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Techniques of Abdominal Wall Hernia Repair
Pradeep Chowbey Davide Lomanto
Editors
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Pradeep Chowbey • Davide Lomanto
Editors
Techniques of Abdominal Wall Hernia Repair
Editors
Pradeep Chowbey Metabolic and Bariatric Surgery Max Super Specialty Hospital New Delhi India
Davide Lomanto Minimally Invasive Surgical Centre KTP Advanced Surgical Training Centre Yong Loo Lin School of Medicine National University Health System National University of Singapore Singapore
ISBN 978-81-322-3942-0 ISBN 978-81-322-3944-4 (eBook)
https://doi.org/10.1007/978-81-322-3944-4
© Springer Nature India Private Limited 2020 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, expressed 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 India Private Limited The registered company address is: 7th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi 110 001, India

Contents

Part I General
1 The Economics of Hernia Surgery . . . . . . . . . . . . . . . . . . . . . . . . 3
Jose Macario Faylona
2 Surgical Anatomy of Groin and Groin Hernia . . . . . . . . . . . . . . . 11
Shintaro Sakurai
3 Abdominal Wall Hernia Classification . . . . . . . . . . . . . . . . . . . . . 49
Basim Alkhafaji
4 Imaging of Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . 55
Rakesh K. Mathur and Nidhi Goyal
Part II Groin Hernia
5 Biomaterials for Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . 77
Rolf Ulrich Hartung
6 Anaesthesia for Laparoscopic Abdominal Wall
Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Aparna Sinha and Lakshmi Jayaraman
7 Surgical Techniques for Inguinal Hernia Repair:
Open Techniques—Tissue Repairs . . . . . . . . . . . . . . . . . . . . . . . . 97
Rey Melchor F. Santos
8 Surgical Techniques for Inguinal Hernia Repair:
Open Tension- Free Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Ching-Shui Huang
9 Total Extraperitoneal Repair of Groin Hernias . . . . . . . . . . . . . . 119
Pradeep Chowbey
10 Transabdominal Pre-peritoneal (TAPP) Repair
for Groin Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
George Pei Cheung Yang
11 Open and Laparoscopic Repair of Femoral Hernia . . . . . . . . . . 141
Deepraj S. Bhandarkar
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12 Groin Hernia in the Elderly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
K. G. Mathew
13 Sportsman Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Yen Ping Tan and Jaideepraj Rao
14 Complications Inguinal Hernias: Strangulated
Incarcerated and Obstructed Hernias . . . . . . . . . . . . . . . . . . . . . 163
Pradeep Chowbey
15 Recurrent Inguinal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Rajesh Khullar
Part III Abdominal Wall Hernia
16 Biomaterials for Abdominal Wall Hernia Repair . . . . . . . . . . . . 177
Asim Shabbir and Sujith Wijerathne
17 Laparoscopic Incisional and Ventral Hernia Mesh Repair . . . . . 185
Davide Lomanto and Hrishikesh P. Salgaonkar
18 Laparoscopic Pre-peritoneal Onlay Mesh (PPOM)
Repair for Ventral and Incisional Hernia . . . . . . . . . . . . . . . . . . . 195
George Pei Cheung Yang
Contents
19 Laparoscopic Repair of Peripheral Abdominal
Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Anil Sharma
20 Obesity and Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . 207
Alfred Allen Buenafe
21 Components Separation Technique for Repair
of Complex Abdominal Wall Hernia . . . . . . . . . . . . . . . . . . . . . . . 213
Jonathan Foo and Wei-Keat Cheah
22 Parastomal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Kai He and Qiyuan Yao
23 Muscle–Aponeurotic Plication Associated
with Dermolipectomy in the Treatment of Ventral Hernias and Diastasis Recti: A Functional
and Aesthetic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Marco Aurelio Faria-Correa
24 Faria-Correa_Minimally Invasive Subcutaneouscopic
and Robotic Rectus Plication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Marco Aurelio Faria-Correa
25 Robotic Repair for Ventral Hernias . . . . . . . . . . . . . . . . . . . . . . . 261
Davide Lomanto and Sajid Malik
26 Future Consideration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267
Davide Lomanto

