19th International Congress of the European Association for Endoscopic Surgery (EAES) Torino, Italy, 15–18 June 2011 Poster Presentations Ó Springer Science+Business Media, LLC 2012 P001 - Abdominal Cavity and Abdominal Wall LAPAROSCOPIC HERNIOPLASTY IN POSTOPERATIVE AND VENTRAL HERNIA A.E. Voinovsky, S.N. Judenkov, A.J. Shabalin Main military clinic hospital of Ministry of Internal Affairs, BALASHIHA, Russia The paper presents the experience of 42 laparoscopic hernioplasty composite mesh with neadgezium coated in postoperative and recurrent ventral hernias of the anterior abdominal wall. In 37 cases of postoperative ventral hernia were in the midline scar, 4 patients hernia was located in the right iliac region after appendectomy, and 1 - in the left iliac region after laparoscopic resection of ovarian cysts. Dimensions hernial were \ 5 cm - 14 patients from 5 to 10 cm - 21, [ 10 cm - 7 patients. The mesh was fixed to the anterior abdominal wall of prolene thread and endohernio stapler \ Pro- tack [ mesh overlaps the defect aponeurosis not less than 3 cm. In 7 patients, along with postoperative ventral hernia hernioplasty were performed - 4 cholecystectomy, and 3 removal of ovarian cysts. Postoperative complications were not observed. Long-term results are tracked in 31 patients. Revealed two recurrent hernias, causes of relapse is the gap side edges of mesh. P002 - Abdominal Cavity and Abdominal Wall LAPAROSCOPIC REPAIR OF PRIMARY PERINEAL HERNIAS: THE APPROACH OF CHOICE IN THE 21ST CENTURY. P.G. Sorelli, S.K.. Clark, J.T. Jenkins St Mark’s Hospital, Harrow, United Kingdom Aims: Primary perineal hernias are among the rarest of human hernias and result from the herniation of a viscus through the pelvic floor. Symptomatic perineal hernias are repaired surgically, historically performed via an open perineal, abdominal or abdominoperineal approach. We describe laparoscopic repair of a primary anterior perineal hernia with mesh using the transabdominal approach. Methods: A standard four port technique was used to perform a transabdominal preperitoneal repair using a prolene mesh in a 45-year-old uniparous woman with a one year history of an inter- mittent right sided perineal lump, which when present, caused significant discomfort. Results: Surgical methods for both approach and technique of closure vary in the existing literature which is predominantly from the pre- laparoscopic era. Classically open abdominal, perineal or combined abdominoperineal approaches have been advocated, with the perineal approach particularly favoured in older debilitated patients, or those with coexisting rectocoeles or cystocoeles. Our patient made an uneventful recovery from minimally invasive surgery and at 12 months follow up has no recurrence and remains symptom free. Conclusions: Laparoscopic repair is an established safe mode of repair for primary and recurrent inguinal hernias, and although the rarity of perineal hernias does not allow collation of large numbers for comparative studies we believe that for uncomplicated primary per- ineal hernias laparoscopic repair is technically feasible, associated with rapid recovery and minimal complications, and should be con- sidered as the approach of choice. 123 Surg Endosc (2012) 26:S53–S140 DOI 10.1007/s00464-012-2199-2 and Other Interventional Techniques