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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_761_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Contents
- •Preface
- •Contributors
- •Pyramidalis
- •Transversus Abdominis Muscle
- •Internal Oblique Muscle
- •External Oblique
- •Arcuate Line
- •Extraperitoneal Spaces
- •Vascular Supply
- •1: Clinical Anatomy and Physiology of the Abdominal Wall
- •Introduction
- •Boundaries
- •Components
- •Linea Alba
- •Rectus Abdominis
- •Nerve Supply
- •References
- •Introduction
- •Wound Morbidity and Outcomes
- •Hernia Characteristics
- •References
- •3: Preoperative Imaging in Hernia Surgery
- •Basics of Diagnostic Testing
- •Inguinal Hernia
- •Ultrasound
- •Computed Tomography
- •Magnetic Resonance Imaging
- •Herniography
- •Femoral and Obturator Hernias
- •Ventral Hernia
- •Ultrasound
- •Computed Tomography
- •Magnetic Resonance Imaging
- •Conclusion
- •References
- •4: Preoperative Preparation of the Patient Undergoing Incisional Hernia Repair: Optimizing Chances for Success
- •Introduction
- •Smoking
- •Obesity
- •Glucose Control
- •Nutritional Intervention
- •Preoperative Metabolic Preparation for Surgical Intervention
- •Imaging
- •Antibiotic Prophylaxis
- •Preoperative Skin Preparation and Decolonization Protocols
- •Miscellaneous Techniques and Treatments to Reduce Risk
- •Conclusion
- •References
- •5: Wound Closure and Postoperative Hernia Prevention Strategies
- •Introduction
- •Surgical Risk Factors
- •Suture Materials
- •Suture Technique
- •Mass Closure vs. Layered Closure
- •Continuous vs. Interrupted Sutures
- •Suture Length to Wound Length Ratio
- •Preventive Abdominal Binders
- •Primary Mesh Augmentation
- •Future Perspectives
- •Personal Thought on Patient, Technique and Mesh Selections
- •Personal Tips and Tricks: Small Bites and Prophylactic Mesh Placement
- •References
- •6: Synthetic Mesh: Making Educated Choices
- •Background
- •New Concepts in Improving Mesh Biocompatibility
- •The Medical and Legal Aspects of Synthetic Mesh Manufacturing and Marketing
- •Is There an “Ideal” Mesh?
- •Shared Decision-Making Process
- •Applying Complexity Science and Nonlinear Data Analytics: A Novel Approach
- •Summary
- •References
- •Current State of the Art
- •Evidence-Based Critical Appraisal
- •Characterization of Biologic Meshes
- •Repetitive Loading
- •Resistance to Enzymatic Degradation
- •Porcine Model of Ventral Hernia Repair
- •Biologic Meshes Explanted from Human Subjects
- •Conclusions
- •References
- •8: Biodegradable Meshes in Abdominal Wall Surgery
- •Introduction
- •Types of Bioabsorbables
- •Placement into Infected Surgical Fields
- •Which Mesh to Use and When to Use It and Where to Put It
- •Conclusion
- •References
- •9: Abdominal Wall Spaces for Mesh Placement: Onlay, Sublay, Underlay
- •Introduction
- •Technique
- •Onlay Mesh Placement
- •Sublay Mesh Placement
- •Underlay Mesh Placement
- •Evidence-based Surgery: The Best Position for Mesh Placement in Ventral Hernia Repair
- •Mesh Position, Recurrence, and Seroma
- •Mesh Position and Subsequent Surgery
- •Infection
- •Summary
- •References
- •10: Reconstructive Options for Small Abdominal Wall Defects
- •Introduction
- •Patient Selection
- •Approach (Open or Laparoscopic)
- •Adequate Skin/Soft Tissue Coverage
- •Inadequate Skin/Soft Tissue Coverage
- •Location of Mesh Placement
- •Umbilical Hernias
- •Epigastric Hernias
- •Incisional Hernias
- •Technique for Open Repair With/Without Mesh Reinforcement
- •Technique for Laparoscopic Repair with Mesh Reinforcement
- •Technique for Repair of Rectus Diastasis
- •Summary
- •References
- •11: Onlay Ventral Hernia Repair
- •11.1 Introduction
- •11.2 Chevrel’s Logic
- •11.3 Chevrel’s Technique
- •11.4 Clinical Data
- •11.5.1 Technique Description
- •11.6 Discussion
- •References
- •12: Rives-Stoppa Retromuscular Repair
- •Introduction
- •History
- •Biomechanical Principles of Repair
- •Operative Steps
- •Hernia Sac
- •Posterior Rectus Sheath Dissection
- •Visceral Sac Closure
- •Mesh Fixation
- •Midline Abdominal Wall Reconstruction
- •Special Considerations
- •Assessing Anterior Tension
- •Lateral Defect
- •Parastomal Hernia
- •Limitations
- •Postoperative Care
- •References
- •13: Posterior Component Separation Via Transversus Abdominis Muscle Release: The TAR Procedure
- •Introduction
- •History of TAR
- •Anatomic and Physiologic Basis of TAR
