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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_926_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Preface
- •Contents
- •Contributors
- •1.5 Wound Healing in Hernia Patients
- •1.6 Main Points
- •References
- •2: An Introduction to Complex Systems Science and Its Application to Hernia Surgery
- •2.1 Introduction
- •1: The Biology of Hernia Formation
- •1.1 Introduction
- •1.2 The Connective Tissue
- •1.2.1 Collagen
- •1.2.2 Matrix Metalloproteinases
- •1.3 Inheritance and Genetics
- •2.2.2 Minimizing Pain and Enhancing Recovery (A Multimodal Effort)
- •2.3 Application of These Tools to a Local Hernia Program
- •2.4 Summary
- •Suggested Reading
- •3: Evaluating Outcomes and Evidence in Hernia Repair
- •3.1 Introduction
- •3.2 Recurrences
- •3.2.1 Importance of Study Methodology
- •3.2.2 Importance of Length of Follow-Up
- •3.2.3 Importance of Outcome Assessment
- •3.2.4 Importance of Follow-Up Percentages
- •3.2.5 Importance of Outcome Reporting
- •3.3 Complications
- •3.3.3 Seroma
- •3.3.4 Surgical Site Infections
- •3.3.5 Surgical Site Occurrences
- •3.4 Patient Reported Outcomes Measurement and Quality of Life
- •3.4.1 Generic Quality of Life Scores
- •3.4.2 Visual Analogues Scale (VAS) for Pain
- •3.4.3 Verbal Rating Scale (VRS)
- •3.4.4 Carolina Comfort Scale™ (CCS™)
- •3.4.5 Inguinal Pain Questionnaire (IPQ) and Ventral Hernia Pain Questionnaire (VHPQ)
- •3.4.6 Hernia-Related Quality-of-Life (HerQles)
- •3.4.7 European Registry for Abdominal Wall Hernias QoL Score (EuraHS-QoL Score)
- •References
- •4: Inguinal Hernia Epidemiology
- •4.1 Introduction
- •4.2 Age and Gender
- •4.3 Inheritance
- •4.4 Occupation
- •4.5 Obesity
- •4.6 Comorbidities
- •4.7 Inguinal Hernia Recurrence
- •References
- •5: Inguinal Anatomy
- •5.1 Overview
- •5.2 Embryology
- •5.3 Gross Anatomy
- •5.3.3 Inguinal (Poupart’s) Ligament
- •5.3.4 Lacunar (Gimbernat’s) Ligament
- •5.3.5 Pectineal (Cooper’s) Ligament
- •5.3.6 Conjoined “Tendon”
- •5.3.7 Hesselbachs Triangle
- •5.3.8 Fossae of the Anterior Abdominal Wall
- •5.3.9 The Femoral Sheath and Femoral Canal
- •5.4 Pathophysiological Variants
- •5.4.1 Hernias
- •5.4.2 Hydrocele
- •5.4.3 Cryptorchidism
- •References
- •6: Diagnostic Considerations in Inguinal Hernia Repair
- •6.1 Introduction
- •6.2 Herniography
- •6.3 Ultrasonography
- •6.4 Computed Tomography
- •6.5 Magnetic Resonance Imaging
- •6.6 Summary
- •References
- •7: Overview of Modern Surgical Techniques in Inguinal Hernia Repair
- •References
- •8: Anesthetic Considerations in Inguinal Hernia Repair
- •8.1 Introduction
- •8.2 Options for Anesthesia in Inguinal Hernia Repair
- •8.2.1 Local Anesthesia
- •8.2.1.1 Patient Selection
- •8.2.1.2 Technique for Local Anesthesia: Open Approach
- •8.2.2 General Anesthesia
- •8.2.2.2 Optimizing Postoperative Recovery from General Anesthesia
- •8.2.3 Regional/Spinal Anesthetic
- •8.3 Epidemiology and Current Trends
- •8.3.1 Anesthesia and Operative Approach
- •8.3.2 Current Guidelines and Recommendations
- •8.3.3 Cost Considerations
- •8.4 Patient Satisfaction and Long-Term Quality of Life
- •8.5 Conclusions
- •References
- •9: The Shouldice Repair 2016
- •9.1 Preamble
- •9.2 History
- •9.2.1 Anatomy
- •9.3.2 The Hernia Sac
- •9.3.3 The Cribriformis Fascia
- •9.3.4 Resection of the Cremaster
- •9.3.5 Relaxing Incision
- •9.3.6 Sutures and Stainless Steel
- •9.3.7 Cost
- •9.4 Surgery: Technical Aspects
- •9.4.1 Sedation
- •9.4.2 Local Anesthesia
- •9.4.3 Dissection
- •9.5 Reconstruction
- •9.6 Statistics and Results
- •9.7 Results
- •9.7.1 Findings
- •9.8 Complications
- •9.2.2 Weight Control
- •9.2.3 Local Anesthesia
- •9.2.4 Early Ambulation
- •9.3 General Principles
- •9.3.1 Division of the Posterior Inguinal Wall
- •9.9 Pain
- •9.9.1 Dysejaculation
- •9.9.1.1 Mesh Removal, Explantations
- •9.9.2 Literature
- •9.10 Conclusion
- •References
- •10: Lichtenstein Tension-Free Hernioplasty
- •10.1 Introduction
- •10.2 Preoperative Management
- •10.3 Materials
- •10.4 Operative Technique
- •10.4.1 Positioning and Preparation
- •10.4.2 Anesthesia and Sedation
- •10.5 Operative Steps
- •10.6 Postoperative Management
- •10.7 Associated Risks and Complications
- •10.9 Discussion
- •10.10 Conclusion
- •References
- •11: The Gilbert Bilayer Connected Device (PHS) and Other Mesh Repairs
- •11.1 Principles of Hernia Repair: The Ideal Technique
- •11.2 Quality of Life Issues: Improving Outcomes and Patient Satisfaction
