Advances in abdominal wall hernia repair:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2008
|
| Schriftenreihe: | Surgical clinics of North America
88,1 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XIX, 222 S. Ill., graph. Darst. |
| ISBN: | 1416058036 9781416058038 |
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| 245 | 1 | 0 | |a Advances in abdominal wall hernia repair |c guest ed. Kamal M. F. Itani ... |
| 264 | 1 | |a Philadelphia [u.a.] |b Saunders |c 2008 | |
| 300 | |a XIX, 222 S. |b Ill., graph. Darst. | ||
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| 650 | 4 | |a Hernia |x Surgery | |
| 650 | 4 | |a Hernia, Inguinal | |
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Datensatz im Suchindex
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| adam_text | APVANl l-S IN AIUKAIIVM V I I III KMA Kfcl AlK
CONTENTS
Foreword xiii
Ronald F. Martin
Preface xvii
Kamal M.F. Itani and Mary T. Hawn
The Biology of Hernia Formation 1
Michael G. Franz
Abdominal wall hernias occur when tissue structure and function
are lost at the load-bearing muscle, tendon, and fascial layer. The
fundamental biologic mechanisms are primary fascial pathology or
surgical wound failure. In both cases, cellular and extracellular
molecular matrix defects occur. Primary abdominal wall hernias
have been associated with extracellular matrix diseases. Incisional
hernias and recurrent inguinal hernias more often involve a
combination of technical and biologic limitations. Defects in
wound healing and extracellular matrix synthesis contribute to
the high incidence of incisional hernia formation following
laparotomy.
Surgical Progress in Inguinal and Ventral Incisional
Hernia Repair I7
Stephen H. Gray, Mary T. Hawn, and Kamal M.F. Itani
The goals of this article are to describe the history of hernia repair
and how innovations in surgical technique, prosthetics, and
technology have shaped current practice.
Pediatric Hernias 27
Mary L. Brandt
Almost all groin hernias in children are indirect inguinal hernias
and occur as a result of incomplete closure of the processus
vaginalis. The treatment is repair by high ligation of the hernia sac,
which can be done by an open or laparoscopic technique. The
contralateral side can be explored by laparoscopy or left alone;
open exploration is no longer indicated due to the potential risk of
infertility. Umbilical hernias are common in infants but usually
close with time. Surgery is indicated if the umbilical hernia is
symptomatic or if the fascial defect fails to decrease in size over
time.
Primary and Unusual Abdominal Wall Hernias 45
J.R. Salameh
Primary ventral hernias can be congenital or acquired, but are not
associated with a fascial scar or related to a trauma. Some ventral
hernias such as Spigelian, lumbar, or obturator hernias represent a
diagnostic challenge, given their relative rarity and their unusual
anatomic locations. The article presents the etiology, clinical
presentation, and diagnosis of these hernias, and briefly describes
the various surgical approaches, including open and laparoscopic.
Open Repair of Ventral Incisional Hernias 61
Dan H. Shell IV, Jorge de la Torre, Patrick) Andrades,
and Luis O. Vasconez
Despite advances in many fields of surgery, incisional hernias still
remain a significant problem. There is a lack of general consensus
among surgeons regarding optimal treatment. A surgeon s
approach is often based on tradition rather than clinical evidence.
The surgeon s treatment plan should be comprehensive, with
attention focused not merely on restoration of structural continuity.
An understanding of the structural and functional anatomy of the
abdominal wall and an appreciation of the importance of restoring
dynamic function are necessary for the successful reconstruction of
the abdominal wall.
Laparoscopic Repair of Ventral Incisional Hernias:
Pros and Cons 85
Patricia L. Turner and Adrian E. Park
Abdominal wall hernias are a familiar surgical problem. Millions of
patients are affected each year, presenting most commonly with
primary ventral, incisional, and inguinal hernias. Whether symp¬
tomatic or asymptomatic, hernias commonly cause pain or are
aesthetically distressing to patients. These concerns, coupled with
the risk of incarceration, are the most common reasons patients
seek surgical repair of hernias. This article focuses on incisional
hernias, reported to develop in 3% to 29% of laparotomy incisions.
Prosthetic Material in Ventral Hernia Repair:
How Do I Choose? 101
Sharon Bachman and Bruce Ramshaw
Several factors must be considered in deciding which mesh to use
for a ventral hernia repair. Open hernia repairs with no exposure of
mesh to viscera can be performed with unprotected synthetic
mesh, preferably a lightweight option. For open repair with high
risk for fascial dehiscence and visceral exposure to mesh, and for
open underlay repair and laparoscopic underlay repair, recom¬
mendations call for a tissue-separating mesh that prevents
ingrowth of intra-abdominal contents into the mesh. Although no
long-term data are available about biologic (acellular collagen
scaffold) meshes, these may have good results when used in
contaminated or well-drained infected fields, and do best when
used according to the principles of a high-quality synthetic mesh
repair (wide mesh overlap, frequent fixation points). Evidence is
still insufficient to support the use of biologic materials for primary
hernia repair.
