Introduction Gastroesophageal reflux disease (GERD) is one of the most common chronic diseases, affecting 18%–28% of the population in North America, and its prevalence has been increasing steadily with time. Nissen fundoplication is a safe and effective therapy for controlling…
Indications Bariatric surgery continues to be the most effective treatment available for the treatment of obesity and its associated medical problems. In the USA, it is indicated for patients with body mass index (BMI) 40 and above or those with…
Indications In the last decade, sleeve gastrectomy has been accepted as a surgical treatment option for morbid obesity and currently accounts for almost 60% of bariatric procedures. It is considered safe and technically less demanding in comparison to the Roux-en-Y…
Introduction The application of laparoscopic techniques to gastric operations has become the preferred approach whenever feasible because of the known advantages of minimally invasive surgery. However, laparoscopy for advanced operations, such as gastric surgery, is beyond the technical abilities of…
Introduction Parastomal hernia is one of the most common complications following ostomy creation and may be unavoidable considering the mechanics of the abdominal wall and the need to keep a functioning loop of intestine coming through the dynamic abdominal wall.…
Indications Ventral hernia (VH) repair with onlay mesh placement after anterior component separation is a safe alternative to sublay mesh placement after posterior component separation in low-risk patients. Onlay open VH repair is still one of the most common surgeries…
Introduction Few techniques in surgery have evolved more over the course of the last two decades than those related to hernia and abdominal wall reconstructions. Advances in technology, coupled with a better understanding of the abdominal wall anatomy, have resulted…
Introduction The field of abdominal wall reconstruction has been rapidly evolving, particularly in recent years, with the popularization of several novel minimally invasive extraperitoneal approaches. Enhanced-view totally extraperitoneal (eTEP) access in combination with retromuscular repair has expanded what is feasible…
Indications For ventral hernias of the midline between 2 and 5 cm in width, I prefer to perform a robotic retrorectus repair with a 15-cm wide mesh. I use a technique with a single dock lateral transabdominal approach. This technique…
Preoperative considerations It is critical to have a thorough understanding of the layers of the abdominal wall. The preperitoneal space can be surgically dissected from the overlying layers of the abdominal wall from the diaphragm to the myopectineal orifice and…