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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_903_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Contents
- •Contributors
- •1: SAGES University MASTERS PROGRAM: Hernia Pathway
- •Hernia Surgery Curriculum
- •Facebook™ Groups
- •References
- •2: Laparoscopic Ventral Hernia Repair
- •Mesh Fixation
- •Bowel Injury
- •Seroma
- •Pain Management
- •Hernia Recurrence
- •References
- •3: Masters Program Hernia Pathway: Laparoscopic Inguinal Hernia
- •Introduction
- •Laparoscopic Anatomy
- •Hernia Defect Assessment
- •Defect Closure
- •Mesh Placement
- •Closure
- •Complications
- •References
- •References
- •Introduction
- •Material
- •Weight/Density
- •Porosity
- •Filament Design
- •Anti-adhesion Barriers
- •Additional Mesh Considerations
- •Self-Fixating Mesh
- •Anisotropy
- •References
- •Introduction
- •Biologic Mesh
- •Strattice™
- •XenMatrix™
- •Permacol™
- •Absorbable Synthetic Mesh
- •P4HB
- •Hybrid Mesh
- •References
- •7: Prosthetic Fixation Options
- •The Science of Fixation
- •Inguinal Hernia
- •Laparoscopic Preperitoneal
- •Open Anterior Approach
- •Ventral Hernia
- •Intraperitoneal Mesh Placement
- •Retrorectus Mesh Placement
- •Onlay
- •Hiatal Hernia
- •References
- •Step 2: Clinical Details
- •Step 5: Preoperative Planning
- •Summary
- •References
- •Introduction
- •Preoperative Considerations
- •Surgical History
- •Smoking
- •Obesity
- •Diabetes
- •Other Comorbid Conditions
- •Preoperative Workup
- •Laboratory Studies
- •Imaging
- •Perioperative Considerations
- •Anticoagulation
- •Venous Thromboembolism Prophylaxis
- •Postoperative Considerations
- •References
- •Pre-operative Phase
- •Peri-operative Phase
- •Post-operative Phase
- •Patient Education
- •Appendix 1: UW Medicine Hernia ERAS Protocol
- •Complex Hernia Clinical Pathway
- •Complex Hernia Clinical Pathway
- •Complex Hernia Clinical Pathway
- •Complex Hernia Clinical Pathway
- •Appendix 2: Patient-Friendly Hernia Care Map
- •References
- •Myofascial Anatomy
- •Neurovascular Anatomy
- •Preoperative Planning
- •Surgeon Versus Radiologists Image Interpretation
- •Appendix: CT Atlas
- •References
- •12: Umbilical Hernia Options
- •Getting Started
- •Laparoscopic IPOM Repair
- •Robotic IPOM
- •Transabdominal Pre-peritoneal (TAPP) Approach
- •Rives StoppaRetro-Rectus Repair
- •Posterior Component Separation
- •Cirrhosis
- •History
- •Technique
- •Procedure
- •Postoperative Management
- •Complications
- •References
- •References
- •Introduction
- •Overview
- •Patient Selection
- •Operative Technique
- •Patient Positioning
- •Trocar Placement
- •Docking
- •Dissection
- •Defect Closure
- •References
- •Introduction
- •Anatomy
- •Preoperative Considerations
- •Operative Steps
- •Bibliography
- •16: Technique: Posterior Rectus Sheath Release
- •Introduction
- •Technique
- •Patient Selection
- •Outcomes
- •References
- •17: Ventral Abdominal Hernia Repair: Technique—External Oblique Release
- •Introduction
- •Indications/Contraindications
- •Preoperative Planning
- •Surgery
- •Preoperative/Markings
- •Surgical Technique
- •Open Components Separation
- •Laparoscopic Components Separation
- •Periumbilical Perforator-Sparing Technique
- •Minimally Invasive Components Separation (MICS)
- •Posterior Technique
- •Postoperative Management
- •Complications
- •Infection
- •Seroma
- •Results
- •References
- •18: Technique: Transversus Abdominis Release
- •Introduction
- •Indications
- •Preoperative Considerations
