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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1498_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •Preface
- •Contents
- •Contributors
- •Developing an Academic Hernia Program
- •Summary
- •References
- •History
- •Self-Fixation Mesh
- •Absorbable Mesh
- •Biologic Mesh
- •References
- •Synthetic Overview
- •Polypropylene
- •Mesh Utilized in Tension-Free Repairs
- •Preperitoneal Mesh
- •Polyester
- •Polytetra fl uoroethylene
- •Barrier Prosthetics and Composite Prosthetics
- •Biologic Prosthetics
- •Summary
- •References
- •Post-Herniorrhaphy Inguinodynia
- •Groin Neuroanatomy
- •Operative Technique
- •References
- •Lichtenstein Cylindrical Plug
- •Gilbert Plug and Swatch
- •Bard PerFix Plug
- •Complications of the Plug-Patch
- •Millikan Modi fi ed Mesh-Plug Hernioplasty
- •Atrium ProLite Mesh and ProLoop
- •Ethicon Ultrapro Plug and Patch
- •Gore Bioabsorbable Hernia Plug
- •Lessons Learned and Opinions
- •References
- •6.: Technique: Laparoscopic TEP
- •Indications
- •Contraindications
- •Patient Positioning and Room Setup
- •Pertinent Anatomy
- •Operative Approach
- •Complications
- •Vascular Injuries
- •Nerve Injury
- •Other
- •Conclusions
- •Suggested Reading
- •Anatomy
- •Preoperative Considerations
- •Intraoperative Setup
- •Operative Technique: TAPP
- •Operative Technique: IPOM
- •Complications
- •Further Reading
- •8.: Strangulated Inguinal Hernia
- •Pathophysiology
- •Presentation and Diagnosis
- •Operative Approaches
- •Choice of Prosthetic
- •Special Considerations: Obturator Hernia
- •Summary
- •Suggested Reading
- •Introduction
- •Femoral Hernia Facts
- •Diagnosis
- •Femoral Approach
- •Inguinal Approach
- •Preperitoneal Approach
- •Surgical Caveats
- •Results
- •Commentary
- •References
- •The Evolution of the Laparoscopic Technique
- •TEP and TAPP
- •References
- •Complications
- •Bowel Obstruction
- •Urological Complications
- •Postoperative Pain
- •Recurrence
- •Mesh Infections
- •TAPP Vs. TEP
- •TAPP Vs. Open for Recurrent Hernias
- •Cost
- •References
- •Embryology
- •Anatomy
- •Vas Deferens
- •Pampiniform Venous Plexus
- •Arteries
- •Hydrocele Formation
- •Nerves
- •Conclusions
- •Suggested Reading
- •Laparoscopic Inguinal Complications
- •Risk Reduction Strategy
- •Placement of the First Trocar
- •Nerves
- •The Posterior Perspective
- •Cord Complications
- •Complications of Spermatic Cord Injury
- •Ischemic Orchitis
- •Testicular Atrophy
- •Ductus (Vas) Deferens Injury
- •Testicular Ptosis
- •Scrotal Hematoma
- •Placement of Working Trocars
- •Dissection of the Preperitoneal Space
- •Dissection of Hernial Sac
- •Mesh Placement and Fixation
- •Closure of the Port
- •Conclusion
- •References
- •Incidence
- •Bladder Anatomy and Physiology
- •Risk Factors
- •Patient-Speci fi c Factors
- •Anesthesia
- •Technical Considerations
- •Intravenous Fluid Administration
- •Postoperative Pain and Analgesia
- •Diagnosis and Treatment
- •References
- •Factors Related to the Previous Repair
- •Site of the Incision
- •Postoperative Course of the Previous Repair
- •Factors Related to the Recurrence
- •Type
- •Number of Defects
- •Site
- •Size
- •Number of Previous Operations/Recurrences
- •The Presence of a Sac
- •Techniques Used for Recurrent Inguinal Hernia
- •Classi fi cations and Therapeutic Deductions
- •Recommendations and Indications
- •Conclusion
- •References
- •Background
- •Presentation
- •Differential Diagnosis
- •Imaging
- •Pathophysiology
- •Management Options
- •Surgical Technique
- •Surgical Outcomes
- •Postoperative Care and Rehabilitation
- •Summary
- •References
- •The Arguments for TAPP or TEP
- •Learning Curve
- •Argument: TAPP Is Easier to Learn than TEP
- •Operative Time
- •Conversion
- •Argument: TEP often requires conversion to TAPP.
