Laparo-endoscopic Hernia Surgery

Reinhard BittnerHernienzentrum Rottenburg a.N.Winghofer MedicumRottenburg am NeckarBaden-WürttembergGermany Ferdinand KöckerlingDepartment of Surgery and Center for Minimally Invasive SurgeryAcademic Teaching Hospital of Charitè Medical SchoolVivantes HospitalNeue Bergstraße 6D-13585 BerlinGermany Robert J. Fitzgibbons, Jr.Creighton University School of MedicineDepartment of General SurgeryOmaha, NebraskaUSA Karl A. LeBlanc Our Lady of the Lake Physician Group, Department of SurgeryLouisiana State University School of Medicine, Department of SurgeryBaton Rouge, Louisiana, USA Sumeet K. Mittal Professor of Surgery, Creighton University School of Medicine (Phoenix campus) Director, Esophageal and Foregut ProgramNorton Thoracic Institute,Dignity Health, Phoenix, AZUSA Pradeep ChowbeyMax Super Specialty Hospital SaketMinimal Access, Metabolic & Bariatric SuNew Delhi, India

Inguinal Hernia: Anatomy of the groin - laparoscopic view.- Diagnostics.- Classification.- Laparoscopic surgical techniques - working mechanisms.- Indication for surgery, laparoscopic or endoscopic techniques.- Perioperative management.- Anaesthesia.- Technique Transabdominal Preperitoneals Patch Plasty (TAPP) / Standard technique.- Technique Total Extraperitoneal Patch Plasty (TEP) / Standard technique.- Comparison TAPP vs. TEP - what is better?.- Complex inguinal hernias.- Mesh technology.- Convalescence.- Chronic Pain.- Costs.- Sportsman hernia.- Comparison to open techniques. Ventral and incisional hernias: Anatomy of the abdominal wall - what is important for laparoscopic surgery?.- Ventral and incisional hernias - different diseases?.- Pathophysiology and diagnostics.- Classification.- Indication for laparoscopic surgery / Limitations.- Perioperative Management.- Anaesthesia.- Standard technique - key points of laparoscopic surgery.- Aftercare and pain management.- Complications and prevention / Pitfalls / Comparison to open surgery.- Education and learning curve.- Complex hernias.- Mesh technology.- Indication for prophylactic mesh implantation.- Miniopen, endoscopic supported sublay repair.- Lumbar and other unusual hernias.- Single Port Technique. Hiatal Hernias: Anatomy of the hiatus esophageus - what is important for laparoscopic surgery?.- Pathophysiology of herniation and diagnostics.- Classification.- Indication for laparoscopic repair. Reflux disease. Paraesophageal hernias. Limitations.- Perioperative Management.- Anaesthesia.- Dissection of the hernia sac - always complete?.- Division of short gastric vessels.- Preservation of n. vagus and ramus hepatopyloricus  of n. vagus.- Cruroraphy.- Nissen fundoplication.- Toupet semi-fundoplication.- Rare types of repair - Dor, Belsey Mark IV, Hill, Fundo-phrenicopexie.- Mesh implatation - strip, u-shape, circular?.- Mesh fixation.- Mesh technology.- Complications and prevention.- Complex hernias.- Comparisons.- New technology development - robotics, single port.- Education and learning curve.