- •Technical Aspects
- •Postoperative Care
- •Outcomes
- •References
- •Introduction
- •Technique Overview
- •Patient Selection
- •Retromuscular Dissection
- •Midline Dissection
- •Transversus Abdominis Release
- •Double Dock, Contralateral Dissection
- •References
- •Introduction
- •eTEP
- •Upper Midline Defect
- •Lower Midline Defects
- •Transversus Abdominis Release (TAR)
- •Closure
- •Mesh Placement
- •Transabdominal Approach
- •Postoperative Management
- •Mesh Placement
- •References
- •Introduction
- •Anatomy
- •Techniques
- •Outcomes
- •Complications
- •References
- •Introduction
- •Anatomy
- •Our Technique
- •Other Uses
- •References
- •Introduction
- •Surgical Technique
- •Indications
- •Non-midline Hernias
- •Parastomal Hernia Repairs
- •Drawbacks/Pitfalls
- •Discussion
- •References
- •Introduction
- •Diagnosis
- •Stoma Relocation
- •Primary Repair
- •Parastomal Hernia Mesh Repair
- •Onlay Mesh
- •Underlay Mesh Placement
- •Summary
- •References
- •Introduction
- •Spigelian Hernias
- •Surgical Technique
- •Open Repair
- •MIS Repair
- •Flank Hernias
- •Surgical Technique
- •Open Repair
- •MIS Repair
- •Surgical Technique
- •Open Repair
- •MIS Repair
- •References
- •26: Recurrent Ventral Hernia Repair
- •Introduction
- •Smoking
- •Diabetes
- •Obesity
- •Laparoscopic Recurrent Ventral Hernia Repair
- •Open Recurrent Ventral Hernia Repair
- •Special Considerations
- •Contaminated Fields
- •Soft Tissue Coverage
- •Summary
- •References
- •Introduction
- •Classification
- •Definition
- •Pathophysiology
- •Local Alterations
- •Systemic Alterations
- •Musculoskeletal Dysfunction
- •Ventilatory Dysfunction
- •Chronic Gastrointestinal Dysfunction
- •Psychosocial Issues
- •Transverse Abdominal Release Technique TAR
- •Albanese Technique
- •Adjuvant Techniques
- •Progressive Preoperative Pneumoperitoneum (PPP)
- •Botulinum Toxin
- •Tissue Expanders
- •Summary
- •Bibliography
- •Introduction
- •Fixation Versus No Fixation
- •Permanent Versus Absorbable Tacks
- •Penetrating Fixation Versus Glue Fixation
- •Self-Fixating Mesh
- •Evidence
- •Recommendations
- •References
- •Relevant Neuroanatomy
- •General Principles
- •Bassini Repair
- •McVay Cooper’s Ligament Repair
- •Shouldice
- •Technique
- •Lichtenstein
- •Plug-and-Patch
- •Post-herniorrhaphy Inguinodynia
- •References
- •Introduction
- •Preoperative Aspects
- •Operative Aspects
- •Robotic TAPP (rTAPP)
- •Preoperative Considerations
- •Operative Setup
- •References
- •Introduction
- •Open Repair
- •Laparoscopic Repair
- •Repair vs. Watchful Waiting
- •Pain
- •Early Complications
- •Robot
- •Recommendations
- •Watchful Waiting
- •Open Repair
- •Laparoscopic or Robotic Repair
- •Laparoscopic vs. Open Repair
- •References
- •Introduction
- •TEP vs. TAPP
- •Complications
- •Operative Time
- •Postoperative Pain
- •Chronic Groin Pain
- •Recurrence
- •Cost
- •Robotic Transabdominal Preperitoneal (rTAPP) vs. TAPP
- •References
- •Introduction
- •Anatomical Basis
- •Salient Features
- •Indications
- •Preparation
- •Port Setup
- •References
- •Introduction
- •What Is Mini-laparoscopy?
- •Why Use Mini-laparoscopy?
- •Mini-laparoscopic TAPP
- •Mini-laparoscopic TEP
- •References
- •35: The Cavernous Direct Inguinal Hernia
- •Introduction
- •Anatomy
- •Epidemiology
- •Etiology/Pathogenesis
- •Laparoscopic Robotic-Assisted Transabdominal Preperitoneal (TAPP) Approach
- •Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair
- •References
- •Femoral Hernias
- •Hidden Inguinal Hernias
- •References