- •Cost
- •Intraoperative Complications
- •Pain
- •Summary
- •References
- •Indications and Contraindications
- •Operative Technique
- •Operative Steps for Totally Extraperitoneal Repair
- •Fixation of the Mesh
- •Fixation Versus No Fixation
- •Conclusion
- •References
- •Laparoscopic Inguinal Hernia Repair
- •Transabdominal Preperitoneal (TAPP) Repair
- •Totally Extraperitoneal (TEP) Repair
- •Open Inguinal Hernia Repair
- •LIH Versus TFR
- •Repair or No Repair?
- •What Repair, Laparoscopic or Open?
- •Anesthesia
- •Early Complications
- •Late Complications
- •Recurrence
- •Chronic Pain
- •Contralateral Hernia
- •Cost-Effectiveness
- •Future Pelvic Surgery
- •Recommendations
- •Watchful Waiting
- •Open Repair
- •Laparoscopic Repair
- •Laparoscopic or Open Repair
- •References
- •Tissue Repair Versus Mesh Repair
- •Choice of Mesh Repair
- •Conclusion
- •References
- •Prevention
- •Manual Reduction
- •Primary Suture Repair
- •Component Separation
- •Mesh-Based Repair
- •Advent of Laparoscopy
- •Strategies for Contaminated Cases
- •Conclusion
- •References
- •Background: History of Mesh Implants
- •The Ideal Situation
- •Current State of the Art
- •Host Response to Foreign Material
- •Material Basics
- •Mesh Weight (Density)
- •Mesh Pore Size
- •Animal Experimentation of Mesh–Tissue Interface
- •Clinical Observations and Explant Findings
- •Does the Patient Matter?
- •Summary
- •References
- •Comorbid Conditions and Considerations
- •Surgical History
- •Morbid Obesity
- •Smoking
- •Diabetes
- •Pulmonary Disease
- •Cardiac Disease
- •Chronic Constipation and Urologic Conditions
- •Surgeon Experience and Institutional Capabilities
- •Summary
- •Preoperative Workup
- •Cardiac Testing
- •Laboratory Studies
- •Radiographic Imaging
- •Informed Consent
- •Perioperative Considerations
- •Postoperative Planning
- •Abdominal Compartment Syndrome
- •Atelectasis/Pneumonia
- •Deep Venous Thrombosis and Pulmonary Embolism
- •Enterotomy
- •Paralytic Ileus
- •Pain Management
- •Summary
- •References
- •The Evolution of Damage Control Surgery
- •Other Indications for the Open Abdomen
- •Patient Comorbidities
- •Treatment Options: The Open Abdomen
- •Delayed Primary Fascial Closure
- •Fascial Bridge Closure
- •Acute Components Separation
- •Treatment Options: Planned Ventral Hernia
- •Treatment Options: Abdominal Wall Reconstruction
- •Conclusion
- •References
- •Background on Hernia Mesh for Ventral Repair
- •Current Mesh Materials
- •Coatings
- •Resorbable Mesh Materials
- •Choosing the Best Mesh
- •Future of Hernia Mesh Materials
- •References
- •Biologic Prosthetics
- •Material Source
- •Material Processing
- •The Biology of Biologic Mesh
- •Current Indications
- •Limitations
- •Conclusion
- •References
- •Indications and Relative Contraindications
- •Technique
- •Open Exposure of the External Oblique
- •External Oblique Division and Separation
- •Posterior Rectus Sheath
- •The Anterior Rectus Sheath and Linea Alba
- •Outcomes
- •Conclusion
- •References
- •28.: Endoscopic Component Separation
- •Indications and Contraindications
- •Patient Preparation and Room Setup
- •Patient Positioning
- •Trocar Position of Endoscopic Component Separation
- •Open Mesh Placement
- •Retrorectus Placement
- •Complications
- •Suggested Readings
- •History of Laparoscopic Ventral Hernia Repair
- •Patient Selection
- •Operative Setup
- •Abdominal Access
- •Adhesiolysis and Hernia Reduction
- •Hernia Sizing and Mesh Selection
- •Mesh Insertion and Fixation
- •Outcomes
- •Conclusion
- •References
- •30.: Loss of Abdominal Domain
- •De fi nitions
- •Pathophysiology and Biomechanics
- •Causes and Challenges
- •Morbidity of Loss of Domain
- •Evaluation
- •General Preoperative Considerations
- •Volume Measurement
- •Preoperative Preparation
- •Preoperative Progressive Pneumoperitoneum
