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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1099_Библиотеки_им_академика_М_И_Перельмана.pdf
described, 1057–1058
epigastric, 1057–1089. See also Epigastric hernias
pediatric, 1262
femoral
pediatric, 1261
flank
repair of
laparoscopic, 1104
surgical techniques, 1149–1155
incisional. See Incisional hernias
inguinal
pediatric, 1255–1261. See also Inguinal hernias, pediatric
repair of, 1269–1279. See also Inguinal hernias, repair of
lumbar
laparoscopic repair of, 1104
pediatric, 1262
parastomal
prevention of, 1193–1195
prosthetic
prevention of, 1232–1233
repair of, 1185–1198. See also Parastomal hernia repair
prevention of
economic impact of, 1246–1247
recurrent
laparoscopic repair of, 1105
repair of
biological meshes in
biology of, 1211–1215. See also Biological mesh(es), in hernia repair
laparoscopic
economic impact of, 1246
prosthetic
in contaminated fields
safety of, 1227–1239. See also Prosthetic mesh hernia repair, in contaminated
fields
Spigelian
pediatric, 1262
subxiphoid. See Subxiphoid hernias
suprapubic. See Suprapubic hernias
umbilical, 1057–1089. See also Umbilical hernias
pediatric, 1261
ventral. See Ventral hernias
Index
128 5
I
Incision(s)
abdominal. See Abdominal incisions
Incisional hernias
abdominal incisions and
risk factors for, 1030–1031
causes of, 1062–1064
introduction, 1027–1028
128 6
Index
Incisional (continued )
prevention of, 1027–1040
suture technique in relation to, 1033–1035
Infection(s). See also specific types
surgical site. See Surgical site infections (SSIs)
Inguinal hernias
in adolescents, 1260–1261
pediatric, 1255–1261
anatomy of, 1256
clinical presentation of, 1256
contralateral groin assessment related to, 1257
diagnostic imaging in, 1256
direct inguinal hernias, 1260
embryology of, 1256
epidemiology of, 1255–1256
examination of, 1256
patent processus vs. hernia, 1257
repair of
extracorporeal ligation in, 1259
intracorporeal, 1258–1259
laparoscopic, 1258–1260
open, 1257–1260
risk of incarceration in, 1256
surgery for
timing of, 1257
recurrence of
repair of
laparoscopic, 1273
repair of
equality of, 1271
indications for, 1270
introduction, 1269–1270
laparoscopic
in children, 1258–1260
in the elderly, 1273
mesh selection for, 1273–1274
similarity among, 1271–1272
vs. open, 1269–1279
open
vs. laparoscopic, 1269–1279
Intestinal failure
acute
enterocutaneous fistulation and, 1164
Intestinal injury
after laparoscopic ventral hernia repair, 1106–1107
L
Laparoscopic hernia repair
economic impact of, 1246
Laparoscopic ventral hernia repair, 1091–1110
complications of, 1106–1108
for hernias in difficult locations, 1104–1105
indications for, 1092–1093
introduction, 1091–1092
patient selection for, 1092–1093
postoperative care, 1105–1106
preoperative planning for, 1093
of recurrent hernias, 1105
surgical technique, 1094–1104
access, 1094
closure, 1103–1104
defect size measurement, 1097–1099
lysis of adhesions, 1096
management of inadvertent enterotomy, 1096–1097
mesh fixation, 1101–1103
mesh insertion, 1101
mesh selection and preparation, 1099–1100
patient positioning, 1094
port layout, 1095–1096
preparation, 1094
providing clearance for mesh, 1097
reduction of hernia contents, 1096
Laparoscopy
in umbilical and epigastric hernia repair, 1079
Lumbar/flank hernias
laparoscopic repair of, 1104
Lumbar hernias
pediatric, 1262
Index
128 7
M
Mesh(es)
biological
economics of, 1249–1251
in hernia repair
biology of, 1211–1215. See also Biological mesh(es), in hernia repair, biology of
for hernia repair
cost-effectiveness of, 1245–1246
lightweight
in hernia repair in contaminated fields
safety of, 1234–1235
Mesh infections
after laparoscopic ventral hernia repair, 1107–1108
Metabolic control
in preoperative risk reduction, 1043–1044
N
Nutritional support
in enterocutaneous fistula management, 1168
in preoperative risk reduction, 1043–1044
128 8
Index
O
Obese patients
operative risks associated with
guidelines for reducing, 1047
Omphalocele(s)
pediatric, 1262–1264
Open ventral hernia repair
with component separation, 1111–1133
clinical anatomy related to, 1113–1114
introduction, 1111–1112
