Live Surgery, Hernia Endotraining Exercises and Live Tissue Workshop

The objective is to identify, select and train selected surgeons, some of whom may be recommended by National Hernia Chapters of APHS. These surgeons would receive comprehensive training (both didactic and practical) on both approaches (Open and Laparoscopy) for abdominal wall hernias (inguinal, ventral, incisional). These hernias leaders would then serve to propagate and disseminate international guidelines based, best hernia practices within their countries and in the region.

Course Content

A) Needle handling, suturing & knotting

• Suturing (peritoneum and bowel) and knotting
• Extracorporeal knot – Roeder knot
• Intracorporeal knot
• Closing peritoneal tear with Endoloop

B) Mesh handling

• Mesh handling (within package only)
• Transabdominal sutures on mesh
• Mesh marking on abdominal wall
• Central suture on mesh
• Mesh rolling and insertion through port
• Mesh laying on floor in abdomen
• Retrieving transabdominal sutures with needle
• Fascia closure needle
• Loop technique
• Tying loose sutures on surface.
• Mesh fixation with tackers (distance, counter pressure, within margin)

C) Port closure technique

• Fascia closure needle
• Loop technique

D) Hasson trocar (and types)

E) TEP step by step

F) TAPP step by step

G) IPOM step by step