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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.
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.
This atlas demonstrates how to perform each available extraperitoneal hernia repair via a set of high-quality annotated images showing step-by-step guidance on how to perform the surgery. Robotic extraperitoneal hernia procedures are considered great teaching procedures especially with a dual teaching console. The book bridges the gap between traditional hernia and laparoscopic hernia texts by combining both approaches to create a book with a unique visual approach. Preoperative, intraoperative, and postoperative figures are integrated to highlight the importance of these step-by-step procedures, enhance skill and efficiency, and avoid surgical pitfalls. Detailed descriptive figures accompany step-by-step instructions and include specific anatomical annotations that describe the anatomy and layers of the abdominal wall during hernia procedures. Robotic Hernia Surgery provides a comprehensive, insightful and state-of-art review of this field, and serves as a valuable resource for surgeons, surgeons in training, and students with an interest in hernia and robotic hernia surgery.
All the latest trends and technical innovations for both routine and complex hernia repair Surgical procedures to repair hernias are among the most common procedures of all, with a history going back over 200 years. While most procedures are routine, they can be a challenge, particularly when previous surgery in the area has caused scarring that distorts the anatomy. All currently established operative techniques are described and explained in detail in the book and illustrated, step by step, with a wealth of brilliant figures and diagrams. A detailed description of laparoscopic anatomy and preperitoneal procedures is given. Important information regarding indications and postoperative care is provided. New surgical treatment concepts for hernia arising in the early 21st century and expounded in this book include tension-free principles, inguinal hernia repair under local anesthesia, use of the preperitoneal space, and laparoscopic hernia repair. Key Features 3D mesh and patch-and-plug procedures Laparoscopic methods such as the single-port technique and mini-technique New developments in open and laparoscopic surgery of incisional hernias Special disorders such as sports hernia Richly illustrated with hundreds of exquisite artist renderings Ideal for all surgeons in training, and of benefit to experienced surgeons as well, Schumpelick's Hernia Surgery is a complete introduction to evidence-based techniques in this field. This book includes complimentary access to a digital copy on https://medone.thieme.com.
This book aims to address the recent advances and controversies on the subject of hiatus hernia and antireflux surgery. The field of antireflux surgery is undergoing a lot of changes, and traditional concepts are being challenged. The readers are provided with an evidence based approach to assist surgeons' decisions in developing a preoperative investigative algorithm prior to offering a surgical solution for either primary or recurrent hiatal hernia surgery based on supporting evidence. The chapters will further investigate the latest trends in minimally invasive hiatal hernia and antireflux surgery, both for primary and recurrent hernias.
Repair of simple and complex abdominal hernias by the laparoscopic technique is now the method of choice in many centres. Laparoscopic repair offers equivalent outcomes to open repair, with the additional benefits of greater patient satisfaction and reduced hospitalization. For some hernias, notably incisional and hiatal, the outcome appears to be superior using the minimally invasive technique. This book, authored by an international team of leading surgeons in the field of hernia repair, gives a definitive guide to appropriate patient selection and operative technique. The introductory section delivers a useful, illustrated account of instrumentation, biomaterials and mesh fixation. Subsequent sections provide detailed information about inguinal, incisional and hiatal herniorraphy, including four chapters devoted to the use of laparoscopy in the pediatric patient. Robotics and the socio-economic aspects of hernia surgery are also discussed. - The book gives in-depth coverage of each surgical procedure, including essential background information, relevant anatomy, preoperative evaluation of the patient, choice of instrumentation and biomaterials, and cosmetic results. - Each procedure is illustrated with a step-by-step series of high-quality laparoscopic photographs, allowing the reader to follow the sequence of the operation. - The recognition and management of complications is highlighted, and successful postoperative management techniques are also considered. Instructional, descriptive and illustrated in colour throughout, this unrivalled operative guide offers a complete analysis of each of the current technologies, and is an invaluable source of information for practicing and trainee surgeons.
This text is designed to present a comprehensive state-of-the-art approach to options available for inguinal hernia repair. Early chapters address anatomic evaluation of the groin, preoperative optimization of outcomes, and considerations in choosing a surgical technique. It then transitions to the clinical management of this common medical condition, specifically focusing on operative details. Written by experts in the field of hernia repair, the clinical chapters detail both open and minimally invasive techniques for repair including detailed anatomic drawings, surgical photos, and links to videos of operative techniques. Postoperative management is explained, detailing the common complications and addressing the importance of surgical outcomes, especially in the setting of “pay for performance” metrics. The final section of the text concludes with the management of inguinal hernias in select situations, including children, those performed with concomitant procedures, and modifications for training residents in this common surgical procedure. Each chapter includes a review of the published literature and selected references, along with anatomic illustrations, videos from operative interventions, and surgical photos to help reinforce the text. Surgical Principles in Inguinal Hernia Repair: A Comprehensive Guide to Anatomy and Operative Techniques will serve as a comprehensive resource for surgeons on patient preparation, surgical techniques, and outcomes for the management of inguinal hernias.
This book, which describes in detail the most common procedures employed in inguinal hernia surgery, is exceptional in reflecting fully the most recent advances, as well as the most established techniques, in knowledge and practice. The role of recently developed and emerging technologies, including robotics, minimally invasive surgery, and biological meshes, is clearly explained, highlighting useful tips and tricks. The descriptions of traditional procedures, such as the Lichtenstein repair, are brought fully up to date and take into account the novel perceptions that professionals have of them, for example regarding the important role of nurses. The reader will also find guidance on established and new treatments for specific pain conditions, including postoperative chronic pain, the pubic inguinal pain syndrome, and obscure groin pain in women. The need for such an update on inguinal hernia surgery became clear at the 1st World Conference on Abdominal Wall Hernia Surgery, which highlighted the huge differences in the approaches adopted by scientists around the world and was chaired by the editor of this book. Inguinal Hernia Surgery will be a useful tool for all health care practitioners involved in hernia surgery.
This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirically. The descriptions of technique are supplemented by detailed guidance on such aspects as indications, anesthesia, aftercare and pain management, and the prevention and management of complications. Where appropriate, careful comparisons are made of competing repair options, including open techniques. In summary, this book will help practicing surgeons to standardize their operative technique so as to reflect current scientific knowledge and thereby improve the quality of laparoscopic/endoscopic hernia surgery.
Hernia repair is one of the commonest operations in general surgery. Open or laparoscopic repair of a primary inguinal hernia is a relatively straightforward operation, but more complex abdominal wall hernias demand greater surgical skill and knowledge. The editors have assembled the world's top herniologists to describe and illustrate numerous surgical techniques in detail. The field of herniology has developed rapidly over the last few years. Since the previous edition of this book, published in 2003, new surgical techniques have been developed and many new prosthetic and biologic materials have been introduced. Management of Abdominal Hernias 4e presents an authoritative, comprehensive and fully updated account of the surgical techniques and the available prosthetic materials for performing repair of abdominal wall hernias. Both open and laparoscopic methods are included. It is aimed at general and specialist surgeons in the practice of clinical surgery, as well as trainee surgeons.