The Palmar's point is used for putting Verees Needle for pneumoperitoneum and placement of first port for the telescope. Under vision the second port is placed 7.5 cms below and lateral to the telescope port. The hernial sac is opened and the contents reduced. The appropriate size mesh is ordered, sutures passed on all the four corners. The surface mapping is done marking the skin 2 cms away from the corners with a skin marker. The mesh is rolled or plicated depending on the size and introduced through the cannula or directly from the skin incision. Inside the mesh is unrolled taking care that the non adhesive side is facing the bowel. Centering of the mesh is done by passing a guiding suture from the center of the defect percutaneously. The transfacial fixation of the four corners is done by pulling out the sutures of the four corners either by suture passer or by the verees needle. After the corners the inner and outer crowning is done to prevent any internal herniation. Post operatively the compression bandage is given for ten days.