Parastomal Hernias 113
Leif A. Israelsson
The incidence of parastomal hernias is probably 30% to 50%.
Suture repair of a parastomal hernia or relocation of the stoma
results in a high recurrence rate, whereas with mesh repair
recurrence rates are lower. Several mesh repair techniques are
used in open and laparoscopic surgery, but randomized trials
comparing various techniques and with long-term follow-up are
needed for better evidence.
Inguinal Hernias: Should We Repair? 127
Kiran Turaga, Robert J. Fitzgibbons, Jr, and Varun Puri
This review examines available data concerning the natural history
of treated and untreated inguinal hernias. The incidence of
complications with either treatment strategy is discussed using
historical information from a time before herniorrhaphy became
routine and contemporary data from two recently completed
randomized controlled trials comparing routine repair using a
tension-free technique with watchful waiting.
Open Repair of Inguinal Hernia: An Evidence-Based Review 139
Benjamin Woods and Leigh Neumayer
This article provides an evidence-based review of open hernia
repair. Technical considerations in general, including perioperative
management of the patient, and the most currently used open
repairs are addressed. Outcomes after repair are reviewed using
the latest available literature. Current recommendations from this
review include the routine use of mesh in primary repair of
inguinal hernia and the need to counsel patients preoperatively
about the risk of chronic postoperative groin pain.
Laparoscopic Inguinal Hernia Repair 157
Mark C. Takata and Quan-Yang Duh
The safest and most effective inguinal hernia repair (laparoscopic
versus open mesh) is being debated. As the authors point out, the
former accounts for the minority of hernia repairs performed in the
United States and around the world. The reasons for this are a
demonstration in the literature of increased operative times,
increased costs, and a longer learning curve. But the laparoscopic
approach has clear advantages, including less acute and chronic
postoperative pain, shorter convalescence, and earlier return to
work. This article describes the transabdominal preperitoneal and
totally extraperitoneal techniques, provides indications and contra¬
indications for laparoscopic repair, discusses the advantages and
disadvantages of each technique, and provides an overview of the
literature comparing tension-free open and laparoscopic inguinal
hernia repair.
Prosthetic Material in Inguinal Hernia Repair:
How Do I Choose? 179
David B. Earle and Lisa A. Mark
With numerous prosthetic options and a changing landscape of
prosthetic development, a systematic approach to choosing a
prosthetic is more sensible than trying to memorize all the details
of each prosthetic. The surgeon should hone a single technique for
the vast majority of inguinal hernia repairs to maximize profi¬
ciency. This limits the number of prosthetics to those suitable for
that technique. Narrowing the choice further should be based on
the likelihood that a given prosthetic will achieve the preoperative
goals of the hernia repair. For alternative clinical scenarios, the
surgeon should know one to two additional techniques, which may
require a different prosthetic. The surgeon should use existing
experimental and clinical data to estimate long-term benefits of any
new prosthetic.
Postherniorrhaphy Groin Pain and How to Avoid It 203
George S. Ferzli, Eric Edwards, Georges Al-Khoury,
and RoseMarie Hardin
Groin pain following inguinal hernia repair remains a challenge to
most general surgeons. Prevention of groin pain may be the most
effective solution to this management problem and necessitates
careful anatomic dissection and precise knowledge of surgical
anatomy of the groin as well as potential pitfalls of surgical
intervention. When complications arise, a period of watchful
waiting is warranted, but surgical intervention with triple
neurectomy offers the most definitive resolution of symptoms.
This article aims to provide a thorough review of pertinent
anatomic landmarks for the proper identification of the nerves
that, if injured, result in chronic groin pain and to provide a
treatment algorithm for patients suffering with this morbidity.
Index 217
|
| adam_txt |
APVANl l-S IN AIUKAIIVM \V\I I III'KMA Kfcl'AlK
CONTENTS
Foreword xiii
Ronald F. Martin
Preface xvii
Kamal M.F. Itani and Mary T. Hawn
The Biology of Hernia Formation 1
Michael G. Franz
Abdominal wall hernias occur when tissue structure and function
are lost at the load-bearing muscle, tendon, and fascial layer. The
fundamental biologic mechanisms are primary fascial pathology or
surgical wound failure. In both cases, cellular and extracellular
molecular matrix defects occur. Primary abdominal wall hernias
have been associated with extracellular matrix diseases. Incisional
hernias and recurrent inguinal hernias more often involve a
combination of technical and biologic limitations. Defects in
wound healing and extracellular matrix synthesis contribute to
the high incidence of incisional hernia formation following
laparotomy.
