Ernie panameñe: chronicle of a success story

And so, I was in Panama. I caught up with old friends, met new ones, but above all I had the joy of operating with them, explaining my techniques, demonstrating and teaching them, and helping a few patients solve their wall problems.
In four days I performed about 20 surgeries, half of them minimally invasive laparoscopic; I was fortunate to have access to ultramodern and super-accessorized operating rooms, and to use very high quality prostheses, such as the Herniamesh Relimesh or the brand new Hybridmesh, a mesh that within two years resorbs 75%, ultimately leaving very little foreign material in the patient. A fantastic mesh for wall repairs, for example, in athletes or adolescents. Nothing to do with the now very scarce resources of the Italian National Health System, destined, moreover, to become even thinner in the coming years.
I have operated on patients with inguinal hernias, crural hernias, epigastric hernias, laparoceles following, above all, gynecological operations or cesarean sections. Operations in some cases very complex, but always completed with excellent results. In short, it was really exhilarating, a complete success. And here is the photo chronicle of those days!

hernias, inguinal hernia, laparocele, Panamá
The operating room staff. I'm the one in the second row, with the colorful beret: local beauties first!


Rather complex case: large abdominal hernia on Pfannestiel incision, the cut normally used by gynecologists for hysterectomies and cesarean deliveries. Here I am drawing the shape of the prosthesis on the patient's abdomen, a prosthesis that will be placed laparoscopically


With my great friend Miguel Aguirre. I am cutting out the mesh, a Relimesh, to be placed minimally invasively laparoscopically


Still with Miguel, as we design the Relimesh net shape for another patient.


Group photo of the surgical team


The magic of lights in laparoscopic surgery!