- •Effects of Progressive Pneumoperitoneum
- •Surgical Techniques
- •Prosthetic Mesh Reinforcement
- •Preperitoneal Reinforcement
- •Mesh Fixation
- •Biologic Mesh for Loss of Domain
- •Separation of Components
- •Tissue Grafts and Abdominoplasty
- •Reconstruction in a Contaminated Field
- •Staged Repair with Serial Excisions
- •Laparoscopic Repair
- •Outcomes and Complications
- •Postoperative Management
- •Long-Term Outcomes
- •References
- •Drains
- •Binders
- •Pain Pumps
- •Conclusion
- •References
- •Anatomy
- •Pathophysiology
- •Prevention
- •Management
- •Conclusion
- •References
- •33.: Recurrent Incisional Hernia Repair
- •Scope of the Problem
- •Etiology and Pathophysiology of Recurrence
- •Speci fi c Challenges
- •Modi fi ed Rives-Stoppa Repair
- •Laparoscopic Recurrent Incisional Hernia Repair
- •Component Separation
- •Special Techniques
- •Summary
- •References
- •34.: Chronic Mesh Infections
- •Presentation
- •Biomaterials
- •Microbiology
- •Management
- •References
- •Prosthetic Mesh as a Cause of Adhesions
- •Conclusions
- •Summary
- •References
- •De fi nitions
- •Incidence
- •Causes of Chronic Pain
- •Sutures, Tacks, and Glue
- •Laparoscopic Versus Open Repair
- •Effects of Mesh
- •Other Theories
- •Time Course of Chronic Pain
- •Patient Satisfaction
- •Pain Assessment
- •Treatment
- •Techniques for Prevention
- •Summary
- •References
- •37.: Enterotomy During Hernia Repair
- •Incidence
- •Diagnosis
- •Management
- •Occult Enterotomy/Bowel Injury
- •Avoidance
- •Conclusion
- •References
- •De fi nition
- •Physiology
- •Presentation
- •Prevention
- •Treatment
- •References
- •Bene fi ts of Laparoscopy in Ventral Hernia Repair
- •Drawbacks of Traditional LVHR
- •Goals of Repair
- •Defect Closure
- •Technical Considerations and Outcomes
- •Defect Closure: Who Needs It?
- •References
- •Technical Considerations
- •Practical Advantages
- •Modi fi cations
- •Mesh Fixation
- •Functional Repair Results
- •Cosmetic Repair Results
- •Conclusion
- •References
- •Management
- •Conclusion
- •References
- •Open Component Separation Technique
- •Endoscopic Component Separation Technique
- •Indications for CST
- •Need for Wound Revision
- •Need for Mesh Explantation
- •Presence of Ostomy
- •Need for Panniculectomy
- •Presence of Abdominal Contamination
- •Intraoperative Assessment of Tension
- •References
- •Principles of Mesh Fixation
- •Absorbable Suture
- •Absorbable Fasteners
- •Covidien: AbsorbaTack™
- •Bard Davol: SorbaFix™ and PermaSorb™
- •Ethicon: Securestrap™
- •Fibrin Sealants
- •Baxter Healthcare: Tisseel™ and Artiss™
- •Clinical Use of Absorbable Fixation Materials
- •Inguinal Hernia Repair
- •Incisional/Ventral Hernia Repair
- •Conclusion
- •References
- •Ventral Hernia Repair Reinforcement
- •Modi fi cations During Manufacture
- •Collagen Cross-linking
- •Scaffold Fenestration
- •De Novo Scaffold Properties
- •Appropriate and Inappropriate Indications for Use
- •Prophylaxis for Parastomal Hernias
- •Bridging Abdominal Wall Defects
- •References
- •Open Repair
- •Laparoscopic Repair
- •Laparoscopic Technique

x
Contents
33 Recurrent Incisional Hernia Repair .......................................... 387
John G. Linn and Dean J. Mikami
34 Chronic Mesh Infections .......................................................... 399
Andrei Churyla and Andrew B. Lederman
35 Adhesions After Lap Ventral: Do They Matter? ...................... 405
Dennis L. Fowler
36 Chronic Pain After Ventral Hernia Repair ............................... 411
Victor B. Tsirline, David A. Klima, Igor Belyansky,
and Kent W. Kercher
37 Enterotomy During Hernia Repair ........................................... 423
Ross F. Goldberg and C. Daniel Smith
38 Chronic Seroma ........................................................................ 431
Morris Franklin Jr., Richard Alexander, Gerardo Lozano,
