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Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.
Written by an international team of experts, and endorsed by the Asia Pacific Hernia Society (APHS), the main objective of this book is to provide and promote best practices in hernia surgery. It is intended for those surgeons who are already performing hernia repair surgeries, helping them update their surgical know-how in a landscape of rapidly improving techniques. Covering all the commonly performed procedures, from tissue repair to mesh repair (both conventional and laparoscopic), it presents all currently available techniques in detail, addressing the needs of younger and more experienced surgeons alike. Each surgical procedure is explained step by step and supported with high-resolution serial intra-operative photographs and line diagrams. While the majority of the text covers the surgical anatomy, classification, pathophysiology, and imaging techniques for hernias, a closing chapter on future directions introduces readers to the latest and emerging techniques and approaches.
Performing well and learning effectively during your clinical rotations in general surgery are challenges you face everyday. They are equally important in caring for patients and earning the grade. Time constraints and last minute assignments in the OR make reading the necessary material difficult and can jeopardize your evaluation by senior residents and attendings on your rotation. This title in the Gowned and Gloved series provides a concise review of the most common surgical procedures and relevant surgical anatomy to help you shine in the OR without getting bogged down in theory and extraneous information typical of more expansive text books. It provides the edge you need in the OR, delivering not only the information necessary to do well during your rotation, but also a plan on how to maximize your time, make the best impression, and ace your rotation. Features case studies with appropriate images in each chapter to illustrate the types of clinical scenarios you may experience. Gives you the details you need to understand all aspects of each procedure. Includes the surgical indications and relative contraindications to specific procedures, giving you the big picture principles for each procedure. Discusses standard postoperative protocols and patient rehabilitation that extends your knowledge outside the OR. Uses intraoperative pictures, diagrams, and treatment algorithms to highlight the important details of common surgical procedures, ranging from positioning, prepping, and draping the patient, to the surgical exposure and pertinent applied surgical anatomy, to the intricate aspects of the techniques. Uses call-out boxes throughout every chapter that emphasize key information and surgical cautions, and reflect common questions that the attending may ask you or that you may want to ask your attending in the OR. Presents a consistent chapter organization, including bulleted lists and treatment algorithms that make reference a snap.
The repair and management of inguinal hernias represents a significant part of the general surgeon's workload. It was therefore inevitable that following the success of laparoscopic cholysysectomy, surgeons would develop a procedure for repairing inguinal hernias laparoscopically. This book provides the first comprehensive account of laparoscopic inguinal hernia repair. The Editors' aim has been to give step-by-step guidance to each operative procedure discussed with reference to long term results. One of the biggest problems facing surgeons learning new laparoscopic procedures is an understanding and orientation of basic anatomy when viewed through the laparoscope. This issue is discussed at length with guidance on how to avoid the common pitfalls. Final chapters look at the advantages and disadvantages of the Lichtenstein open mesh hernia repair approach, safety and properties of non-absorbal mesh with the last chapters concentrating on laparoscopic suture repair and the new mini hernia operation.
Abdominal wall anatomy and vascular supply / Harvey Chim, Karen Kim Evans, Christopher J. Salgado, Samir Mardini -- Laparoscopic repair of ventral hernias : standard / Sean B. Orenstein, William S. Cobb IV -- Laparoscopic repair of atypical hernias : suprapubic, subxiphoid, and lumbar / William W. Hope -- Laparoscopic repair of parastomal hernias / Cory N. Criss, David M. Krpata, Ajita S. Prabhu -- Posterior component separation with transversus abdominus muscle release / Michael J. Rosen -- Open flank hernia repair / Melissa Phillips LaPinska, Michael J. Rosen -- Open parastomal hernia repair / Joshua S. Winder, Eric M. Pauli -- Open ventral hernia repair with onlay mesh / David L. Webb, Nathaniel Stoikes, Guy R. Voeller -- Perforator preservation and force distribution : two key elements of the open components release hernia repair / Gregory A. Dumanian -- Endoscopic component separation / Jorge Daes -- Tissue and fascial expansion of the abdominal wall / Michelle Coriddi, Jeffrey E. Janis -- Chemical component separation with Botox / Martin D. Zielinski, Donald H. Jenkins -- Panniculectomy and abdominal wall reconstruction / Maurice Y. Nahabedian -- Perineal hernia repair / Carley Schroering, J. Scott Roth -- Robotic transabdominal preperitoneal hernia repair for ventral hernias / Conrad Ballecer, Eduardo Parra Davila -- Progressive preoperative pneumoperitoneum for hernias with loss of abdominal domain / Alfredo M. Carbonell II -- Rotational and free flap closure of the abdominal wall / Gregory A. Lamaris, Brian Gastman -- Management of the open abdomen / Matthew L. Moorman, Jay Mittal, Jeff Ustin -- Surgical approach to the rectus diastasis / Andrea Moreira -- Umbilical hernia repair / Laurel J. Blair, Kent W. Kercher -- Repair of the post-TRAM bulge/hernia / George DeNoto, Ron Israeli -- Transabdominal preperitoneal inguinal hernia repair / Michael J. Rosen -- Laparoscopic totally extraperitoneal inguinal hernia repair / A. Daniel Guerron, Steven Rosenblatt -- Preoperative optimization of the hernia patient / Clayton C. Petro, Michael Rosen
This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.
