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Surgical Principles inInguinal Hernia Repair
A Comprehensive Guide to Anatomy and Operative Techniques
Melissa Phillips LaPinska Jerey A. Blatnik
Editors
123
Surgical Principles in Inguinal Hernia Repair
Melissa Phillips LaPinska Jerey A. Blatnik
Editors
Surgical Principles in Inguinal Hernia Repair
A Comprehensive Guide to Anatomy and Operative Techniques
Editors
Melissa Phillips LaPinska Department of Surgery University of Tennessee Health Science Center Knoxville TN, USA
Jeffrey A. Blatnik Department of Surgery Washington University Medical Center Department of Surgery St Louis MO, USA
ISBN 978-3-319-92891-3 ISBN 978-3-319-92892-0 (eBook)
https://doi.org/10.1007/978-3-319-92892-0
Library of Congress Control Number: 2018954772
© Springer International Publishing AG, part of Springer Nature 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microlms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
To our surgical mentors for helping us stand on the shoulders of giants– especially Dr. Bruce Schirmer, Dr. Jeff Ponsky, and Dr. Jeff Marks– and to our family for loving us as we share our time with teaching others.
Preface
Inguinal hernia repair remains one of the most commonly performed opera­tion in the United States and internationally. The multiple surgical procedures that have been described to address this show the challenge that surgeons face on a daily basis– that is, there is not a single “best” operation to suit a wide variety of patients with signicantly different clinical scenarios. Currently, texts have addressed the ventral and incisional hernias, but there has not been a comprehensive guide to the management of the inguinal hernia, which rep­resents a large number of surgical procedures performed. Surgical Principles in Inguinal Hernia Repair has been written by many of the key leaders in hernia surgery with the hopes of being able to share not only the latest litera­ture but also the “tricks and tips” that really make up the details of these surgi­cal procedures. It presents a curriculum for basic and common general surgery procedures while detailing the complex scenarios in which one can encounter an inguinal hernia such as in the setting of bowel injury or contamination or in a patient needing prostatectomy. The technical details including online access to surgical videos are discussed for many different scenarios. It is our hope that this text will guide the reader to consider and learn to apply each of these surgical techniques to optimize their individual patient as the center of the surgical choice in management of the inguinal hernia. The text also addresses important topics for the community and academic surgeon, such as the training of residents in inguinal hernia and the importance in surgeon kept outcome data. This book would not be possible without the help of each author who has contributed his or her time and effort in the submission of the individual chapters and the publishing team at Springer for their guidance and direction in this project. Surgical Principles in Inguinal Hernia Repair will be an invaluable resource to the practicing general and trauma surgeon including residents and fellows in these areas. On behalf of my coeditor and I, we hope you enjoy Surgical Principles in Inguinal Hernia Repair.
Knoxville, TN, USA MelissaPhillipsLaPinska St Louis, MO, USA JeffreyA.Blatnik
vii
Contents
Part I Preoperative Evaluation
1 Preoperative Considerations andPatient Optimization . . . . . . 3
Amber Shada
2 Inguinal andFemoral Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . 7
John Mark McLain, Aaron Joseph Arroyave, Matthew L. Mancini, and Melissa Phillips LaPinska
3 Inguinal Hernia Repair: Selecting aRepair . . . . . . . . . . . . . . . . 15
Sepehr Lalezari and Gina L. Adrales
4 Prosthetic Options: Advantages andDisadvantages . . . . . . . . . 25
Yuri W. Novitsky and Luis A. Martin-del-Campo
Part II Open Surgical Techniques
5 Open Non-mesh Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . 33
Bruce Ramshaw and Sherard Chiu
6 Open Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . 39
Wen Hui Tan and Jeffrey A. Blatnik
7 Preperitoneal (Stoppa) Open Inguinal Hernia Repair . . . . . . . 45
Arielle J. Perez and David M. Krpata
Part III Laparoscopic Repair Techniques
8 Transabdominal Preperitoneal (TAPP) Repair . . . . . . . . . . . . . 55
Vamsi V. Alli and Eric M. Pauli
9 Totally Extraperitoneal (TEP) Repair (with Video) . . . . . . . . . 67
David J. Berler and Brian P. Jacob
10 Robotic Inguinal Hernia: TheWhy andtheHows . . . . . . . . . . 73
Gregory J. Mancini and Dennis R. Van Dorp
ix
x
11 Laparoscopic Femoral Hernia Repair . . . . . . . . . . . . . . . . . . . . 81