and Karla Russek
Part VIII Current Debates in Ventral
and Incisional Hernia Repair
39 Bridging Versus Closing the Defect During Laparoscopic
Ventral Hernia Repair .............................................................. 439
Yuri W. Novitsky
40 Bridging versus Closing the Defect During Laparoscopic
Ventral Hernia Repair: It Is OK to Bridge ............................... 445
Stephen M. Kavic and Adrian Park
41 The Bariatric Patient with a Complex Ventral Hernia .............. 455
Jenny J. Choi and Alfons Pomp
42 Open Versus Endoscopic Component Separation:
How to Choose One or the Other ............................................. 463
Eduardo Parra-Davila, Juan J. Diaz-Hernandez,
and Carlos M. Ortiz-Ortiz
43 Absorbable Fixation Materials: A Critical Appraisal .............. 475
Kevin El-Hayek and Matthew Kroh
44 Biologic Mesh: When and Why—A Critical Appraisal........... 487
Jaime A. Cavallo, Corey R. Deeken, and Brent D. Matthews

xi
Contents
Part IX Other Hernias
45 Parastomal Hernia Repair: Latest Updates ............................... 507
Chee-Chee H. Stucky and Kristi L. Harold
46 Repair of Paraesophageal Hernia ............................................. 521
Steven P. Bowers
47 Challenging Hernia Locations: Flank Hernias ......................... 531
Gregory F. Dakin and Michael L. Kendrick
48 Challenging Hernia Locations: Suprapubic
and Subxiphoid ........................................................................ 541
John R. Romanelli and Jose E. Espinel
49 Hernias in the Pediatric Population .......................................... 553
David M. Krpata and Todd A. Ponsky
50 Spigelian Hernias: Diagnosis and Treatment ........................... 567
Marc Miserez and Marc H.F. Schreinemacher
51 Hernia, Mesh, and Gynecology Procedures ............................. 583
Lauren Rascoff, Brian P. Jacob, and Charles Ascher-Walsh
Index ................................................................................................ 593


xiii
Contributors
Gina L. Adrales , MD, MPH
Department of Surgery , Dartmouth-Hitchcock Medical Center ,
Lebanon , NH , USA
Emily L. Albright , MD
Division of General Surgery, Department of Surgery ,
University of Kentucky College of Medicine , Lexington , KY , USA
A. Mariah Alexander , MD
Department of Surgery , University of Tennessee Graduate
School of Medicine , Knoxville , TN , USA
Richard Alexander , MD
Department of Minimally Invasive Surgery ,
Texas Endosurgery Institute , San Antonia , TX , USA
Parviz K. Amid , MD
Department of General Surgery , Lichtenstein Hernia Institute,
David Geffen School of Medicine at UCLA , Santa Monica , CA , USA
Maurice E. Arregui , MD, FACS
Department of General Surgery , St Vincent Hospital ,
Indianapolis , IN , USA
Charles Ascher-Walsh , MD
Department of Obstetrics, Gynecology and Reproductive Science ,
The Mount Sinai Hospital , New York , NY , USA
Gerardo Lozano Balderas , MD
Department of General Surgery , Hospital San José–Tec de Monterrey ,
Monterrey , Nuevo Leon , Mexico
Igor Belyansky , MD
Department of General Surgery, General Surgery Faculty ,
Anne Arundel Medical Center , Annapolis , MD , USA

xiv
Contributors
Steven P. Bowers , MD
Department of General Surgery , Mayo Clinic Florida ,
Jacksonville , FL , USA
L. Michael Brunt , MD
Department of Surgery , Barnes-Jewish Hospital , St. Louis , MO , USA
Alfredo M. Carbonell II , DO
Division of Minimal Access and Bariatric Surgery, Department of
Surgery , Greenville Hospital System University Medical Center,
University of South Carolina School of Medicine–Greenville ,
Greenville , SC , USA
Jaime A. Cavallo , MD, MPHS
Section of Minimally Invasive Surgery, Department of Surgery ,
Washington University School of Medicine , St. Louis , MO , USA
David C. Chen , MD
Department of General Surgery , Lichtenstein Hernia Institute,