- •11.3 “Tailored” Surgery: Selection of Technique
- •11.4 Suture Techniques
- •11.5 Mesh Repairs
- •11.5.1 Onlay
- •11.5.2 Mesh Plug Repairs
- •11.5.3 Pre-peritoneal Mesh Repairs
- •11.5.4 Laparoscopic Mesh Repairs
- •11.5.5 Combined Anterior and Posterior Repair: The Prolene Hernia System (PHS)
- •11.6 Technique of Local Anesthesia
- •11.6.1 PHS Insertion Technique
- •11.7 Preparation of the Anterior Space
- •11.9 Preparation and Insertion of the PHS Underlay
- •11.10 Small Indirect Hernias
- •11.11 Large Indirect Hernias
- •11.12 Deployment of the Underlay: Indirect Hernias
- •11.13 Application of the PHS Overlay
- •11.14 Femoral Hernias
- •11.15 Post-op Care: Instructions
- •11.16 Results
- •11.17 Other Mesh Products
- •11.18 Conclusions
- •References
- •12: Laparoscopic TAPP Repair
- •12.1 Introduction
- •12.2 History
- •12.3 Preoperative Considerations
- •12.4 Operative Technique
- •12.5 TAPP Versus TEP
- •12.6 Summary
- •References
- •13: Laparoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair
- •13.1 History and Introduction
- •13.2 Totally Extraperitoneal Hernia Repair (TEP)
- •13.2.1 Suggested Equipment
- •13.2.2 Positioning and Draping
- •13.2.3 Incision and Pre-peritoneal Access
- •13.2.4 Pre-peritoneal Space Creation
- •13.2.5 Trocar Insertion
- •13.2.7 Dissection of the Hernia Sac
- •13.2.7.1 Direct Hernias
- •13.2.7.2 Indirect Hernias
- •13.2.8 Mesh Application
- •13.2.8.1 Type and Size of Mesh
- •13.2.8.2 Mesh Preparation
- •13.2.8.3 Mesh Introduction and Application
- •13.2.8.4 Mesh Fixation
- •13.2.8.5 Repair Check
- •Contralateral Side Exploration
- •13.2.9 Special Consideration
- •13.2.9.1 E-TEP
- •13.2.9.2 Obesity
- •13.2.9.3 Recurrent Hernias
- •13.2.9.5 Incarcerated and Strangulated Hernia
- •13.2.10 Postoperative Care
- •13.2.10.1 Hospital Stay and Recovery
- •13.2.10.2 Pain
- •13.2.11 Complications
- •13.2.11.1 Major Intra-operative Complications
- •Urinary Bladder Injury
- •13.2.11.2 Postoperative Complications
- •Urinary Retention
- •Seroma and Hematoma
- •Chronic Pain
- •Genitourinary Complications
- •Mesh Infection
- •Recurrence
- •References
- •14: Emerging Technology: Open Approaches to Preperitoneal Inguinal Hernia Repair
- •14.1 Introduction
- •14.2.1 Indications and Contraindications
- •14.2.2 Preoperative Preparation
- •14.2.3 Anesthesia
- •14.3 The Grid-Iron Repair
- •14.4 Bilayer Mesh Device Repair (Prolene Hernia System™/Ultrapro Hernia System™)
- •14.5 The Kugel Approach
- •14.6 The Transinguinal Polysoft™ Technique
- •14.7 The Transrectus Sheath Preperitoneal Mesh Technique (TREPP)
- •14.8 The Onstep Technique
- •14.8.1 Postoperative Recommendations
- •References
- •15: Emerging Technology: SILS Inguinal Hernia Repair
- •15.1 Introduction
- •15.2 Methodology
- •15.2.1 Using the S-Shaped Retractors
- •15.2.2 Balloon Dissection of the Extraperitoneal Space
- •15.2.3 Telescopic Dissection of the Extraperitoneal Space
- •15.2.4 Preparation of the Triport+ Device
- •15.2.7 Principles of Dissection During a TEP Repair
- •15.2.8 Telescopic Dissection of the Extraperitoneal Space
- •15.2.9 Insertion of the Mesh
- •15.2.11 Closure of the Umbilical Wound
- •15.2.12 Discharge Instructions and Follow-Up
- •15.3 Discussion
- •15.4 Conclusion
- •References
- •16: Emerging Technology: Robotic Inguinal Hernia Repair
- •16.1 Introduction
- •16.2 Rationale
- •16.3 Techniques for Robotic Inguinal Hernia
- •16.4 Literature
- •16.5 Controversies for Robotic Inguinal Hernia Repair
- •16.6 Future Directions for Robotic Inguinal Hernia Repair
- •References
- •17: Outcomes in Inguinal Hernia Repair
- •References
- •18: Prevention and Evaluation of Chronic Groin Pain
- •18.1 Risk Factors
- •18.2 Selection of Patients
- •18.3 Selection of Technique and Approach
- •18.5 Choose the Mesh: Lightweight vs. Heavyweight
- •18.6 Choose the Fixation
- •18.7 Clinical Assessment
- •References
- •19: An Approach to Inguinal Pain
- •References
- •20: Surgical Management of Chronic Groin Pain
- •20.1 Introduction
- •20.2 Nonoperative Approach
- •20.3 Operative Techniques
- •20.3.1 Recurrence
- •20.3.2 Neuropathic Pain
- •20.3.3 Meshoma
- •20.3.4 Orchialgia
- •20.4 Conclusions
- •References
- •21: Groin Pain in Athletes
- •21.1 Introduction
- •21.1.1 Epidemiology
- •21.2.1 Background
- •21.2.2 British Hernia Society: Manchester
- •21.2.4 Doha v Manchester
- •21.4 What Are the Main Investigations That Are Required for Athletes Presenting with Inguinal-Related Groin Pain?