- •Indications and Patient Selection
- •Pre-operative Planning
- •Operative Technique
- •Patient Positioning
- •Step 1: Incision/Adhesiolysis
- •Step 3: Exposure and Division of the Transversus Abdominis Muscle
- •Step 4: Lateral/Retroperitoneal Dissection
- •Step 5: Inferior Dissection
- •Step 6: Superior Dissection
- •Step 7: Closure of the Posterior Layers
- •Step 8: Irrigation of the Extraperitoneal Space and TAP Block
- •Step 9: Mesh Placement/Fixation
- •Step 10: Anterior Fascia and Skin Closure
- •Post-operative Care
- •Outcomes
- •Conclusion
- •References
- •14: Open Anterior Component Separation
- •Introduction
- •Outcomes
- •Current Trends
- •Minimal Dissection Technique
- •Type of Mesh: Synthetic vs. Biologic
- •Mesh Position
- •Personal Algorithms and Technique
- •Preoperative Evaluation
- •Surgical Technique
- •Postoperative Management
- •Conclusion
- •References
- •15: Endoscopic Anterior Component Separation
- •Introduction
- •Indications
- •Technique
- •Patient Position
- •Access and Muscle Separation
- •Port Placement
- •Troubleshooting
- •External Oblique and Subcutaneous Fascial Division
- •Limits of Dissection
- •Troubleshooting
- •Exiting the Space
- •Completing the Hernia Repair
- •Limitations
- •Complications and Outcomes
- •References
- •16: Open Anterior Component Separation with Perforator Preservation
- •Introduction
- •Laminar Versus Pulsatile Blood Flow/Blood Flow of the Abdominal Wall
- •History of Perforator Preservation
- •Decrease Forces at the STI with Components Releases
- •Patient Preoperative Evaluation
- •Surgery Technique
- •Outcomes
- •Discussion
- •References
- •17: Open Parastomal Hernia Repair
- •17.1 Introduction
- •17.2 Risk Factors and Prevention
- •17.3 Current Repair Strategies
- •17.3.1 Surgical Technique: Open vs. Laparoscopic
- •17.3.2 Surgical Method: Primary Repair vs. Mesh Repair
- •17.3.6 Operative Approach: One Team vs. Two Teams
- •17.4 Patient Selection
- •17.5 Surgical Techniques of Open Parastomal Hernia Repair
- •17.5.1 Sugarbaker Technique
- •17.5.2 Anterior Component Separation (External Oblique Release)
- •17.5.3 Posterior Component Separation (Transversus Abdominis Release)
- •17.5.4 Pauli Parastomal Hernia Repair (PPHR)
- •17.6 Post-operative Care
- •17.6.2 Mechanical Ventilation
- •17.7 Results of Open Parastomal Hernia Repair
- •17.8 Complications of Open Parastomal Hernia Repair
- •17.8.1 Wound Infection
- •17.8.2 Stoma Complications
- •References
- •18: Open Flank Hernia Repair
- •Overview
- •Current Trends in Flank Hernia Repair
- •Anatomy Surrounding the Flank Hernia
- •Preoperative Planning
- •Distinguish Pseudoherniation
- •Role for Preoperative Imaging
- •Patient Optimization
- •Operative Technique
- •Patient Positioning
- •Dissection of the Preperitoneal Space
- •Mesh Selection and Insertion
- •Closure of the Abdominal Wall
- •Postoperative Care
- •Unplanned Challenges
- •Multiple Fenestrations in the Peritoneal Layer
- •Inability to Primarily Close the Fascia
- •Enterotomy with Planned Bony Fixation
- •Pseudohernia with True Fascial Defect
- •Summary
- •References
- •19: Umbilical Hernia Repair: The Spectrum of Management Options
- •Introduction
- •Current Trends
- •Options for Surgical Repair of Umbilical Hernias
- •Primary Repair
- •Mesh Repair
- •Open Techniques
- •Laparoscopic Techniques
- •Algorithms for the Management of Umbilical Hernias
- •Summary
- •References
- •20: Managing Complications of Open Hernia Repair
- •Introduction
- •Risk Factors of Complication
- •Complications and Their Management
- •Surgical Site Occurrences
- •Surgical Site Infection
- •Seroma
- •Hematoma
- •Wound Dehiscence
- •Enterocutaneous Fistulae Formation
- •Other SSOs: Erythema, Ischemia, Granulation Tissue
- •Pulmonary Complication
- •Ileus
- •Acute Kidney Injury
- •Intra-Abdominal Hypertension
- •Mesh Complications
- •Mesh Infection
- •Mesh Erosion
- •Mesh Fracture
- •Thromboembolic Complications
- •Iatrogenic Hernia Formation
- •Injury to the Linea Semilunaris
- •Posterior Layer Defects
- •References
- •21: Laparoscopic Ventral Hernia Repair
- •Introduction
- •Preoperative preparation and patient selection
- •Techniques of Laparoscopic VHR
- •Postoperative Care
- •Complications and Outcomes
- •Conclusion
- •References
- •22: Laparoscopic Ventral Hernia Repair with Defect Closure
- •Introduction
- •Abdominal Wall Mechanics
- •Concept of Defect Closure
- •Functional, Dynamic Repair
- •Patient Selection
