Best Practices in Umbilical Hernia Repair

Session Description

Umbilical hernias are among the most common referrals to a general surgery practice and among the most common operations performed in general surgery. Failed repairs, infections, and recurrences are common and catastrophic. Controversies continue to exist regarding indications for repair of an umbilical hernia and the type of repair to perform. This panel will discuss the indications for surgery in the adult patient in general with special consideration for the obese patient and the cirrhotic patient. Best evidence regarding mesh placement and technique, the type of mesh, and the role of laparoscopic surgery will be reviewed.

Course Outline

  • Introduction
    Mike K. Liang, MD, FACS, Houston, TX
  • All Umbilical Hernias Should Be Repaired
    Vivian M. Sanchez, MD, FACS, West Roxbury, MA
  • Not All Umbilical Hernias Should Be Repaired 
    Michele M. Loor, MD, FACS, Houston, TX
  • Umbilical Hernias Should Be Repaired Prior to Pregnancy
    Arielle J. Perez, MD, Chapel Hill, NC
  • Umbilical Hernias Should Be Repaired following Pregnancy
    Gina L. Adrales, MD, MPH, FACS, Baltimore, MD
  • Small Umbilical Hernias Should Be Repaired with Sutures
    Ruth Kaufman, MD, Rotterdam, Netherlands
  • Mesh
    David M. Krpata, MD, Cleveland, OH
  • Early Elective Umbilical Hernia Repair in Cirrhotics
    Khashayar Vaziri, MD, FACS, Washington, DC
  • Nonoperative Management of Umbilical Hernias in Cirrhotics
    Caroline E. Reinke, MD, FACS, Charlotte, NC
  • How I Do It
    Kamal M.F. Itani, MD, FACS, West Roxbury, MA

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care

Contact

  • For questions about the course content, please contact elearning@facs.org.
  • If you have any technical questions, contact learning@facs.org.
Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
Course opens: 
10/05/2018
Course expires: 
01/31/2020

Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website: http://www.accme.org/requirements/accreditation-requirements-cme-providers/policies-and-definitions/financial-relationships-and-conflicts-interest

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity.  Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation. 
 

(Download the full list of disclosures.)

Faculty and Disclosures

Vivian M. Sanchez, MD, FACS, West Roxbury, MA - No Disclosures
Michele M. Loor, MD, FACS, Houston, TX - No Disclosures
Arielle J. Perez, MD, Chapel Hill, NC - No Disclosures
Gina L. Adrales, MD, MPH, FACS, Baltimore, MD - American Hernia Society Foundation research grant: Principal Investigator, Science of Learning Institute, Johns Hopkins University research grant: Co-Investigator
Ruth Kaufman, MD, Rotterdam, Netherlands - No Disclosures
David M. Krpata, MD, Cleveland, OH - WL Gore: Educational Grant
Khashayar Vaziri, MD, FACS, Washington, DC - No Disclosures
Caroline E. Reinke, MD, FACS, Charlotte, NC - No Disclosures
Kamal M.F. Itani, MD, FACS, West Roxbury, MA - No Disclosures

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - No Disclosures
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - No Disclosures

Members

David C. Borgstrom, MD, FACS, Morgantown, WV - No Disclosures
Daniel L. Dent, MD, FACS, San Antonio, TX - No Disclosures
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Audra A. Duncan, MD, FACS, London, ON - No Disclosures
Mariam F. Eskander, MD, Boston, MA - No Disclosures
Paula Ferrada, MD, FACS, Richmond, VA - No Disclosures
Neil H. Hyman, MD, FACS, Chicago, IL - No Disclosures
Martin S. Karpeh, Jr., MD, FACS, New York, NY - No Disclosures
Dennis H. Kraus, MD, FACS, New York, NY - No Disclosures
Kenneth W. Sharp, MD, FACS, Nashville, TN - No Disclosures
David A. Spain, MD, FACS, Stanford, CA - No Disclosures

Ex-Officios

Mary T. Hawn, MD, FACS, Stanford, CA - No Disclosures
Daniel M. Herron, MD, FACS, FASBMS, New York, NY - No Disclosures

Consultants

Barbara Lee Bass, MD, FACS, FRCS(Hon), Houston, TX - No Disclosures
Quan-Yang Duh, MD, FACS, San Francisco, CA - No Disclosures
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - No Disclosures
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - No Disclosures
Valerie W. Rusch, MD, FACS, New York, NY - No Disclosures

 

Continuing Medical Education Credit Information

Accreditation

The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1.5 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
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