AHS/IHC Lab Application Fees are $1,250 for AHS/EHS members and $1,500 for non members You will be contacted by the AHS to pay fees after your application has been reviewed and accepted Contact InformationName* First Last Email* Phone*Select Technique PreferencesRank the techniques of what you would most desire to train in. Rank only those techniques you would agree to be assigned to. The full list of available choices are: MILOS/eMilosLap eTEP Inguinal/Rives/TAROpen and lap parastomal hernia repairOpen anterior and posterior component separation (TAR)Open extraperitoneal abdominal wall reconstructionOpen inguinal hernia repair, open and lap Management of chronic groin painRobotarRobotic eTEP Rives/TARRobotic foregut: Heller, Nissen, HiatalrTAPP inguinal and robotic ipomrTAPP inguinal and ventral hernia repairShouldice repair Use the scrollbars and search box in each drop down below to make your choices.1st Choice*MILOS/eMilosLap eTEP Inguinal/Rives/TAROpen and lap parastomal hernia repairOpen anterior and posterior component separation (TAR)Open extraperitoneal abdominal wall reconstructionOpen inguinal hernia repair, open and lap Management of chronic groin painRobotarRobotic eTEP Rives/TARRobotic foregut: Heller, Nissen, HiatalrTAPP inguinal and robotic ipomrTAPP inguinal and ventral hernia repairShouldice repair2nd ChoiceMILOS/eMilosLap eTEP Inguinal/Rives/TAROpen and lap parastomal hernia repairOpen anterior and posterior component separation (TAR)Open extraperitoneal abdominal wall reconstructionOpen inguinal hernia repair, open and lap Management of chronic groin painRobotarRobotic eTEP Rives/TARRobotic foregut: Heller, Nissen, HiatalrTAPP inguinal and robotic ipomrTAPP inguinal and ventral hernia repairShouldice repair3rd ChoiceMILOS/eMilosLap eTEP Inguinal/Rives/TAROpen and lap parastomal hernia repairOpen anterior and posterior component separation (TAR)Open extraperitoneal abdominal wall reconstructionOpen inguinal hernia repair, open and lap Management of chronic groin painRobotarRobotic eTEP Rives/TARRobotic foregut: Heller, Nissen, HiatalrTAPP inguinal and robotic ipomrTAPP inguinal and ventral hernia repairShouldice repair4th ChoiceMILOS/eMilosLap eTEP Inguinal/Rives/TAROpen and lap parastomal hernia repairOpen anterior and posterior component separation (TAR)Open extraperitoneal abdominal wall reconstructionOpen inguinal hernia repair, open and lap Management of chronic groin painRobotarRobotic eTEP Rives/TARRobotic foregut: Heller, Nissen, HiatalrTAPP inguinal and robotic ipomrTAPP inguinal and ventral hernia repairShouldice repair5th ChoiceMILOS/eMilosLap eTEP Inguinal/Rives/TAROpen and lap parastomal hernia repairOpen anterior and posterior component separation (TAR)Open extraperitoneal abdominal wall reconstructionOpen inguinal hernia repair, open and lap Management of chronic groin painRobotarRobotic eTEP Rives/TARRobotic foregut: Heller, Nissen, HiatalrTAPP inguinal and robotic ipomrTAPP inguinal and ventral hernia repairShouldice repairDisclaimer: You may not be assigned your top choice. IHC / Training / Hernia ExperienceAre you a member of the AHS?* Yes No Have you previously applied for an IHC or AHS lab?* Yes No What year did you finish your surgical training* What institution are you affiliated with? How many MIS inguinal hernia repairs do you perform annually?*What is your "go-to" inguinal hernia repair approach?* Lap TEP Lap TAPP rTAPP eTEP I only perform open inguinal repairs Which mesh do you use for inguinal hernia repairs? How many open inguinal hernia repairs do you perform annually?What open approaches do you currently offer? How many ventral incisional hernia repairs do you perform per year?*Which mesh do you use for ventral hernia repairs? How many anterior component separations do you perform annually?* 0 <10 10-20 > 20 How many open posterior component separations (TAR) do you perform annually?* 0 <10 10-20 > 20 Do you have an accessible robot at your hospital?* Yes No Which kind of robot do you have at your hospital?* XI SI Both Are you currently robotic certified?* Yes No How many lap/robotic foregut procedures do you perform annually?* 0 <10 10-20 > 20 None, but I have the necessary patient volume to support incorporation of new technique. How many robotic ventral hernia repairs do you perform annually?* 0 <10 10-20 > 20 What robotic hernia approaches do you currently offer?*0 annually< 10 annually10 - 20 annually> 20 annuallyrTAPP inguinalr-IPOMrTAPP ventralRobotarRobotic eTEP Rives/TARIf chosen to participate, do you plan on posting your cases on the IHC?* Yes No Unsure PhoneThis field is for validation purposes and should be left unchanged. Δ