- •Advantages and Drawbacks
- •Smaller Mesh
- •Recurrence
- •Dead Space Elimination
- •Laparoscopic Shoelace Closure Technique
- •Drawbacks
- •Summary
- •References
- •23: Laparoscopic Parastomal Hernia Repair
- •Overview
- •Risk Factors
- •Incidence
- •Diagnosis
- •Complications
- •Operative Management
- •Laparoscopic Approach
- •Our Approach
- •Operative Technique
- •Recurrent Parastomal Hernia
- •Current Trends
- •Parastomal Hernia Prevention
- •Conclusion
- •References
- •24: Laparoscopic Subxiphoid and Suprapubic Hernia Repair
- •Background
- •Preoperative Considerations
- •Technical Considerations
- •Subxiphoid
- •Mesh Orientation and Fixation
- •Suprapubic
- •Mesh Orientation and Fixation
- •Postoperative Concerns
- •Conclusion
- •References
- •25: Laparoscopic Repair of Flank Hernias
- •Introduction and Background
- •Related Anatomy of the Posterolateral Abdominal Wall
- •Brief History of Flank Hernias
- •Epidemiology
- •Surgical Approach
- •Preoperative Workup
- •Positioning and Trocar Placement
- •Hernia Repair
- •Securing the Mesh
- •Primary Closure
- •Postoperative Care and Quality of Life Considerations
- •Summary
- •References
- •26: Robotic Ventral Hernia Repair
- •General Overview
- •Preoperative Considerations
- •Techniques
- •Intraperitoneal Onlay Mesh After Primary Closure of the Defect
- •Patient Positioning, Trocar Placement, and Docking
- •Instrumentation
- •Essential Steps
- •Adhesiolysis
- •Primary Closure of the Defect
- •Mesh Placement and Fixation
- •Robotic TAPP Ventral Hernia Repair
- •Essential Steps
- •Developing a Preperitoneal Plane
- •Primary Closure of the Defect
- •Mesh Placement, Fixation, and Reperitonealization
- •Subxiphoid Hernias
- •Patient Positioning, Trocar Placement, and Docking
- •Suprapubic Hernias
- •Patient Positioning, Trocar Placement, and Docking
- •Essential Steps
- •Parastomal Hernia
- •Robotic Rives-Stoppa Repair with Bilateral Transversus Abdominis Muscle Release
- •General Considerations
- •Patient Positioning, Trocar Placement, and Docking
- •Essential Steps
- •Posterior Sheath Incision
- •Transversus Abdominis Release
- •Closure of the Anterior Sheath, Mesh Placement, and Posterior Sheath Closure
- •Drain Placement
- •Summary
- •References
- •Further Reading
- •27: Evidence-Based Optimal Fixation During Laparoscopic Hernia Repair: Sutures, Tacks, and Glues
- •Introduction
- •Fixation Products
- •Nonabsorbable Tacks
- •Absorbable Tacks
- •Adhesives
- •Sutures
- •Current Evidence
- •Laparoscopic Ventral/Incisional Hernia Repair
- •Laparoscopic Inguinal Hernia Repair
- •Authors Practice and Recommendations
- •Conclusions
- •References
- •28: Panniculectomy: Tips and Tricks to Maximize Outcomes
- •Introduction
- •Indications
- •Contraindications
- •Prior Incisions
- •Nicotine
- •Excess Abdominal Contents
- •Preoperative Evaluation
- •Soft Tissue and Muscular Anatomy
- •Vascular Anatomy
- •Patient Markings
- •Panniculectomy
- •Our Preferred Method of Umbilicoplasty
- •Closure of Abdominal Wound
- •Techniques for Optimizing Results
- •Indocyanine Green: Laser Angiography
- •Incisional Negative Pressure Wound Therapy
- •Postoperative Care
- •Managing Complications
- •Wound Breakdown and Flap Necrosis
- •Seroma
- •Conclusion
- •References
- •29: Tissue Expansion During Abdominal Wall Reconstruction
- •Background
- •Physiology of Expansion
- •Indications for Using TE for Abdominal Wall Reconstruction
- •Techniques of TE for Abdominal Wall Reconstruction
- •Conclusion
- •References
- •30: Flap Reconstruction of the Abdominal Wall
- •Introduction
- •Local Flap Options
- •Regional Flap Options
- •Free Flap Options
- •Recipient Vessels
- •Abdominal Wall Transplantation
- •Summary
- •References
- •31: Diagnosis and Management of Diastasis Recti
- •Introduction
- •Anatomy
- •Etiology
- •Diagnosis
- •The Initial Consultation
- •Indications for Surgery
- •Treatment
- •Exercise
- •Abdominoplasty
- •Plication with or Without Excision
- •Plication and Onlay Mesh
- •Retrorectus Repair with Mesh
- •Endoscopic/Laparoscopic
- •Complications
- •Outcomes
- •Sheath Plication
- •Retrorectus Repair
- •Endoscopic/Laparoscopic
- •Summary
- •References
- •32: Negative Pressure Wound Therapy
- •Introduction
- •Mechanism of Action
- •Foam vs. Gauze
- •Subatmospheric Pressure
- •Instillation Therapy
- •Negative Pressure Wound Therapy and Abdominal Wall Reconstruction
- •Full-Thickness Abdominal Defects