David Geffen School of Medicine at UCLA , Santa Monica , CA , USA
Jenny J. Choi , MD
Department of Surgery , Monte fi ore Medical Center , Bronx , NY , USA
Andrei Churyla , MD
Department of Surgery , Berkshire Medical Center , Pitts fi eld , MA , USA
William S. Cobb IV, MD
Department of Surgery , Greenville Hospital System University
Medical Center , Greenville , SC , USA
Gregory F. Dakin , MD
Department of Surgery , Weill Cornell Medical College,
New York Presbyterian Hospital , New York , NY , USA
Corey R. Deeken , PhD
Department of Surgery , Washington University School of Medicine ,
St. Louis , MO , USA
Jose J. Diaz Jr., MD, FACS, FCCM
Department of Surgery , University of Maryland Medical Center ,
Baltimore , MD , USA
Juan J. Diaz-Hernandez , MD
Department of General Surgery , Florida Hospital Celebration Health ,
Celebration , FL , USA

xv
Contributors
Carl Doerhoff , MD, FACS
Department of Surgery , Capital Region Medical Center ,
Jefferson City , MO , USA
David Earle , MD, FACS
Minimally Invasive Surgery and Esophageal Physiology Laboratory ,
Baystate Medical Center, Tufts University School of Medicine ,
Spring fi eld , MA , USA
Chris Edwards , MD
Mission Bariatrics, Mission Hospitals , Asheville , NC , USA
Kevin El-Hayek , MD
Bariatric and Metabolic Institute, Cleveland Clinic , Cleveland , OH , USA
Jose E. Espinel , MD, FACS
Department of Surgery , Baystate Medical Center , Spring fi eld , MA , USA
Nicole Fearing , MD
Malley Surgical , Mission , KS , USA
Edward L. Felix , MD, FACS
Department of Surgery , Central California Institute of Minimally
Invasive Surgery , Fresno , CA , USA
Abe Fingerhut , MD, FACS, FRCPS, FRCS Ed
European Association for Endoscopic Surgery , Eindhoven ,
The Netherlands
Department of Surgery , Hippokration Hospital, University of Athens ,
Athens , Greece
Robert J. Fitzgibbons Jr. , MD, FACS
Department of General Surgery , Creighton University Medical Center ,
Omaha , NE , USA
Dennis L. Fowler , MD, MPH
Department of Surgery , Reemtsma Center for Innovation
and Outcomes Research, College of Physicians and Surgeons,
Columbia University , New York , NY , USA
Morris Franklin Jr. , MD, FACS
Department of Minimally Invasive Surgery , Texas Endosurgery
Institute , San Antonio , TX , USA
Matthew Goede , MD
Department of Surgery , University of Nebraska Medical Center ,
Omaha , NE , USA

xvi
Contributors
Rajat Goel , MBBS, MS, DNB
Mimimal Access and Bariatric Surgery , Columbia Asia Hospital, Palam
Vihar , Gurgaon , India
Ross F. Goldberg , MD
Department of Surgery , Mayo Clinic Florida , Jacksonville , FL , USA
Dinakar Golla , MD
Department of Plastic Surgery , University of Pittsburgh Medical Center ,
Pittsburgh , PA , USA
Sheila A. Grant , PhD
Department of Biological Engineering , University of Missouri ,
Columbia , MO , USA
Kristi L. Harold , MD
Division of General Surgery , Mayo Clinic Arizona , Phoenix , AZ , USA
B. Todd Heniford , MD, FACS
Department of Surgery , University of North Carolina at Chapel Hill ,
Charlotte , NC , USA
Elizabeth Honigsberg , MD
Department of Surgery , Dartmouth-Hitchcock Medical Center ,
Lebanon , NH , USA
Brian P. Jacob , MD, FACS
Department of Surgery , Mount Sinai Medical Center,
Mount Sinai School of Medicine , New York , NY , USA
L. Brian Katz , MD
Department of Surgery , The Mount Sinai Hospital , New York , NY ,
USA
Stephen M. Kavic , MD, FACS
Department of Surgery , University of Maryland School of Medicine ,
Baltimore , MD , USA
Michael L. Kendrick , MD
Department of Surgery , Mayo Clinic , Rochester , MN , USA
Kent W. Kercher , MD, FACS
Division of GI and Minimally Invasive Surgery , Carolinas Medical Center ,
Charlotte , NC , USA

xvii
Contributors
Mousa Khoursheed , MD, FRCPS
Department of Surgery , Mubarak Al-Kabeer Hospital,
University of Kuwait , Safat , Kuwait