- •21.5.1 Active Rehabilitation
- •21.5.2 Surgical Intervention
- •21.6 Conclusion
- •References
- •22: The Treatment of Incarcerated and Strangulated Inguinal Hernias
- •22.1 Introduction
- •22.2 Incidence
- •22.3 Presentation
- •22.4 Diagnosis
- •22.5 Repair
- •22.5.1 Open Repair
- •22.5.2 Role of Mesh Repair
- •22.5.3 Role of Laparoscopic Repair
- •22.5.4 Hernioscopy
- •22.6 Summary
- •References
- •23: Introduction and Epidemiology of Incisional Hernias and the Argument for Mesh in Incisional Hernia Repair
- •23.1 Historical Brief
- •23.2 Prevalence and Cost
- •23.3 Risk Factors for Incisional Hernia
- •23.4 The Argument for Mesh
- •References
- •24: Abdominal Wall Anatomy
- •24.1 Clinical Anatomy
- •24.1.1 Overview
- •24.1.2 Layers of the Abdominal Wall
- •24.1.2.1 Fascia
- •24.1.2.2 Musculature
- •24.1.3 Neurovascular Anatomy
- •24.1.3.1 Nerves
- •24.1.3.2 Vessels
- •24.1.4 Layers of the Groin
- •24.1.4.1 Fascia
- •24.1.4.2 Contents
- •24.1.4.3 Neurovascular
- •24.1.4.4 Anatomic Regions
- •24.2 Physiology of the Abdominal Wall
- •24.2.1 Overview
- •24.2.2 Normal Function
- •24.2.2.1 Dynamic Function
- •24.2.2.2 Respiratory Function
- •24.2.3 Anatomic Abnormalities
- •24.2.3.1 Diastasis Recti
- •24.2.3.2 Ventral Hernia
- •References
- •25: Hernia Prevention and the Importance of Laparotomy Closure
- •25.1 Introduction
- •25.2 Risk Factors
- •25.2.1 Patient-Related Risk Factors
- •25.2.2 Operative Factors
- •25.3 Methods of Closure
- •25.3.1 Continuous or Interrupted Sutures
- •25.3.2 Suture Length to Wound Length Ratio
- •25.3.3 Layered Closure or Mass Closure
- •25.3.4 Stitch Size
- •25.3.5 Suture Material
- •25.3.6 Prophylactic Mesh Augmentation
- •25.4 Future Directions
- •References
- •26: The Use of Prophylactic Mesh in the Prevention of Incisional and Parastomal Hernia Repair
- •26.1 Introduction
- •26.2 Parastomal Hernia
- •26.2.1 Introduction
- •26.3 Conclusion
- •References
- •27: Preoperative Optimization and Enhanced Recovery Protocols in Ventral Hernia Repair
- •27.1 Introduction
- •27.2 Preoperative Optimization
- •27.2.1 Obesity
- •27.2.2 Smoking
- •27.2.3 Diabetes
- •27.2.4 Nutrition and Metabolic Control
- •27.3 Peri- and Postoperative Optimization
- •27.3.1 Surgical Site Infection
- •27.3.2 Skin Preparation and Decolonization Protocols
- •27.3.3 Perioperative Antibiotics
- •27.3.4 Postoperative Blood Glucose Management
- •27.4 Conclusion
- •References
- •28: Overview of Operative Approaches and Staging Systems for Ventral/Incisional Hernia Repairs
- •28.1 Introduction
- •28.2.2 Ventral Hernia Working Group
- •28.3 Ventral Hernia Staging System
- •28.5 Outcomes
- •28.6 Summary
- •References
- •29: Onlay Ventral Hernia Repair
- •29.1 Introduction
- •29.3 Clinical Data
- •29.4 Contemporary Onlay Ventral Hernia Repair with Fibrin Glue Fixation
- •29.5 Discussion
- •References
- •30: Retrorectus Hernia Repair and Transversus Abdominis Release
- •30.1 Introduction
- •30.2 Indications
- •30.3 Technical Description
- •30.3.1 Retrorectus Hernia Repair
- •30.3.2 The Transversus Abdominis Release Procedure
- •30.4 Outcomes
- •30.5 Pearls
- •30.6 Conclusion
- •References
- •31: Anterior Component Separation Techniques
- •31.1 Introduction
- •31.2.1 Overview
- •31.2.2 Evolution
- •31.2.3 Technique
- •31.2.4 Outcomes
- •31.2.5 Challenges and Pitfalls
- •31.3.1 Overview
- •31.3.2 Evolution
- •31.3.3 Technique
- •31.3.4 Outcomes
- •31.3.5 Challenges and Pitfalls
- •31.4.1 Overview
- •31.4.2 Evolution
- •31.4.3 Technique
- •31.4.4 Outcomes
- •31.4.5 Challenges and Pitfalls
- •31.5 Conclusion
- •References
- •32: Endoscopic Component Separation Techniques