- •Partial-Thickness Abdominal Defects
- •Negative Pressure Wound Therapy and Special Circumstances
- •Closed Incisions
- •Mesh Salvage
- •Skin Grafts for Abdominal Wall Reconstruction
- •Complex Abdominal Wall Defect Reconstruction
- •Conclusion
- •References
- •33: Adjuncts to Wound Healing for Abdominal Wall Wounds
- •Introduction
- •Overview of Wound Healing
- •Acute vs. Chronic Wounds
- •Surgical Debridement
- •Wound Care Adjuncts and Dressings
- •Wound Dressings
- •References
- •Physics of LOD
- •Cylinder Concept
- •Broken Cylinder Concept
- •Morbidity of Loss of Domain
- •Complications of Repair
- •Presentation
- •Introduction
- •Emergency Surgery’s Role
- •Recurrent Hernia’s Role
- •Obesity’s Role
- •Optimization for Surgery
- •Introduction
- •The Surgeon’s Preparation
- •The Patient’s Preparation
- •Surgical Strategies for Loss of Domain
- •Introduction
- •Component Separation Techniques
- •Mesh Location and Choice
- •Drain Placement and Management
- •Preoperative Pneumoperitoneum
- •Postoperative Care and Complications
- •ACS and Pulmonary Complications
- •Wound Complications
- •Intestinal Complications
- •Summary
- •References
- •35: Enterotomy During Hernia Repair: Prevention and Management
- •Challenges of Adhesiolysis
- •Management of Enterotomies
- •Conclusions
- •References
- •Preoperative Considerations in the Patient with an Enterocutaneous Fistula
- •The Basics First
- •Should You Fix the Hernia Concurrently?
- •How to Deal with the Hernia Defect
- •Use of Permanent Prosthetic Material
- •Summary
- •References
- •37: Management of Infected Mesh in Ventral Hernias
- •Overview and Costs
- •Mesh Salvage
- •Partial Salvage
- •Mesh Explantation
- •Risk Factors and Prevention
- •Conclusion
- •References
- •38: Management of Ventral Hernia in the Morbidly Obese Patient
- •Introduction
- •Body Mass Index
- •Size of the Defect
- •Body Morphology of the Patient
- •Number of Previous Repairs
- •Mesh Location
- •Mesh Choice
- •Preoperative Planning and Weight Loss
- •Concomitant Bariatric Surgery with Ventral Hernia Repair
- •Conclusion
- •References
- •39: Emergent Surgical Management of Ventral Hernias
- •Introduction
- •Inguinal Hernia
- •Femoral Hernia
- •Umbilical Hernia
- •Ventral Incisional Hernia
- •Conclusion
- •References
- •40: Temporary Abdominal Closure
- •Introduction
- •Abdominal Compartment Syndrome/Damage Control Surgery
- •History
- •Rationale for the Open Abdomen
- •Options for Temporary Abdominal Closure
- •Open Packing/Planned Ventral Hernia
- •Towel Clip Closure/Skin Closure
- •Silastic Closure/Bogota Bag
- •Zipper-Based Repairs
- •Wittmann Patch
- •Mesh Based Techniques
- •Negative Pressure Therapy/Wound Vac
- •Dynamic Fascial Closure Systems
- •Enteroatmospheric Fistulas
- •Outcomes
- •How to Choose
- •Conclusions
- •References
- •41: Chemical Component Separation Using Botulinum Toxin
- •Introduction
- •Background: Botulinum Toxin and Therapeutic Use
- •Administration, Immunological Considerations, and Formulation
- •Tolerability and Contraindications
- •Botulinum Toxin in Abdominal Wall Hernia: Evidence and Outcome
- •Paralyzing Effects of BoNTs
- •Antinociceptive Effects of BoNTs
- •Personal Comprehension
- •Concluding Remarks
- •References
- •42: Groin Hernia Repair: Open Techniques
- •Introduction
- •Tissue Approximation Repairs
- •Bassini Repair
- •Shouldice Repair
- •McVay Repair
- •Desarda Repair
- •Prosthetic Repairs
- •Lichtenstein Tension-Free Repair
- •Plug and Patch Technique
- •Prolene Hernia System
- •Open Preperitoneal Repairs
- •Transinguinal Preperitoneal Repair
- •Transrectus Sheath Preperitoneal Repair
- •Discussion
- •References
- •43: Laparoscopic TAPP Inguinal Hernia Repair
- •Introduction
- •Why Choose the TAPP Procedure
- •Contraindication to the TAPP Technique
- •Preoperative Evaluation and Preparation
- •OR Preparation to the Repair
- •Equipment
- •Choice of the Mesh
- •Mesh Fixation
- •Technique for Repair
- •Patient and Team Position
- •Operative Steps for the Transabdominal Preperitoneal Repair
- •Postoperative Care and Follow-up
- •Complications
- •Recommendation
- •References
- •44: Laparoscopic Total Extra-Peritoneal (TEP) Inguinal Hernia Repair
- •Patient Selection for TEP Repair
- •Indications
- •Contraindications
- •Technical Considerations of TEP-IHR
- •Conclusions
- •References
- •45: The Extended-View Totally Extraperitoneal (eTEP) Technique for Inguinal Hernia Repair
- •Introduction
