IHC Lab Application 2018 We are not currently accepting applications for the November 2018 Lab. 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 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 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 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 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 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 repairDisclaimer: You may not be assigned your top choice. IHC / Training / Hernia ExperienceAre you a member of the IHC?* Yes No Are you a member of IHC Premium?* Yes No Have you previously applied for an IHC 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 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 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 NameThis field is for validation purposes and should be left unchanged. Δ