About the Editors

PradeepChowbey is currently Chairman of the Max Institute of Minimal
Access, and Chief of Surgery and Allied Surgical Specialties at Max Hospital, New Delhi, India. He is the Honorary Surgeon to the President of India and Surgeon to His Holiness the Dalai Lama. He is the Founder President of the Asia Pacic Hernia Society (2004) and Former President of the Asia-Pacic Metabolic and Bariatric Surgery Society (2010–2012), of the Pacic Chapter of the International Federation for the Surgery of Obesity and Metabolic Disorders (2011–2013), and of the International Federation for the Surgery of Obesity and Metabolic Disorders (2012–2013).
He established the Minimal Access, Metabolic & Bariatric Surgery Centre, Sir Ganga Ram Hospital, New Delhi, in 1996, the rst of its kind on the Asian subcontinent. His current institute, the Max Institute of Minimal Access, is accredited as an International Centre of Excellence for Endohernia Surgery and Bariatric Surgery. He was on the steering committee for formulating the Worldwide Guidelines and Recommendations for inguinal hernia and ven­tral and incisional abdominal wall hernias published in the Surgical Endoscopy journal (Springer).
He is the Editor in Chief of the Journal of Minimal Access Surgery, the ofcial publication of IAGES, a Section Editor (Ventral/Incisional Hernia Surgery) for Hernia: The World Journal of Hernia and Abdominal Wall
Surgery, and an Associate Editor for the International Journal of Abdominal Wall and Hernia Surgery.
Davide Lomanto
University of Singapore and Director of the Minimally Invasive Surgical Centre (MISC) and of the KTP Advanced Surgery Training Centre (ASTC), National University Hospital (NUS). He is a Secretary-General and a Past President of the Endoscopic and Laparoscopic Surgeons of ASIA (ELSA); a Founding Member and Advisory President of the Asia Pacic Hernia Society (APHS); and a Founding Member and Past-President of the Asia-Pacic Metabolic and Bariatric Surgery Society (APMBSS). He has been awarded Honorary Memberships in several endolaparoscopic societies: Japan (JSES), India (IAGES), Indonesia (PBEI, PERHERI), the Philippines (PCS, PALES), and Thailand (RCST). He recently been awarded the prestigious Honorary Fellowship Ad Hominem from the Royal College of Surgeons of Edinburg (FRCS) and from the European Association for Endoscopic Surgery (EAES).
is currently a Professor of Surgery at the National
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He serves as Experts in several Guidelines Committee for Inguinal and
Abdominal Wall Hernia.
He currently serves as Managing Editor of the Asian Journal of Endoscopic Surgery; Associate Editor of Hernia: The World Journal of Hernia and Abdominal Wall Surgery; and International Editorial Member for Surgical Endoscopy and Asian Journal of Surgery. He was knighted by the Italian Government on 26 December 2009.
About the Editors
Part I
General
The Economics ofHernia Surgery
JoseMacarioFaylona
1

1.1 Introduction

Hernia surgery is one of the most common opera­tions being done worldwide. Statistics from the different countries varies but in the US, China, and India, inguinal hernia surgery can go as high as one million cases per year [1]. Throughout the lifetime of an individual, the chance of having a hernia operation is 27% for males and 3% for females [2]. Hernia surgery involves not only inguinal hernia but also ventral or incisional her­nias. Through the years, the management of her­nias has evolved from tissue repairs to prosthetic repairs and laparoscopic repairs. With the advent of all of these technological breakthroughs and new techniques in hernia surgery, it is necessary to assess the economic impact of these things in terms of health care cost, as well as costs that the patients will incur.

1.2 Health Economics

In terms of health economics, different coun­tries will have different systems of funding health care, but they have one thing in com­mon; health care resources are limited and needs to be spent rationally for the benet of
more people. In line with this, health econo­mists need to make crucial decisions as to which will be funded and which will be rejected. In the case of hernia surgery, there are so many variables that need to be considered in deciding the most economical choice for a her­nia patient. Things that need to be considered are the following:
1. Tissue repair vs. prosthetic repair
2. Open vs. laparoscopic repair
3. Type of mesh to use
4. Type of xation
5. Day case or in-hospital procedure
6. Type of anesthesia
7. Antibiotic use
8. Impact on patients’ quality of life and return to work
With all these things to consider, it is essential
for the decision-makers of health care to under­stand the concepts of health economics. Decision should be based on several concepts:
1. Cost-minimization analysis
2. Cost-effectiveness analysis
3. Cost-utility Analysis
4. Cost-benet analysis
J. M. Faylona (*) Department of Surgery, UP College of Medicine, University of the Philippines-Manila, Manila, Philippines
© Springer Nature India Private Limited 2020 P. Chowbey, D. Lomanto (eds.), Techniques of Abdominal Wall Hernia Repair,
https://doi.org/10.1007/978-81-322-3944-4_1
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