- •Indications for eTEP
- •Key Technical Aspects of eTEP
- •High Camera Port Placement
- •Flexible Port Distribution
- •Division of the Posterior Fascia (Douglas’s Line)
- •Hernia Repair
- •Clinical Experience with eTEP
- •Conclusions
- •References
- •46: Inguinal Hernias: an Algorithmic Approach to Procedure Selection
- •The Problem
- •History and Surgical Work Up
- •Management Options
- •Author’s Preference
- •Caveats and Pearls
- •Incarcerations and Strangulations
- •Scrotal Hernias and Large Hernia Sacs
- •Inguinodynia
- •Recurrence After a TEP or TAPP
- •Women with Previous Pfenensteil
- •Previous Surgical History Involving Lower Midline Skin Incisions (Prostatectomy)
- •Obesity (BMI > 35)
- •Conclusions
- •References
- •47: Evaluation and Treatment of Postoperative Groin Pain
- •Introduction
- •Etiology and Clinical Presentation
- •Risk Factors
- •Evaluation
- •Treatment
- •Pharmacological Pain Management
- •Interventional Pain Management
- •Surgical Pain Management
- •Conclusion
- •References
- •48: Treating Inguinal Recurrences
- •Introduction
- •Pathophysiology
- •Preoperative Evaluation
- •Operative Approach
- •Mesh Fixation
- •Our Approach
- •References
- •49: Nonoperative Treatment of Sports Hernia
- •Introduction
- •Epidemiology
- •Presentation/Physical Exam
- •Imaging

x
13 Posterior Component Separation Via Transversus
Abdominis Muscle Release: The TAR Procedure . . . . . . . . . . . . 117
Yuri W. Novitsky
14 Open Anterior Component Separation . . . . . . . . . . . . . . . . . . . . . 137
Peter Thompson and Albert Losken
15 Endoscopic Anterior Component Separation . . . . . . . . . . . . . . . 149
David Earle
16 Open Anterior Component Separation
with Perforator Preservation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 159
Gregory A. Dumanian
17 Open Parastomal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Matthew Z Wilson , Joshua S Winder , and Eric M Pauli
18 Open Flank Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Melissa Phillips LaPinska and Austin Lewis
19 Umbilical Hernia Repair: The Spectrum
of Management Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 195
Kent W. Kercher
20 Managing Complications of Open Hernia Repair . . . . . . . . . . . . 207
Eric M. Pauli and Ryan M. Juza
Contents
21 Laparoscopic Ventral Hernia Repair . . . . . . . . . . . . . . . . . . . . . . 223
David M. Krpata and Yuri W. Novitsky
22 Laparoscopic Ventral Hernia Repair
with Defect Closures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 231
Sean B. Orenstein and Yuri W. Novitsky
23 Laparoscopic Parastomal Hernia Repair . . . . . . . . . . . . . . . . . . . 241
Erin M. Garvey and Kristi L. Harold
24 Laparoscopic Subxiphoid and Suprapubic
Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
William S. Cobb
25 Laparoscopic Repair of Flank Hernias . . . . . . . . . . . . . . . . . . . . . 261
Ciara R. Huntington and Vedra A. Augenstein
26 Robotic Ventral Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
Conrad Ballecer and Eduardo Parra-Davila
27 Evidence-Based Optimal Fixation During Laparoscopic
Hernia Repair: Sutures, Tacks, and Glues . . . . . . . . . . . . . . . . . . 287
H. Reza Zahiri and Igor Belyansky
28 Panniculectomy: Tips and Tricks to Maximize Outcomes . . . . . 297
Karan Chopra and Devinder Singh
29 Tissue Expansion During Abdominal Wall Reconstruction . . . . 307
Lauren Chmielewski , Michelle Lee , and Hooman Soltanian

Contents
xi
30 Flap Reconstruction of the Abdominal Wall . . . . . . . . . . . . . . . . 313
Donald P. Baumann and Charles E. Butler
31 Diagnosis and Management of Diastasis Recti . . . . . . . . . . . . . . . 323
Maurice Y. Nahabedian
32 Negative Pressure Wound Therapy . . . . . . . . . . . . . . . . . . . . . . . . 337
Terri A. Zomerlei and Jeffrey E. Janis
33 Adjuncts to Wound Healing for Abdominal
Wall Wounds . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 351
Sarah Sher and Karen Evans
34 Loss of Abdominal Domain: Definition
and Treatment Strategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 361
Gregory J. Mancini and Hien N. Le
35 Enterotomy During Hernia Repair:
Prevention and Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 371
Brent D. Matthews
36 Abdominal Wall Surgery in the Setting
of an Enterocutaneous Fistula: Combined Versus
Staged Definitive Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 379
Michael G. Sarr