The SAGES University Masters Program Series
Editor-in-Chief: Brian Jacob
The SAGES Manual
of Hernia Surgery
Second Edition
S. Scott Davis Jr.
Gregory Dakin
Andrew Bates
Editors
123

The SAGES Manual of Hernia Surgery

The SAGES University Masters Program Series
Editor-in-Chief: Brian Jacob

S.Scott Davis Jr. • Gregory Dakin
Andrew Bates
Editors
The SAGES Manual
of Hernia Surgery
Second Edition

Editors
S.Scott Davis Jr.
Emory University
Atlanta, GA
USA
Andrew Bates
Stony Brook Surgical Associates
Centereach, NY
USA
Gregory Dakin
Weill Med College At Cornell University
New York, NY
USA
ISBN 978-3-319-78410-6 ISBN 978-3-319-78411-3 (eBook)
https://doi.org/10.1007/978-3-319-78411-3
Library of Congress Control Number: 2018961396
© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2019
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microlms 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 specic 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 afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG
The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents
1 SAGES University MASTERS PROGRAM: Hernia Pathway. . . . . . 1
Daniel B. Jones, Linda Schultz, and Brian Jacob
2 Laparoscopic Ventral Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Alisa M. Coker and Gina L. Adrales
3 Masters Program Hernia Pathway:
Laparoscopic Inguinal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Jacqueline Blank and Matthew I. Goldblatt
4 Hernia Materials: Fundamentals ofProsthetic Characteristics . . . . . 35
Corey R. Deeken and Spencer P. Lake
5 Permanent Prosthetics: Polypropylene, Polyester, ePTFE,
andHybrid Mesh . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Sean B. Orenstein
6 Biologic andAbsorbable Prosthetic: When, Why,
andWhere Are WeGoing . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 71
Michael R. Arnold, Angela M. Kao, and Vedra A. Augenstein
7 Prosthetic Fixation Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Nathaniel Stoikes, David Webb, and Guy Voeller
8 How toChoose aMesh inHernia Repair . . . . . . . . . . . . . . . . . . . . . . . 97
David Earle
9 Patient Comorbidities Complicating aHernia Repair:
ThePreoperative Workup andPostoperative Planning . . . . . . . . . . . 109
Desmond T. K. Huynh and Omar M. Ghanem
10 Enhanced Recovery inAbdominal Hernia Repair . . . . . . . . . . . . . . . 125
Andrew S. Wright and Rebecca P. Petersen
11 Computed Tomography andGross Anatomy oftheAbdominal
Wall (Including Planes forMesh Hernia Repair) . . . . . . . . . . . . . . . . 143
Ryan M. Juza and Eric M. Pauli
v

vi
Contents
12 Umbilical Hernia Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
T. J. Swope
13 Bridging Versus Closing theDefect During MIS Ventral
Hernia Repair: Pros andCons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Morris E. Franklin Jr, Miguel A. Hernández,
and Philip Mason Hamby
14 Robotic Technique forIntraperitoneal Onlay Mesh (IPOM) . . . . . . . 183
James G. Bittner IV, Michael P. Meara, and Natasha L. Clingempeel
15 Ventral, Incisional, andAtypical Hernias Using aRobotic
Transabdominal Preperitoneal Approach . . . . . . . . . . . . . . . . . . . . . . 193
Stephanie Bollenbach and Conrad Ballecer
16 Technique: Posterior Rectus Sheath Release . . . . . . . . . . . . . . . . . . . . 203
Samuel P. Carmichael II and J. Scott Roth
17 Ventral Abdominal Hernia Repair: Technique—External
Oblique Release . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 217
Mark W. Clemens and Charles E. Butler
18 Technique: Transversus Abdominis Release . . . . . . . . . . . . . . . . . . . . . 237
Luis A. Martin-del-Campo and Yuri W. Novitsky
19 Robotic Transversus Abdominis Release: Tips andTricks . . . . . . . . . 249
Jeremy A. Warren and Alfredo M. Carbonell
20 Ventral Abdominal Hernia Repair: MIS Extraperitoneal
Repair Techniques: eTEP Rives, MILOS/EMILOS,
andOnlay MIS Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 271
Flavio Malcher Martins de Oliveira, Leandro Totti Cavazzola,
Adam S. Weltz, and Igor Belyansky
21 Component Separation: Outcomes andComplications . . . . . . . . . . . 291
Maurice Y. Nahabedian
22 Botulinum Toxin inAbdominal Wall Hernia Repair . . . . . . . . . . . . . . 307
Talar Tejirian and Louise Yeung
23 Mesh Sutured Repairs oftheAbdominalWall . . . . . . . . . . . . . . . . . . 317
Gregory A. Dumanian and Steven T. Lanier
24 Treatment ofParastomal Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 333
Zachary Sanford, Adam S. Weltz, and Igor Belyansky
25 Challenging Hernias: Spigelian, Flank Hernias, Suprapubic,
andSubxiphoid . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 343
Patrick Dolan and Gregory Dakin
26 Recurrent Ventral Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 359
Charlotte Horne and Ajita Prabhu