Advances in Laparoscopy of the Abdominal Wall Hernia is fully illustrated, comprehensive guide which describes in detail the most up-to-date techniques used in the laparoscopic repair of hernias. Written by world renowned authors, this manual reviews laparoscopic techniques used in the repair of inguinal hernias and ventral incisional hernias. Among the topics explored within this updated, engaging and informative text are: • Techniques such as Extraperitoneal (TEP) and transabdominal (TAPP) hernia repair • Fundamentals of ventral hernia repair • A detailed overview of mesh fixation in laparoscopic surgery • Methods to deal with rarer hernias and those of atypical location Advances in Laparoscopy of the Abdominal Wall Hernia is a valuable reference tool that would be of great benefit to surgeons and medical practitioners working in this field.
This book is a comprehensive guide to the surgical repair of inguinal and abdominal wall hernias that not only describes all potential approaches, but also places them in the context of the anatomy of the region, the pathology, and the advances in scientific knowledge over the past decade. It documents in detail the individual techniques applicable in each region (inguinal, femoral, and ventral), highlighting tips and tricks and focusing on indications, potential complications, and outcomes. In addition, it presents cases of incisional hernia and examines less frequent and rare cases and complex situations. Written for surgeons from around the globe, it includes procedures used in wealthy, developed countries and those without mesh more commonly employed in developing countries. With a format designed to facilitate use in daily practice, it is invaluable for residents seeking step-by-step guidance on procedures ranging from repair of simple inguinal hernias to complex reconstruction; for general surgeons who frequently perform hernia repairs; and for hernia specialists aiming to achieve optimal results. It also appeals to researchers with an interest in the scientific background to hernia surgery.
This textbook provides a state-of-the-art reference in the rapidly changing field of hernia surgery. With contributions by key opinion leaders in the field, this book describes the latest trends and detailed technical modifications for both routine and complex hernias. The reader will gain unique insights into robotic and laparoscopic repairs, anterior and posterior component separations, reconstructions in the setting of contamination, enterocutaneous fistulas and loss of abdominal domain. Important contributions from key reconstructive plastic surgeons detail modern trends on how to deal with complex skin and soft tissue challenges. The textbook provides unparalleled step-by-step instructions to perform both routine and complex repairs by incredible illustrations, intra-operative color photographs and a unique video collection of procedures performed by today’s top hernia surgeons. As a comprehensive and most up-to-date reference to modern treatment algorithms, trends in prosthetic science and technique selections, Hernia Surgery: Current Principles will be an invaluable resource to all residents and practicing general, plastic, and trauma surgeons to help them succeed in the field of Hernia surgery.
Within a few years the surgical approach to abdominal wall hernias has focused on mesh-based treatment options. This dramatic change has set the stage for the third Suvretta meeting. All aspects of the mesh world have been discussed in detail by more than 50 international experts during an intense week resulting in an assessment of success and failures. After posing the question, whether meshes have defeated recurrences in the groin, epidemiological clinical data on recurrences were presented and show that this problem still exists. In particular, novel molecular biology-based research results stress the pathophysiological importance of a defective scarring process in these patients with inherent conclusions for future therapies. Regarding the variety existing meshes, there are already more than 100 different mesh devices, a comprehensive review of their chemical and textile properties was presented, with emphasis on their impact on biological responses. However, more than 90% of the participants articulated the need for improved mesh prosthesis, because their characteristic inflammatory and fibrotic foreign body reaction cause minor and major complications, e.g. pain, infections, adhesions, damage of the spermatic cord. The differentiated use of meshes in various procedures was discussed, including groin, incisional, parastomal, diaphragmal and hiatal hernias as well as their use in extended abdominal wall defects or in paediatric or plastic surgery. In summary this book summarizes the most up-to-date knowledge about meshes and hopefully serve as manual for both practical surgeons and scientists involved in the growing world of mesh.