- •32.1 Background/Historical Perspective
- •32.2 Indications for ECS
- •32.3 Contraindications for ECS
- •32.4 Operative Steps
- •32.4.1 Preoperative Preparation
- •32.4.2 Techniques of ECS
- •32.4.3 Operative Technique
- •32.4.3.1 Transfascial Approach
- •32.4.3.3 Endoscopic Subcutaneous CS Approach
- •32.4.4 Pearls and Pitfalls
- •32.4.5 Evaluation of Results
- •32.5 Conclusion
- •References
- •33: Alternate Methods to Components Separation
- •33.1 Introduction
- •33.2 Operative Technique
- •33.2.3 Step Three: Create the Peritoneal Flaps
- •33.2.4 Step Three: Develop the Sublay Plane
- •33.2.5 Step Four: Close the Peritoneal Cavity
- •33.2.6 Step Five: Insert the Mesh
- •33.2.7 Step Six: Complete the Fascial Closure
- •33.3 Postoperative Complications
- •References
- •34: Plastic Surgery Considerations for Abdominal Wall Reconstruction
- •34.1 Introduction
- •34.2 Perforator Preservation
- •34.3 Skin Management
- •34.3.1 Panniculectomy
- •34.4 Dead Space Obliteration
- •34.5 Tissue Expansion
- •34.7 Negative Pressure Wound Therapy
- •34.7.2 Incisional Negative Pressure Wound Therapy
- •34.8 Conclusion
- •References
- •35: Robotic Transabdominal Preperitoneal (rTAPP) Hernia Repair for Ventral Hernias
- •35.1 Introduction
- •35.1.1 Surgical Anatomy
- •35.1.2 Preoperative Considerations
- •35.2 r-TAPP Hernia Repair for Umbilical or Small Mid-Abdominal Incisional Hernia Repair
- •35.2.1 Patient Positioning
- •35.2.2 Port Positioning, Docking, and Instrumentation
- •35.2.4 Primary Closure of Defect
- •35.3 rTAPP Repair of Atypical Hernias
- •35.3.1 Introduction
- •35.4 rTAPP Repair of Suprapubic Hernias
- •35.4.1 Patient Positioning, Trocar Placement, and Docking
- •35.4.2 Operative Steps
- •35.5 rTAPP Repair of Morgagni Hernias
- •35.5.1 Clinical Anatomy
- •35.5.2 Patient Positioning, Trocar Placement, and Docking
- •35.5.3 Operative Steps
- •35.6 Conclusion
- •References
- •36: Robotic IPOM-Plus Repair
- •36.1 Introduction
- •36.3 Surgical Technique
- •36.3.1 Patient Positioning
- •36.3.2 Trocar Placement
- •36.3.3 Docking
- •36.3.4 Adhesiolysis
- •36.4 Closure of the Defect
- •36.4.2 Closure of the Port Defects
- •36.5 The da Vinci Xi
- •36.6 Pearls
- •References
- •37: Laparoscopic Closure of Defect
- •37.1 Introduction
- •37.2 Concept of Defect Closure
- •37.2.1 Abdominal Wall Mechanics
- •37.2.2 Functional and Dynamic Repair
- •37.3 Advantages of Defect Closure
- •37.4 Disadvantages of Defect Closure
- •37.5 Patient Selection
- •37.7 Summary
- •References
- •38: Treatment of Incarcerated and Strangulated Ventral and Incisional Hernias
- •38.1 Introduction
- •38.2 Natural History
- •38.3 Clinical Presentation and Diagnosis
- •38.4 Surgical Management
- •38.4.1 Open Repair
- •38.4.2 Laparoscopic Repair
- •38.4.4 Contaminated Operative Field
- •38.5 Summary
- •References
- •39: Treatment of Atypical Hernias
- •39.1 Introduction
- •39.2 Preoperative Planning
- •39.3 Subxiphoid Hernias
- •39.3.1 Surgical Anatomy
- •39.3.2 Open Repair
- •39.3.3 Laparoscopic Repair
- •39.4 Subcostal Hernias
- •39.5 Suprapubic Hernias
- •39.5.1 Surgical Anatomy
- •39.5.2 Open Repair
- •39.5.3 Laparoscopic Repair
- •39.6 Flank Hernias
- •39.6.1 Surgical Anatomy
- •39.6.2 Open Repair
- •39.6.3 Laparoscopic Repair
- •39.6.4 Extraperitoneal Repair
- •39.7 Additional Considerations for Atypical Hernias
- •39.7.1 Tissue Sealant Fixation of Mesh
- •39.7.2 Bone Anchor Fixation of Mesh
- •39.8 Robotic Hernia Repair
- •References
- •40: Umbilical Hernias
- •40.1 Introduction
- •40.2 Elective Presentation
- •40.2.1 Management Strategies
- •40.3 Special Circumstances
- •40.3.1 Acute