37 Management of Infected Mesh in Ventral Hernias . . . . . . . . . . . 387
Kamal M. F. Itani and C. Jeff Siegert
38 Management of Ventral Hernia in the Morbidly
Obese Patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 393
Jeffrey A. Blatnik and Ajita S. Prabhu
39 Emergent Surgical Management of Ventral Hernias. . . . . . . . . . 401
Phillip Chang
40 Temporary Abdominal Closure . . . . . . . . . . . . . . . . . . . . . . . . . . . 409
William W. Hope and William F. Powers
41 Chemical Component Separation Using Botulinum Toxin . . . . . 421
Manuel López-Cano and Manuel Armengol-Carrasco
42 Groin Hernia Repair: Open Techniques . . . . . . . . . . . . . . . . . . . . 437
Sean M. O’Neill , David C. Chen , and Parviz K. Amid
43 Laparoscopic TAPP Inguinal Hernia Repair . . . . . . . . . . . . . . . . 451
Sergio Roll and James Skinovsky
44 Laparoscopic Total Extra- Peritoneal (TEP) Inguinal
Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 461
Tammy Kindel and Dmitry Oleynikov
45 The Extended-View Totally Extraperitoneal
(eTEP) Technique for Inguinal Hernia Repair. . . . . . . . . . . . . . . 467
Jorge Daes

xii
46 Inguinal Hernias: an Algorithmic Approach
to Procedure Selection . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 473
Brian P. Jacob
47 Evaluation and Treatment of Postoperative Groin Pain . . . . . . . 481
Martin F. Bjurstrom , Parviz K. Amid , and David C. Chen
48 Treating Inguinal Recurrences . . . . . . . . . . . . . . . . . . . . . . . . . . . 491
Scott Roth and John E. Wennergren
49 Nonoperative Treatment of Sports Hernia . . . . . . . . . . . . . . . . . . 499
Terra Blatnik
50 The Surgical Approach to Sports Hernia . . . . . . . . . . . . . . . . . . . 509
Thomas J. Wade and L. Michael Brunt
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 521
Contents

List of Videos
Video 11.1 Onlay ventral hernia repair
Guy Voeller
Video 13.1 Posterior component separation via transversus abdominis
release: the TAR procedure
Yuri Novitsky
Video 15.1 Endoscopic anterior component separation
J. Scott Roth
Video 15.2 Total laparoscopic (subcutaneous) abdominal wall reconstruction
Jorge Daes
Video 16.1 Perforator preserving anterior component separation hernia
Gregory Dumanian
Video 17.1 Open parastomal hernia repair with transversus abdominis
release
Eric Pauli
Video 18.1 Open fl ank hernia repair
Yuri Novitsky
Video 22.1 Laparoscopic ventral hernia repair with defect closure
Yuri Novitsky
Video 23.1 Laparoscopic parastomal (Sugarbaker) hernia repair
Kristi Harold
Video 24.1 Laparoscopic subxiphoid hernia repair
Igor Belyansky
Video 24.2 Laparoscopic suprapubic hernia repair
Yuri Novitsky
Video 26.1 Robotic inguinal hernia repair
Conrad Ballacer
Video 26.2 Robotic retromuscular incisional hernia repair
Alfredo Carbonell
Video 28.1 Panniculectomy with ventral hernia repair
Devinder Singh
Video 41.1 Botulinum neurotoxin injection before incisional hernia repair
Manuel López-Cano
xiii

xiv
Video 42.1 Open Lichtenstein inguinal hernia repair
Parviz Amid
Video 43.1 Laparoscopic transabdominal preperitoneal (TAPP) inguinal
hernia repair
Sergio Roll
Video 43.2 Laparoscopic transabdominal preperitoneal (TAPP) inguinal
hernia repair
J. Scott Roth
Video 43.3 Laparoscopic transabdominal preperitoneal (TAPP) inguinal
hernia repair
Yuri Novitsky
Video 44.1 Laparoscopic Total Extraperitoneal (TEP) Inguinal Hernia
Repair
Brian Jacob
Video 45.1 Extended View Laparoscopic Total Extraperitoneal (eTEP)
Repair
Jorge Daes
Video 50.1 Open Repair of Sports Hernia/Athletic Pubalgia
L. Michael Brunt
List of Videos

Contributors
Gina L. Adrales , M.D., M.P.H. Division of Minimally Invasive Surgery ,
The Johns Hopkins University School of Medicine , Baltimore , MD , USA
Parviz K. Amid , M.D. Department of Surgery , Lichtenstein Amid Hernia
Clinic at UCLA , Santa Monica , CA , USA
Manuel Armengol-Carrasco , M.D., Ph.D. Department of Surgery , Hospital
Universitari Vall d’Hebron , Barcelona , Spain
Vedra A. Augenstein , M.D. Division of Gastrointestinal and Minimally
Invasive Surgery, Department of Surgery , Carolinas Medical Center ,
Charlotte , NC , USA
Conrad Ballecer , B.S., M.S., M.D. Arrowhead Medical Center, Banner
Thunderbird Medical Center , Peoria , AZ , USA
Donald P. Baumann , M.D. Department of Plastic Surgery , University of
Texas MD Anderson Cancer Center , Houston , TX , USA
Igor Belyansky , M.D. Department of Surgery, Anne Arundel Medical
Center , Annapolis , MD , USA