Surgical Progress in Inguinal and Ventral Incisional
Hernia Repair I7
Stephen H. Gray, Mary T. Hawn, and Kamal M.F. Itani
The goals of this article are to describe the history of hernia repair
and how innovations in surgical technique, prosthetics, and
technology have shaped current practice.
Pediatric Hernias 27
Mary L. Brandt
Almost all groin hernias in children are indirect inguinal hernias
and occur as a result of incomplete closure of the processus
vaginalis. The treatment is repair by high ligation of the hernia sac,
which can be done by an open or laparoscopic technique. The
contralateral side can be explored by laparoscopy or left alone;
open exploration is no longer indicated due to the potential risk of
infertility. Umbilical hernias are common in infants but usually
close with time. Surgery is indicated if the umbilical hernia is
symptomatic or if the fascial defect fails to decrease in size over
time.
Primary and Unusual Abdominal Wall Hernias 45
J.R. Salameh
Primary ventral hernias can be congenital or acquired, but are not
associated with a fascial scar or related to a trauma. Some ventral
hernias such as Spigelian, lumbar, or obturator hernias represent a
diagnostic challenge, given their relative rarity and their unusual
anatomic locations. The article presents the etiology, clinical
presentation, and diagnosis of these hernias, and briefly describes
the various surgical approaches, including open and laparoscopic.
Open Repair of Ventral Incisional Hernias 61
Dan H. Shell IV, Jorge de la Torre, Patrick) Andrades,
and Luis O. Vasconez
Despite advances in many fields of surgery, incisional hernias still
remain a significant problem. There is a lack of general consensus
among surgeons regarding optimal treatment. A surgeon's
approach is often based on tradition rather than clinical evidence.
The surgeon's treatment plan should be comprehensive, with
attention focused not merely on restoration of structural continuity.
An understanding of the structural and functional anatomy of the
abdominal wall and an appreciation of the importance of restoring
dynamic function are necessary for the successful reconstruction of
the abdominal wall.
Laparoscopic Repair of Ventral Incisional Hernias:
Pros and Cons 85
Patricia L. Turner and Adrian E. Park
Abdominal wall hernias are a familiar surgical problem. Millions of
patients are affected each year, presenting most commonly with
primary ventral, incisional, and inguinal hernias. Whether symp¬
tomatic or asymptomatic, hernias commonly cause pain or are
aesthetically distressing to patients. These concerns, coupled with
the risk of incarceration, are the most common reasons patients
seek surgical repair of hernias. This article focuses on incisional
hernias, reported to develop in 3% to 29% of laparotomy incisions.
Prosthetic Material in Ventral Hernia Repair:
How Do I Choose? 101
Sharon Bachman and Bruce Ramshaw
Several factors must be considered in deciding which mesh to use
for a ventral hernia repair. Open hernia repairs with no exposure of
mesh to viscera can be performed with unprotected synthetic
mesh, preferably a "lightweight" option. For open repair with high
risk for fascial dehiscence and visceral exposure to mesh, and for
open underlay repair and laparoscopic underlay repair, recom¬
mendations call for a tissue-separating mesh that prevents
ingrowth of intra-abdominal contents into the mesh. Although no
long-term data are available about biologic (acellular collagen
scaffold) meshes, these may have good results when used in
contaminated or well-drained infected fields, and do best when
used according to the principles of a high-quality synthetic mesh
repair (wide mesh overlap, frequent fixation points). Evidence is
still insufficient to support the use of biologic materials for primary
hernia repair.
Parastomal Hernias 113
Leif A. Israelsson
The incidence of parastomal hernias is probably 30% to 50%.
Suture repair of a parastomal hernia or relocation of the stoma
results in a high recurrence rate, whereas with mesh repair
recurrence rates are lower. Several mesh repair techniques are
used in open and laparoscopic surgery, but randomized trials
comparing various techniques and with long-term follow-up are
needed for better evidence.
Inguinal Hernias: Should We Repair? 127
Kiran Turaga, Robert J. Fitzgibbons, Jr, and Varun Puri
This review examines available data concerning the natural history
of treated and untreated inguinal hernias. The incidence of
complications with either treatment strategy is discussed using
historical information from a time before herniorrhaphy became
routine and contemporary data from two recently completed
randomized controlled trials comparing routine repair using a
tension-free technique with watchful waiting.