- •40.3.2 Concomitant Repair
- •40.3.3 Cirrhosis
- •40.3.4 Pregnancy
- •40.4 Future Needs
- •40.5 Conclusions
- •References
- •41: Diastasis Recti
- •41.1 Introduction
- •41.2 Anatomy
- •41.3 Etiology
- •41.4 Diagnosis
- •41.5 Treatment
- •41.5.1 Exercise
- •41.5.2 Abdominoplasty
- •41.5.3 Plication of the Linea Alba
- •41.5.4 Fascial Plication and Onlay Mesh
- •41.5.5 Retrorectus Repair with Sublay Mesh
- •41.6 Endoscopic/Laparoscopic
- •41.7 Complications
- •41.8 Summary
- •References
- •42: Evisceration and Dehiscence
- •42.1 Introduction
- •42.2 Incidence and Risk Factors Relating to Dehiscence/Evisceration
- •42.2.1 Patient
- •42.2.2 Operation
- •42.2.3 Surgical Technique
- •42.2.4 Postoperative Period
- •42.4 Outcomes of Patients
- •References
- •43: Treatment of the Open Abdomen
- •43.1 Introduction
- •43.2.2 Damage Control Surgery (DCS)
- •43.3 Temporary Abdominal Closure Techniques
- •43.3.1 Historical Perspective
- •43.3.1.1 Skin Only Closure and Loose Packing
- •43.3.1.2 Esmarch Closure
- •43.3.1.3 Zipper Closure
- •43.3.2 Current Methods of Temporary Abdominal Closure
- •43.3.2.1 Silos, e.g., Bogota Bag
- •43.3.2.3 Negative Pressure Wound Therapy (NPWT)
- •43.3.2.6 Bridging Mesh and Planned Hernia
- •43.4.1 Delayed Primary Fascial Closure
- •43.4.2 Effect of Temporary Abdominal Closure Method on Fascial Closure Rate
- •43.4.3 Component Separation
- •43.5 Complications
- •43.6 Nutritional Considerations
- •43.7 Conclusions
- •References
- •44: Parastomal Hernia
- •44.1 Introduction
- •44.2 Diagnose and Incidence
- •44.3 Symptoms, Patient Information and Risk Factors
- •44.6 Treatment Options and Outcomes
- •44.7 Mesh Types
- •44.8 Prevention of Parastomal Hernia
- •44.9 Summary
- •References
- •45: Progressive Preoperative Pneumoperitoneum (PPP)
- •45.1 Introduction
- •45.3 Loss of Domain, Pathophysiology
- •45.5 Hernia Surgery with Loss of Domain
- •45.6 Preoperative Progressive Pneumoperitoneum
- •45.7 Objectives of the PPP
- •45.8 PPP Physiology
- •45.10 Preparing for PPP
- •45.12 Conclusions
- •45.13 Clinical Case
- •References
- •46: Botulinum Toxin Use in Complex Abdominal Wall Hernias
- •46.1 Introduction
- •46.2.1 Preclinical Studies
- •46.2.2 Clinical Observations
- •46.3 Technique
- •46.5 Proposed Indications
- •46.6 Future Directions
- •46.7 Conclusions
- •References
- •47: Hernia Repair in Undeserved Areas
- •47.1 Epidemiology
- •47.2 Operative Technique
- •47.2.1 The Use of Low-Cost Mesh
- •47.2.2 Logistics and Education
- •References
- •48: Social Media and Education in Hernia Repair
- •48.1 Introduction
- •48.2 Social Media: Background
- •48.3 International Hernia Collaboration
- •48.4 Interactive Learning
- •48.7 Interdisciplinary Collaboration
- •48.8 Conclusion
- •References
- •49: Robotic Ventral Hernia Repair
- •49.1 Introduction
- •49.2 Overview of Current Literature
- •49.3 Patient Selection
- •49.4 Surgical Technique
- •49.5 Double-Dock Approach
- •49.6 Single-Dock Techniques
- •49.6.1 Single-Dock Retromuscular Repair
- •49.6.2 Single-Dock Preperitoneal Repair
- •49.6.3 Single-Dock Epigastric and Suprapubic Repair
- •49.7 Outcomes
- •49.8 Conclusion
- •References
- •50: Management of Mesh Infection
- •50.1 Introduction
- •50.2 Epidemiology and Pathogenesis
- •50.3 Mesh Material and Structure
- •50.4 Management of Mesh Infections
- •50.4.1 Mesh Salvage
- •50.4.2 Mesh Type
- •50.4.3 Mesh Position
- •50.4.4 Percutaneous Drainage
- •50.4.5 Negative Pressure Wound Therapy
- •50.4.6 Mesh Excision
- •50.5 Prevention of Mesh Infection
- •50.6 Conclusion
- •References
- •Index

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.