Parag Bhanot , M.D. Department of Surgery , Medstar Georgetown
University Hospital , Washington , DC , USA
Martin F. Bjurstrom , M.D. Department of Anesthesiology , Lichtenstein
Amid Hernia Clinic at UCLA , Santa Monica , CA , USA
Terra R. Blatnik , M.D. Cleveland Clinic , Twinsburg , OH , USA
Jeffrey A. Blatnik , M.D. Department of Surgery, Section of Minimally
Invasive Surgery , Washington University School of Medicine , St. Louis , MO ,
USA
L. Michael Brunt , M.D. Department of Surgery , Washington University
School of Medicine , Saint Louis , MO , USA
Charles E. Butler , M.D. Department of Plastic Surgery , University of Texas
MD Anderson Cancer Center , Houston , TX , USA
xv

xvi
Alfredo M. Carbonell , D.O. Division of Minimal Access and Bariatric
Surgery , Greenville Health System, University of South Carolina School of
Medicine , Greenville , SC , USA
Phillip Chang , M.D. Department of Surgery , University of Kentucky ,
Lexington , KY , USA
David C. Chen , M.D. Department of Surgery , Lichtenstein Amid Hernia
Clinic at UCLA , Santa Monica , CA , USA
Lauren Chmielewski , M.D. Department of Plastic Surgery , University
Hospitals Case Medical Center , Cleveland , OH , USA
Karan Chopra , M.D. Department of Plastic Surgery , University of Maryland
School of Medicine, Johns Hopkins University , Baltimore , MD , USA
William S. Cobb IV , M.D. Department of Surgery , The Hernia Center,
Greenville Health System , Greenville , SC , USA
Jorge D. Daes , M.D., F.A.C.S. Department of Minimally Invasive Surgery ,
Clinica Bautista , Barranquilla , Columbia
Eduardo Parra Davila , M.D. General/Colorectal Surgery , Celebration , FL ,
USA
Corey R. Deeken , Ph.D. Covalent Bio, LLC , Eureka , MO , USA
Contributors
Clifford Deveney , M.D. Department of Surgery , Oregon Health & Science
University , Portland , OR , USA
Christopher DuCoin , M.D., M.P.H. Department of Surgery, University of
California, San Diego , La Jolla , CA , USA
Gregory A. Dumanian , M.D. Department of Plastic Surgery , Northwestern
Memorial Hospital , Chicago , IL , USA
David Earle , M.D. Department of Surgery , Tufts University School of
Medicine , Springfi eld , MA , USA
Karen K. Evans , M.D. Department of Plastic Surgery , Georgetown
University Hospital , Washington , DC , USA
Erin M. Garvey , M.D. Division of General Surgery, Mayo Clinic Arizona ,
Phoenix , AZ , USA
Kristi L. Harold , M.D. Division of General Surgery , Mayo Clinic Arizona,
Phoenix , AZ , USA
William Hope , M.D. Department of Surgery , New Hanover Regional
Medical Center , Wilmington , NC , USA
Ciara R. Huntington , M.D. Department of Surgery, Carolinas Medical
Center , Charlotte , NC , USA
Kamal M. F. Itani , M.D. Department of Surgery , VA Boston Health Care
System and Boston University , West Roxbury , MA , USA

Contributors
xvii
Brian P. Jacob , M.D. Department of Surgery , Icahn School of Medicine at
Mount Sinai , New York , NY , USA
Garth Jacobsen , M.D. University of California, San Diego , San Diego , CA ,
USA
An P. Jairam , M.D. Department of Surgery , Erasmus University Medical
Center , Rotterdam , The Netherlands
Jeffrey E. Janis , M.D. Department of Plastic Surgery , University Hospital,
Ohio State University Wexner Medical Center , Columbus , OH , USA
Ryan M. Juza , M.D. Department of Surgery, Penn State Milton S. Hershey
Medical Center , Hershey , PA , USA
Kent W. Kercher , M.D. Division of Gastrointestinal and Minimally Invasive
Surgery, Carolinas Medical Center , Charlotte , NC , USA
Tammy Kindel , M.D., Ph.D. Department of Surgery , University of Nebraska
Medical Center , Omaha , NE , USA
David M. Krpata , M.D. General Surgery, Cleveland Clinic Comprehensive
Hernia Center, Cleveland Clinic , Cleveland , OH , USA
Johan F. Lange , M.D., Ph.D. Department of Surgery , Erasmus University
Medical Center , Rotterdam , The Netherlands
Melissa Phillips LaPinska , M.D. Department of Surgery, University of
Tennessee Health Science Center , Knoxville , TN , USA
Hien Le , M.D. University of Tennessee Medical Center , Knoxville , TN ,
USA
Michelle Lee , M.D. Plastic and Reconstructive Surgery , Beth Israel
Deaconess Medical Center, Harvard Medical School , Boston , MA , USA
Austin Lewis , M.D. Department of Surgery, University of Tennessee Health
Science Center , Knoxville , TN , USA
Manuel Lopez-Cano , M.D., Ph.D. Abdominal Wall Surgery Unit ,
Universitary Hospital Vall D’hebron, Universidad Autonoma De Barcelona ,