Benjamin Carr and Dana Telem
12 Fixation inLaparoscopic Inguinal Hernia Repair . . . . . . . . . . . 85
Nathaniel Stoikes, David Webb, and Guy Voeller
Part IV Postoperative Management
13 Postoperative Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 91
Steve R. Siegal and Sean B. Orenstein
14 Inguinodynia: Nonoperative Management . . . . . . . . . . . . . . . . . 99
Janavi Rao and Michael Bottros
15 Operative Management ofInguinodynia . . . . . . . . . . . . . . . . . . 109
Michael W. Robinson and David C. Chen
16 Surgical Outcomes: TheImportance
ofSurgeon-Kept Data inHernia Care . . . . . . . . . . . . . . . . . . . . 119
Nicholas H. Carter and Richard A. Pierce
Part V Special Situations in Inguinal Hernia Repair
17 Sports Hernia andAthletic Pubalgia . . . . . . . . . . . . . . . . . . . . . 127
Arghavan Salles and L. Michael Brunt
Contents
18 Inguinal Hernia Repair inChildren . . . . . . . . . . . . . . . . . . . . . . 139
Domenic R. Craner, Ian C. Glenn, and Todd A. Ponsky
19 Inguinal Hernia Repair intheSetting ofBowel
Injury/Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 149
Garth R. Jacobsen and Jessica L. Reynolds
20 Inguinal Hernia Repair Around Prostatectomy . . . . . . . . . . . . . 153
Stephen Masnyj and Matthew I. Goldblatt
21 Recurrent Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . 159
Jared McAllister and Jeffrey A. Blatnik
22 Training General Surgery Residents inInguinal
Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
Nicole Kissane Lee, Vandana Botta, and Mariah Alexander Beasley
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Contributors
Gina L. Adrales Department of Surgery, Johns Hopkins Hospital, Johns Hopkins University School of Medicine, Baltimore, MD, USA
Vamsi V. Alli Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Penn State Hershey Medical Center, Hershey, PA, USA
MariahAlexander Beasley University of Tennessee School of Medicine, Department of Surgery, Knoxville, TN, USA
DavidJ.Berler Resident in General Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA
JeffreyA. Blatnik Section of Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA
VandanaBotta University of Tennessee School of Medicine, Memphis, TN, USA
Michael Bottros Department of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA
BenjaminCarr Department of Surgery, University of Michigan, Ann Arbor, MI, USA
NicholasH.Carter Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA
DavidC. Chen Lichtenstein Amid Hernia Clinic, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA
Sherard Chiu Department of Surgery, University of Tennessee Graduate school of Medicine, Knoxville, TN, USA
Domenic R. Craner Akron Children’s Hospital, Department of Pediatric Surgery, Akron, OH, USA
IanC.Glenn Akron Children’s Hospital, Department of Pediatric Surgery, Akron, OH, USA
MatthewI.Goldblatt Medical College of Wisconsin, Milwaukee, WI, USA
BrianP. Jacob Icahn School of Medicine at Mount Sinai, New York, NY,
USA
xi
xii
Garth R. Jacobsen University of California San Diego, San Diego, CA, USA
DavidM.Krpata Cleveland Clinic Comprehensive Hernia Center, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
Sepehr Lalezari Johns Hopkins University Bayview Medical Center, Baltimore, MD, USA
MelissaPhillipsLaPinska Department of Surgery, University of Tennessee Medical Center, Knoxville, TN, USA
NicoleKissaneLee Indiana University School of Medicine, Department of Surgery, Indianapolis, IN, USA
Gregory J. Mancini Department of Surgery, University of Tennessee, Knoxville, TN, USA
Matthew L. Mancini Department of Surgery, University of Tennessee Medical Center, Knoxville, TN, USA
Luis A. Martin-del-Campo Columbia University Medical Center, New York, NY, USA
StephenMasnyj Medical College of Wisconsin, Milwaukee, WI, USA
Contributors
Jared McAllister Section of Minimally Invasive Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA
John Mark McLain Department of Surgery, University of Tennessee Medical Center, Knoxville, TN, USA
L. MichaelBrunt Department of Surgery and Section of Minimally Invasive Surgery, Washington University School of Medicine, St. Louis, MO, USA
Yuri W. Novitsky Columbia University Medical Center, New York, NY, USA
Sean B. Orenstein Oregon Health & Science University, Portland, OR, USA
Eric M. Pauli Division of Minimally Invasive and Bariatric Surgery, Department of Surgery, Penn State Hershey Medical Center, Hershey, PA, USA
ArielleJ.Perez Cleveland Clinic Comprehensive Hernia Center, Digestive Disease and Surgery Institute, Cleveland Clinic Foundation, Cleveland, OH, USA
RichardA. Pierce Department of Surgery, Vanderbilt University Medical Center, Nashville, TN, USA
Todd A. Ponsky Akron Children’s Hospital, Department of Pediatric Surgery, Akron, OH, USA