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Editors
Textbook
of Hernia
123

Textbook of Hernia

William W. Hope • William S. Cobb
Gina L. Adrales
Editors
Textbook of Hernia

Editors
William W. Hope
Department of Surgery
New Hanover Regional Medical Center
Wilmington, NC, USA
Gina L. Adrales
The Johns Hopkins University
School of Medicine
Johns Hopkins Hospital
Baltimore, MD, USA
William S. Cobb
USC School of Medicine-Greenville
Greenville Health System
Greenville, NC, USA
ISBN 978-3-319-43043-0 ISBN 978-3-319-43045-4 (eBook)
DOI 10.1007/978-3-319-43045-4
Library of Congress Control Number: 2017930598
© Springer International Publishing Switzerland 2017
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Preface
Hernia repairs, both inguinal and ventral/incisional, are some of the most common surgeries
performed in the world. Over the last 5 years, the field of hernia surgery has had a significant
transformation thanks to a large number of new and innovative surgical techniques as well as
an exponential growth in mesh and mesh technology. Increased focus on hernia surgery has led
to improved research and outcomes data and has provided strategies to treat both simple and
complex hernias. Secondary to the increased complexity of patients and new techniques and
mesh products available, there has been a renewed interest in hernia surgery amongst the general and plastic surgery community.
This textbook provides a comprehensive, state-of-the-art review of the field of hernia surgery and serves as a valuable resource for clinicians, surgeons, and researchers with an interest
in both inguinal and ventral/incisional hernia. This book gives an overview of the current
understanding of the biologic basis of hernia formation as well as lays the foundation for the
importance of hernia research and outcomes assessment. Diagnosis and management strategies for inguinal and ventral hernia will be discussed in detail with separate techniques sections for the most widely used procedures in this field as well as emerging technologies such a
robotic and single incision surgery. Pertinent associated topics to inguinal hernia surgery such
as chronic groin and athletic pubalgia are covered in detail. For incisional hernias, associated
topics such as hernia prevention and enhanced recovery protocols are discussed. For both
inguinal and ventral/incisional hernias, mesh choices and available mesh technologies are discussed in detail as this remains an often confusing matter for the general surgery. When appropriate, chapters to highlight controversies in care will be highlighted such as the use of synthetic
mesh in contaminated surgery and laparoscopic closure of defects in laparoscopic ventral hernia repair. Other topics that are seldom discussed but may be of value to hernia surgeons
include a discussion on the use of social media for hernia education and hernia repair in underserved areas.
We hope to give the reader an all-encompassing and wide overview of all types of abdominal wall hernias and highlight common open and laparoscopic techniques and current recommendations for patient management. This textbook provides a concise yet comprehensive
summary of the current status of the field that will help guide patient management and stimulate investigative efforts. All chapters are written by experts in their fields and include the most
up to date scientific and clinical information.
A book of this scope and breadth is a major undertaking, and we wish to thank all the wonderful authors and Tracy Marton for her assistance in preparing this book.
William W. Hope Wilmington, NC, USA
William S. Cobb Greenville, NC, USA
Gina L. Adrales Baltimore, MD, USA
v

Contents
1 The Biology of Hernia Formation .......................................................................... 1
Nadia A. Henriksen, Kristian K. Jensen, and Lars N. Jorgensen
2 An Introduction to Complex Systems Science and Its Application
to Hernia Surgery .................................................................................................... 7
Bruce Ramshaw
3 Evaluating Outcomes and Evidence in Hernia Repair ......................................... 15
Filip Muysoms
4 Inguinal Hernia Epidemiology................................................................................ 23
Kristian K. Jensen, Nadia A. Henriksen, and Lars N. Jorgensen
5 Inguinal Anatomy..................................................................................................... 29
Charles D. Procter Jr.
6 Diagnostic Considerations in Inguinal Hernia Repair ......................................... 35
Shirin Towfigh and Yasmine Shafik
7 Overview of Modern Surgical Techniques in Inguinal Hernia Repair ............... 41
Arthur I. Gilbert, Jerrold Young, and Rafael Azuaje
8 Anesthetic Considerations in Inguinal Hernia Repair ......................................... 43
Ciara R. Huntington and Vedra A. Augenstein
9 The Shouldice Repair 2016 ..................................................................................... 53
Robert Bendavid, Andreas Koch, and Vladimir V. Iakovlev
10 Lichtenstein Tension-Free Hernioplasty ................................................................ 69
Ian T. MacQueen, David C. Chen, and Parviz K. Amid
11 The Gilbert Bilayer Connected Device (PHS) and Other Mesh Repairs ............ 79
Jerrold Young, Rafael Azuaje, and Arthur I. Gilbert
12 Laparoscopic TAPP Repair ..................................................................................... 91
Jacob A. Greenberg
13 Laparoscopic Totally Extraperitoneal (TEP) Inguinal Hernia Repair ............... 99
Mohammed Al Mahroos and Melina Vassiliou