Contents
vii
27 Loss ofAbdominal Domain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 373
Marco Alban Garcia
28 Fixation vs. No Fixation inMIS Inguinal Hernia Repair . . . . . . . . . . 391
Christopher Yheulon and S. Scott Davis Jr.
29 Open Techniques: Mesh andNon-mesh Anatomical Repairs . . . . . . . 397
Andrew Bates and Salvatore Docimo Jr.
30 MIS Techniques: Lap TAPP andrTAPP . . . . . . . . . . . . . . . . . . . . . . . 415
Edmundo Inga-Zapata and Fernando García
31 MIS vs. Open Inguinal Hernia forUncomplicated
Unilateral Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 429
Fadi Balla and Ankit D. Patel
32 TAPP vs. TEP vs. rTAPP: What Does theEvidence Show? . . . . . . . . 439
Alexandra Argiroff and Diego Camacho
33 Minimally Invasive Surgical Techniques
forInguinal Hernia Repair: TheExtended-View
Totally Extraperitoneal Approach (eTEP) . . . . . . . . . . . . . . . . . . . . . . 449
Jorge Daes
34 Inguinal Hernia Repair withMini- laparoscopic Instruments . . . . . . 461
Gustavo Carvalho, Marcelo Loureiro, Miguel Nacul, Flavio
Malcher, Eduardo Moreno Paquentin, and Phillip Shadduck
35 The Cavernous Direct Inguinal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . 483
Thomas Pomposelli, Grace Lassiter, and Omar Yusef Kudsi
36 Femoral Hernia andOther Hidden Hernias:
Options andStrategies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 495
Shirin Towgh
37 Strangulated Inguinal Hernia: Options andStrategies . . . . . . . . . . . . 503
Kara A. VandeWalle and Jacob A. Greenberg
38 Groin Pain Syndromes inAthletes: “Sports Hernia” . . . . . . . . . . . . . 515
Brian S. Zuckerbraun and Craig S. Mauro
39 Chronic Pain After Inguinal Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . 533
David K. Nguyen and David C. Chen
40 Intraoperative andPostoperative Complications
ofMIS Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 549
Paul Frydenlund and Archana Ramaswamy
41 Repair ofParaesophageal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 559
Abraham J. Matar and Edward Lin

viii
Contents
42 Repair ofCongenital Diaphragm Hernias:
Morgagni andBochdalek . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 573
P. Bennett Brock and S. Scott Davis Jr.
43 Revisional Paraesophageal Hernia:
Tips andTricks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 583
Rana M. Higgins and Jon C. Gould
44 Establishing aHernia Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 595
Karla Bernardi and Mike K. Liang
45 Prevention ofAbdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . . 611
Rajavi S. Parikh and William W. Hope
46 Hernias inthePediatric Population . . . . . . . . . . . . . . . . . . . . . . . . . . . 621
Sophia Abdulhai and Todd A. Ponsky
47 Herniorrhaphy inCirrhosis: Operative Approach andTiming . . . . . 637
Sara P. Myers, Shahid M. Malik, Amit D. Tevar,
and Matthew D. Neal
48 Concurrent Hernia Repair withGynecologic
or Urologic Surgery? Pros andCons . . . . . . . . . . . . . . . . . . . . . . . . . . . 657
Michael Choi and Cheguevara Afaneh
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 667

Contributors
SophiaAbdulhai, MD Division of Pediatric Surgery, Akron Children’s Hospital,
Akron, OH, USA
GinaL.Adrales, MD, MPH Division of Minimally Invasive Surgery, Department
of Surgery, Johns Hopkins Hospital, Baltimore, MD, USA
CheguevaraAfaneh, MD Department of Surgery, Weill Cornell Medical College,
New York, NY, USA
Alexandra Argiroff, MD Department of Surgery, Minimally Invasive and
Laparoscopic General Surgery, Monteore Medical Center, Bronx, NY, USA
Michael R. Arnold, MD Division of Gastrointestinal and Minimally Invasive
Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA
Vedra A.Augenstein, MD Division of Gastrointestinal and Minimally Invasive
Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA
FadiBalla, MD Department of Surgery, Emory School of Medicine, Atlanta, GA,
USA
Conrad Ballecer, MD, FACS
Minimally Invasive and Robotic Surgery, Abrazo Arrowhead Hospital, Glendale,
AZ, USA
Andrew Bates, MD
Department of Surgery, Stony Brook University Hospital, Stony Brook, NY, USA
Stonybrook Surgical Associates, Centereach, NY, USA
Igor Belyansky, MD, FACS Department of Surgery, Anne Arundel Medical
Center, Annapolis, MD, USA
KarlaBernardi, MD Department of General Surgery, McGovern Medical School,
University of Texas Health Science Center, Houston, TX, USA
JamesG.Bittner IV, MD Department of Surgery, Sentara RMH Medical Center,
Harrisonburg, VA, USA
Division of Bariatric, Foregut, and Advanced GI Surgery,
Department of General Surgery, Center for
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