Open Repair of Inguinal Hernia: An Evidence-Based Review 139
Benjamin Woods and Leigh Neumayer
This article provides an evidence-based review of open hernia
repair. Technical considerations in general, including perioperative
management of the patient, and the most currently used open
repairs are addressed. Outcomes after repair are reviewed using
the latest available literature. Current recommendations from this
review include the routine use of mesh in primary repair of
inguinal hernia and the need to counsel patients preoperatively
about the risk of chronic postoperative groin pain.
Laparoscopic Inguinal Hernia Repair 157
Mark C. Takata and Quan-Yang Duh
The safest and most effective inguinal hernia repair (laparoscopic
versus open mesh) is being debated. As the authors point out, the
former accounts for the minority of hernia repairs performed in the
United States and around the world. The reasons for this are a
demonstration in the literature of increased operative times,
increased costs, and a longer learning curve. But the laparoscopic
approach has clear advantages, including less acute and chronic
postoperative pain, shorter convalescence, and earlier return to
work. This article describes the transabdominal preperitoneal and
totally extraperitoneal techniques, provides indications and contra¬
indications for laparoscopic repair, discusses the advantages and
disadvantages of each technique, and provides an overview of the
literature comparing tension-free open and laparoscopic inguinal
hernia repair.
Prosthetic Material in Inguinal Hernia Repair:
How Do I Choose? 179
David B. Earle and Lisa A. Mark
With numerous prosthetic options and a changing landscape of
prosthetic development, a systematic approach to choosing a
prosthetic is more sensible than trying to memorize all the details
of each prosthetic. The surgeon should hone a single technique for
the vast majority of inguinal hernia repairs to maximize profi¬
ciency. This limits the number of prosthetics to those suitable for
that technique. Narrowing the choice further should be based on
the likelihood that a given prosthetic will achieve the preoperative
goals of the hernia repair. For alternative clinical scenarios, the
surgeon should know one to two additional techniques, which may
require a different prosthetic. The surgeon should use existing
experimental and clinical data to estimate long-term benefits of any
new prosthetic.
Postherniorrhaphy Groin Pain and How to Avoid It 203
George S. Ferzli, Eric Edwards, Georges Al-Khoury,
and RoseMarie Hardin
Groin pain following inguinal hernia repair remains a challenge to
most general surgeons. Prevention of groin pain may be the most
effective solution to this management problem and necessitates
careful anatomic dissection and precise knowledge of surgical
anatomy of the groin as well as potential pitfalls of surgical
intervention. When complications arise, a period of watchful
waiting is warranted, but surgical intervention with triple
neurectomy offers the most definitive resolution of symptoms.
This article aims to provide a thorough review of pertinent
anatomic landmarks for the proper identification of the nerves
that, if injured, result in chronic groin pain and to provide a
treatment algorithm for patients suffering with this morbidity.
Index 217 |
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| illustrated | Illustrated |
| index_date | 2024-07-02T20:25:08Z |
| indexdate | 2024-07-09T21:13:58Z |
| institution | BVB |
| isbn | 1416058036 9781416058038 |
| language | English |
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| physical | XIX, 222 S. Ill., graph. Darst. |
| publishDate | 2008 |
| publishDateSearch | 2008 |
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| publisher | Saunders |
| record_format | marc |
| series | Surgical clinics of North America |
| series2 | Surgical clinics of North America |
| spelling | Advances in abdominal wall hernia repair guest ed. Kamal M. F. Itani ... Philadelphia [u.a.] Saunders 2008 XIX, 222 S. Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Surgical clinics of North America 88,1 Hernia Surgery Hernia, Inguinal Hernia, Ventral Itani, Kamal M. F. Sonstige (DE-588)13594127X oth Surgical clinics of North America 88,1 (DE-604)BV000003239 88,1 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016429907&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Advances in abdominal wall hernia repair Surgical clinics of North America Hernia Surgery Hernia, Inguinal Hernia, Ventral |
| title | Advances in abdominal wall hernia repair |
| title_auth | Advances in abdominal wall hernia repair |
| title_exact_search | Advances in abdominal wall hernia repair |
| title_exact_search_txtP | Advances in abdominal wall hernia repair |
| title_full | Advances in abdominal wall hernia repair guest ed. Kamal M. F. Itani ... |
| title_fullStr | Advances in abdominal wall hernia repair guest ed. Kamal M. F. Itani ... |
| title_full_unstemmed | Advances in abdominal wall hernia repair guest ed. Kamal M. F. Itani ... |
| title_short | Advances in abdominal wall hernia repair |
| title_sort | advances in abdominal wall hernia repair |
| topic | Hernia Surgery Hernia, Inguinal Hernia, Ventral |
| topic_facet | Hernia Surgery Hernia, Inguinal Hernia, Ventral |
| url | http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=016429907&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA |
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