14 Emerging Technology: Open Approaches to Preperitoneal Inguinal
Hernia Repair ........................................................................................................... 109
Frederik Christiaan Berrevoet
15 Emerging Technology: SILS Inguinal Hernia Repair .......................................... 119
Hanh Minh Tran and Mai Dieu Tran
16 Emerging Technology: Robotic Inguinal Hernia Repair ..................................... 129
Zachary F. Williams, W. Borden Hooks, and William W. Hope
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viii
17 Outcomes in Inguinal Hernia Repair ..................................................................... 137
Munyaradzi Chimukangara and Matthew I. Goldblatt
18 Prevention and Evaluation of Chronic Groin Pain ............................................... 141
Giampiero Campanelli, Marta Cavalli, Piero Giovanni Bruni,
and Andrea Morlacchi
19 An Approach to Inguinal Pain ................................................................................ 147
Kevin B. Walker
20 Surgical Management of Chronic Groin Pain ....................................................... 155
Alexandra M. Moore, Parviz K. Amid, and David C. Chen
21 Groin Pain in Athletes ............................................................................................. 163
Aali J. Sheen and Adam Weir
22 The Treatment of Incarcerated and Strangulated Inguinal Hernias .................. 169
Kendall R. McEachron and Archana Ramaswamy
23 Introduction and Epidemiology of Incisional Hernias
and the Argument for Mesh in Incisional Hernia Repair .................................... 177
Diya I. Alaedeen
24 Abdominal Wall Anatomy ....................................................................................... 181
James G. Bittner IV
Contents
25 Hernia Prevention and the Importance of Laparotomy Closure ........................ 189
Leonard Frederik Kroese, Johan Frederik Lange, and Johannes Jeekel
26 The Use of Prophylactic Mesh in the Prevention of Incisional
and Parastomal Hernia Repair ............................................................................... 195
Paul Tenzel, Daniel Christian, John Patrick Fischer, and William W. Hope
27 Preoperative Optimization and Enhanced Recovery Protocols
in Ventral Hernia Repair ......................................................................................... 201
Sean B. Orenstein and Robert G. Martindale
28 Overview of Operative Approaches and Staging Systems
for Ventral/Incisional Hernia Repairs .................................................................... 211
David M. Krpata and Michael J. Rosen
29 Onlay Ventral Hernia Repair .................................................................................. 219
Nathaniel F. Stoikes, Charles P. Shahan, David Webb Jr., and Guy Voeller
30 Retrorectus Hernia Repair and Transversus Abdominis Release ....................... 225
Arnab Majumder and Yuri William Novitsky
31 Anterior Component Separation Techniques ........................................................ 233
Kyle Stigall and John Scott Roth
32 Endoscopic Component Separation Techniques ................................................... 243
Jorge Daes and David C. Chen
33 Alternate Methods to Components Separation ..................................................... 249
Bruce R. Tulloh and Andrew C. de Beaux
34 Plastic Surgery Considerations for Abdominal Wall Reconstruction ................. 255
Ibrahim Khansa, Terri Zomerlei, and Jeffrey E. Janis
35 Robotic Transabdominal Preperitoneal (rTAPP) Hernia
Repair for Ventral Hernias ...................................................................................... 263
Conrad Ballecer and Alexandra Weir

Contents
ix
36 Robotic IPOM-Plus Repair ..................................................................................... 273
Eduardo Parra-Dávila, Estefanía J. Villalobos Rubalcava, and Carlos Hartmann
37 Laparoscopic Closure of Defect .............................................................................. 277
Sean B. Orenstein
38 Treatment of Incarcerated and Strangulated Ventral
and Incisional Hernias ............................................................................................. 285
Vladimir P. Daoud and Gina L. Adrales
39 Treatment of Atypical Hernias ................................................................................ 293
Salvatore Docimo Jr. and Eric M. Pauli
40 Umbilical Hernias .................................................................................................... 305
Julie Holihan and Mike K. Liang
41 Diastasis Recti ........................................................................................................... 317
Maurice Y. Nahabedian
42 Evisceration and Dehiscence ................................................................................... 323
Gabriëlle H. van Ramshorst
43 Treatment of the Open Abdomen ........................................................................... 331
Sarah Scott Fox, Justin M. Milligan, and William F. Powers IV
44 Parastomal Hernia ................................................................................................... 345
Agneta Montgomery
45 Progressive Preoperative Pneumoperitoneum (PPP) ........................................... 353
Adriana Hernández López, Estefanía J. Villalobos Rubalcava,
and Adrian Murillo Zolezzi
46 Botulinum Toxin Use in Complex Abdominal Wall Hernias ............................... 361
Benjamin Zendejas and Martin D. Zielinski
47 Hernia Repair in Undeserved Areas ....................................................................... 367
David L. Sanders, Maarten Simons, and Pär Norden