mesh selection in, 1114–1115
outcomes of, 1126–1130
postoperative care, 1124–1125
postoperative complications, 1125–1126
preoperative planning, 1113
surgical techniques, 1114–1124
anterior component separation, 1121–1124
outcomes of, 1126–1128
posterior component separation, 1114–1121
outcomes of, 1128–1130
PUPS method
outcomes of, 1128
P
Pain
persistent
after laparoscopic ventral hernia repair, 1107
Pain management
in umbilical and epigastric hernia repair, 1079–1080
Parastomal hernia
prevention of, 1193–1195
prosthetic
prevention of, 1232–1233
repair of, 1185–1198. See also Parastomal hernia repair
Parastomal hernia repair, 1185–1198
introduction, 1185–1886
laparoscopic repair, 1187
mesh selection, 1193
outcomes, 1190–1193
technique, 1188–1190
open repair, 1186–1187
Pregnancy
umbilical and epigastric hernia repair during, 1082
Preoperative axial imaging
in preoperative risk reduction, 1047
Preoperative risk reduction, 1041–1055
introduction, 1041–1042
nutrition and metabolic control in, 1043–1044
obesity complicating, 1047
perioperative antibiotics in, 1045–1046
perioperative blood glucose management in, 1046–1047
preoperative axial imaging in, 1047
skin preparation and decolonization protocols in, 1048
smoking cessation in, 1042–1043
Primary ventral hernia
epigastric
causes of, 1062
umbilical
causes of, 1061–1062
Prosthetic incisional hernia
prevention of, 1232
Prosthetic mesh hernia repair
in contaminated fields
acutely strangulated hernias, 1231–1232
described, 1230–1231
safety of, 1227–1239
early experience, 1228–1229
introduction, 1227–1228
midterm experience, 1229–1230
modern era and lightweight mesh, 1234–1235
prosthetic incisional hernia prevention, 1232
prosthetic parastomal hernia prevention, 1232–1233
retrospective database outcomes related to, 1233–1234
Prosthetic parastomal hernia
prevention of, 1232–1233
Psychological support
in enterocutaneous fistula management, 1168–1169
PUPS method
in open ventral hernia repair with component separation
outcomes of, 1128
Index
128 9
R
Rives-Stoppa-Wantz retrorectus repair
described, 1112
S
Seroma(s)
after laparoscopic ventral hernia repair, 1107
Skin preparation and decolonization protocols
in preoperative risk reduction, 1048
Smoking cessation
in preoperative risk reduction, 1042–1043
Soft tissue coverage
in abdominal wall reconstruction, 1199–1209. See also Abdominal wall reconstruction,
soft tissue coverage in
Spigelian hernias
pediatric, 1262
SSIs. See Surgical site infections (SSIs)
129 0
Index
Subxiphoid hernias
repair of
laparoscopic, 1104
surgical techniques, 1145–1149
laparoscopic approach, 1146–1149
open approach, 1145–1146
Suprapubic hernias
repair of
laparoscopic, 1104–1105
surgical techniques
laparoscopic approach, 1140–1144
open approach, 1136–1140
Surgery(ies)
preoperative metabolic preparation for, 1044–1045
Surgical site infections (SSIs), 1045
T
Transplantation
abdominal wall, 1208–1209
U
Umbilical hernias, 1057–1089
anatomy related to, 1058–1060
causes of, 1060–1064
acquired, 1061–1064
congenital, 1060–1061
classification of, 1066
clinical presentation of, 1066
epidemiology of, 1064–1066
introduction, 1057–1058
pediatric, 1261
repair of, 1057–1089
acutely incarcerated hernia, 1081–1082
in ascitic patients, 1083
in cirrhotic patients, 1083
complications of, 1081
diastasis recti, 1082–1083
immediate postoperative care and recovery, 1080–1081
laparoscopic, 1079
pain management in, 1079–1080
during pregnancy, 1082
preoperative planning in, 1066–1069
special considerations in, 1081–1083
surgical techniques in, 1066–1079
mesh repair vs. primary repair, 1070–1073
open prosthetic repair, 1073–1079
types of, 1070–1079
V
Ventral hernias
recurrence of
after laparoscopic ventral hernia repair, 1108
repair of
laparoscopic, 1091–1110. See also Laparoscopic ventral hernia repair
open
with component separation, 1111–1133. See also Open ventral hernia repair, with
component separation
W
Wound dehiscence
abdominal incisions and
risk factors for, 1030–1031
Wound healing
of abdominal incisions, 1028–1037. See also Abdominal incisions, wound healing
Wound infections
after laparoscopic ventral hernia repair, 1107–1108
Index
1291