Barcelona , Spain
Albert Losken , M.D. Department of Plastic Surgery , Emory University
Hospital , Atlanta , GA , USA
Ryan P. Ter Louw , M.D. Georgetown University Hospital , Washington ,
DC , USA
Arnab Majumder , M.D. Department of Surgery, University Hospitals Case
Medical Center , Cleveland , OH , USA
Gregory J. Mancini , M.D. Department of Surgery , University of Tennessee
Health Science Center , Knoxville , TN , USA
Robert G. Martindale , M.D., Ph.D. Division of General Surgery , Oregon
Health & Science University , Portland , OR , USA

xviii
Issa Mirmehdi , M.D. Halifax Health, General Surgery , Daytona Beach , FL ,
USA
Maurice Y. Nahabedian , M.D. Department of Plastic Surgery , Georgetown
University , Washington , DC , USA
Yuri W. Novitsky , M.D. Department of Surgery , University Hospitals Case
Medical Center , Cleveland , OH , USA
Sean M. O’Neill , M.D., Ph.D. Department of Surgery , Lichtenstein Amid
Hernia Clinic at UCLA , Santa Monica , CA , USA
Dmitry Oleynikov , M.D. Department of Surgery, University of Nebraska
Medical Center , Omaha , NE , USA
Sean B. Orenstein , M.D. Division of Gastrointestinal and General Surgery ,
Oregon Health & Science University , Portland , OR , USA
Eric M. Pauli , M.D. Division of Minimally Invasive and Bariatric Surgery,
Department of Surgery , Penn State Hershey Medical Center , Hershey , PA , USA
Clayton C. Petro , M.D. Department of General Surgery, Case
Comprehensive Hernia Center, University Hospitals Case Medical Center ,
Cleveland , OH , USA
Richard A. Pierce , M.D., Ph.D. Department of Surgery , Vanderbilt
University Medical Center , Nashville , TN , USA
Contributors
Benjamin K. Poulose , M.D., M.P.H. Department of Surgery , Vanderbilt
University Medical Center , Nashville , TN , USA
William F. Powers IV , M.D. Department of Surgery , New Hanover Regional
Medical Center , Wilmington , NC , USA
Ajita Prabhu , M.D. Department of Surgery , University Hospitals Case
Medical Center , Cleveland , OH , USA
Bruce Ramshaw , M.D. Department of Surgery, University of Tennessee
Health Science Center, Knoxville, TN, USA
Gabrielle H. van Ramshorst , M.D., Ph.D. Department of Surgery ,
VU Medical Center, Erasmus University Medical Center , Amsterdam ,
The Netherlands
Sergio Roll , M.D., Ph.D. Department of Surgery , Santa Casa of Sao Paulo
Hospital and Oswaldo Cruz German Hospital , Sao Paulo , Brazil
J. Scott Roth , M.D. Department of Surgery/General Surgery , A.B. Chandler
Medical Center, University of Kentucky , Lexington , KY , USA
Michael G. Sarr , M.D. Department of Surgery , Mayo Clinic , Rochester ,
MN , USA
Sarah Sher , M.D. Department of Plastic Surgery , Georgetown University
Hospital , Washington , DC , USA
C. Jeff Siegert , M.D. VA Boston Health care System , West Roxbury , MA , USA

Contributors
xix
Devinder Singh , M.D. Department of Surgery , Anne Arundel Medical
Center , Annapolis , MD , USA
James Skinovsky , Ph.D. Positivo University, Curitiba , Curitiba , Paraná ,
Brazil; Department of Surgery , Red Cross University Hospital , Curitiba ,
Paraná , Brazil
Hooman Soltanian , M.D. Department of Plastic Surgery , Case Medical
Center , Cleveland , OH , USA
Nathaniel Stoikes , M.D. Department of Surgery, University of Tennessee
Health Science Center , Germantown , TN , USA
Peter W. Thompson , M.D. Plastic and Reconstructive Surgery , Emory
University , Atlanta , GA , USA
Guy R. Voeller , M.D. Department of Surgery , University of Tennessee
Health Science Center , Germantown , TN , USA
Thomas Wade , M.D. Department of Surgery , Washington University School
of Medicine , St Louis , MO , USA
David Webb , M.D. Baptist Memphis and Methodist Germantown , Memphis ,
TN , USA
John E. Wennergren , M.D. Department of Surgery, University of Kentucky
Chandler Hospital , Lexington , KY , USA
Matthew Z. Wilson , M.D. Department of Surgery, Section of Minimally
Invasive Surgery, Washington University in St. Louis , St. Louis , MO , USA
Joshua S. Winder , M.D. Division of Minimally Invasive Surgery,
Department of General Surgery , Penn State Milton S. Hershey Medical
Center , Hershey , PA , USA
H. Reza Zahiri , D.O. Division of Minimally Invasive Surgery, Department
of Surgery , Anne Arundel Medical Center , Annapolis , MD , USA
Terri A. Zomerlei , M.D. Department of Plastic Surgery , Wexner Medical
Center, Ohio State University , Columbus , OH , USA
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