48 Social Media and Education in Hernia Repair ..................................................... 373
Erin R. Bresnahan, Desmond T.K. Huynh, and Brian Jacob
49 Robotic Ventral Hernia Repair ............................................................................... 381
Jeremy A. Warren and A.M. Carbonell
50 Management of Mesh Infection .............................................................................. 395
Lucas R. Beffa and Jeremy A. Warren
Index .................................................................................................................................. 407

Contributors
Gina L. Adrales, M.D., M.P.H., F.A.C.S. The Johns Hopkins Hospital, The Johns Hopkins
University School of Medicine, Baltimore, MD, USA
Diya I. Alaedeen, M.D., F.A.C.S. Department of General Surgery, Cleveland Clinic Lerner
College of Medicine, Cleveland Clinic, Cleveland, OH, USA
Parviz K. Amid, M.D. Department of Surgery, Lichtenstein Amid Hernia Clinic at University
of California Los Angeles, Santa Monica, CA, USA
Vedra A. Augenstein, M.D., F.A.C.S. Division of GI and Minimally Invasive Surgery,
Department of Surgery, Carolinas Medical Center, Charlotte, NC, USA
Rafael Azuaje, M.D. Department of Surgery, Florida International University School of
Medicine, Miami, FL, USA
Conrad Ballecer, M.D., M.S., F.A.C.S. Department of Surgery, Abrazo Arrowhead Hospital,
Banner Thunderbird Medical Center, Glendale, AZ, USA
Andrew C. de Beaux, M.D., F.R.C.S.Ed. Department of Upper GI Surgery, Royal Infirmary
of Edinburgh, Edinburgh, Scotland, UK
Lucas R. Beffa Greenville Health System, University of South Carolina School of Medicine—
Greenville, Greenville, SC, USA
Robert Bendavid, M.D., F.R.C.S.C., F.A.C.S. Department of Surgery, Shouldice Hospital,
University of Toronto, Thornhill, Toronto, ON, Canada
Frederik Christiaan Berrevoet, M.D., Ph.D., F.E.B.S., F.A.C.S. Department of General
and HPB Surgery, Ghent University Hospital, Ghent, Belgium
James G. Bittner IV, M.D., F.A.C.S. Department of Surgery, Virginia Commonwealth
University, Richmond, VA, USA
Erin R. Bresnahan, B.A. Icahn School of Medicine at Mount Sinai, Mount Sinai Health
System, New York, NY, USA
Piero Giovanni Bruni, M.D., Ph.D. General and Day Surgery Unit, Istituto Clinico
Sant’Ambrogio, Center of Research and High Specialization for the Pathologies of Abdominal
Wall and Surgical Treatment and Repair of Abdominal Hernia, University of Insubria, Milan,
Italy
Giampiero Campanelli, M.D. General and Day Surgery Unit, Istituto Clinico Sant’Ambrogio,
Center of Research and High Specialization for the Pathologies of Abdominal Wall and
Surgical Treatment and Repair of Abdominal Hernia, University of Insubria, Milan, Italy
A.M. Carbonell Department of Surgery, Greenville Health System, University of South
Carolina School of Medicine, Greenville, SC, USA
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xii
Marta Cavalli, M.D., Ph.D. University of Catania, Istituto Clinico Sant’Ambrogio, Center
of Research and High Specialization for the Pathologies of Abdominal Wall and Surgical
Treatment and Repair of Abdominal Hernia, Milan, Italy
David C. Chen, M.D., F.A.C.S. Department of Surgery, Lichtenstein Amid Hernia Clinic at
University of California Los Angeles, Santa Monica, CA, USA
Munyaradzi Chimukangara, M.D. Department of Surgery, Medical College of Wisconsin,
Milwaukee, WI, USA
Daniel Christian, M.D. Department of Surgery, New Hanover Regional Medical Center,
Wilmington, NC, USA
Jorge Daes, M.D., F.A.C.S. Minimally Invasive Surgery Department, Clinica Bautista—
Clinica Porto Azul, Barranquilla, Atlantico, Colombia
Vladimir P. Daoud, M.D., M.S. St. Francis Hospital and Medical Center, Hartford, CT, USA
Eduardo Parra-Dávila, M.D., F.A.C.S., F.A.S.C.R.S. Minimally Invasive and Colorectal
Surgery, Florida Hospital Celebration, Celebration Center for Surgery, Celebration, FL, USA
Salvatore Docimo Jr., D.O., M.S. Department of Surgery, Penn State Hershey Medical
Center, Hershey, PA, USA
John Patrick Fischer, M.D., M.P.H. Division of Plastic Surgery, Penn Presbyterian Medical
Center at the University of Pennsylvania, Philadelphia, PA, USA
Contributors
Sarah Scott Fox, M.D., Doctor. Department of Surgery, New Hanover Regional Medical
Center, Wilmington, NC, USA
Arthur I. Gilbert, Ph.D. De Witt Daughtery Department of Surgery, University of Miami
Miller School of Medicine, Miami, FL, USA
Matthew I. Goldblatt, M.D. Department of Surgery, Medical College of Wisconsin,
Milwaukee, WI, USA
Jacob A. Greenberg, M.D., Ed.M. Department of General Surgery, University Hospital,
Madison, WI, USA
Carlos Hartmann, M.D., F.A.C.S. Celebration Center for Surgery, Florida Hospital
Celebration, Celebration, FL, USA
Nadia A. Henriksen, M.D., Ph.D. Department of Surgery, Zealand University Hospital,
Koege, Denmark
Julie Holihan, M.D. Department of Surgery, University of Texas Health Science Center at
Houston (UTHealth), Houston, TX, USA
W. Borden Hooks, M.D. Department of Surgery, New Hanover Regional Medical Center,
Wilmington, NC, USA
William W. Hope, M.D. Department of Surgery, New Hanover Regional Medical Center,
Wilmington, NC, USA
Ciara R. Huntington, M.D. Division of Minimally Invasive and Gastrointestinal Surgery,
Carolinas Medical Center, Charlotte, NC, USA
Desmond T.K. Huynh, B.A., B.S. Department of Surgery, Icahn School of Medicine at
Mount Sinai, New York, NY, USA
Vladimir V. Iakovlev, M.D., F.R.C.P.C., F.C.A.P. St. Michael’s Hospital, Toronto, ON,
Canada
Laboratory Medicine and Pathology, The Li Ka Shing Knowledge Institute, University of
Toronto, Toronto, ON, Canada
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