David A. Klima , BS, MD
Department of General Surgery , Carolinas Medical Center ,
Charlotte , NC , USA
Matthew Kroh , MD
Department of General Surgery , Digestive Disease Institute,
Cleveland Clinic Lerner College of Medicine , Cleveland , OH , USA
David M. Krpata , MD
Division of Pediatric Surgery , Rainbow Babies and Children’s Hospital ,
Cleveland , OH , USA
Andrew B. Lederman , MD, FACS
Department of Surgery , Berkshire Medical Center , Pitts fi eld , MA , USA
John G. Linn , MD
Department of Surgery , Ohio State University Medical Center ,
Columbus , OH , USA
Aaron M. Lipskar , MD
Department of General Surgery , The Mount Sinai School of Medicine ,
New York , NY , USA
Davide Lomanto , MD, PhD
Minimally Invasive Surgical Centre, National University Health System ,
Singapore , Singapore
Gregory J. Mancini , MD
Department of Surgery , University of Tennessee Graduate
School of Medicine , Knoxville , TN , USA
Daniel Marcus , MD
Department of Surgery , Marina del Rey Hospital ,
Marina del Rey , CA , USA
St. Johns Health Center , Santa Monica , CA , USA
Roxbury Hernia Center , Beverly Hills , CA , USA
Viney K. Mathavan , MD
Department of General Surgery , St Vincent Hospital , Indianapolis ,
IN , USA

xviii
Contributors
Brent D. Matthews , MD, FACS
Section of Minimally Invasive Surgery, Department of Surgery ,
Washington University School of Medicine , St. Louis , MO , USA
David A. McClusky III , MD
Department of Surgery , Atlanta VAMC and Emory University School
of Medicine , Decatur , GA , USA
Dean J. Mikami , MD
Department of Gastrointestinal Surgery , The Ohio State University
Medical Center , Columbus , OH , USA
Marc Miserez , MD, PhD
Department of Abdominal Surgery , University Hospital Gasthuisberg ,
Leuven , Belgium
Yuri W. Novitsky , MD
Department of Surgery , Case Comprehensive Hernia Center,
University Hospitals Case Medical Center , Cleveland , OH , USA
Dmitry Oleynikov , MD, FACS
Department of Surgery , University of Nebraska Medical Center ,
Omaha , NE , USA
Carlos M. Ortiz-Ortiz , MD
Department of General Surgery , Florida Hospital Celebration Health ,
Celebration , FL , USA
Mickey M. Ott , MD
Division of Trauma and Surgical Critical Care, Department of Surgery ,
Vanderbilt University Medical Center , Nashville , TN , USA
Pradeep Pallati , MD
Department of General Surgery , Creighton University Medical Center ,
Omaha , NE , USA
Adrian Park , MD, FRCSC, FACS, FCS(ECSA)
Department of Surgery , Anne Arundel Health System ,
Annapolis , MD , USA
Eduardo Parra-Davila , MD, FACS, FASCRS
Department of General Surgery , Florida Hospital Celebration Health ,
Celebration , FL , USA

xix
Contributors
Jonathan P. Pearl , MD
Norman M. Rich Department of Surgery , Uniformed Services
University/Walter Reed National Military Medical Center , Bethesda ,
MD , USA
Scott Philipp , MD, FACS
Department of Surgery , The Permanente Medical Group, Inc ,
Vallejo , CA , USA
Lisa C. Pickett , MD
Departments of Surgery/Critical Care and Medicine ,
Duke University Hospital , Durham , NC , USA
Alfons Pomp , MD, FACS, FRCSC
Department of Surgery , New York Presbyterian Hospital/Weill Medical
College of Cornell University , New York , NY , USA
Kimberly Ponnuru , MD, FACS
Department of General Surgery , Providence Medical Center,
General Surgery Associates , Kansas City , KS , USA
Todd A. Ponsky , MD
Division of Pediatric Surgery , Akron Childrens Hospital, One Perkins
Square Akron , OH , USA
Benjamin S. Powell , MD
Department of Surgery , University of Tennessee Health Science Center ,
Memphis , TN , USA
Archana Ramaswamy , MD
Department of General Surgery , University of Missouri Healthcare ,
Columbia , MO , USA
Bruce Ramshaw , MD, FACS
Department of General Surgery , Transformative Care Institute,
Advanced Hernia Solutions , Daytona Beach , FL , USA
Lauren Rascoff , MD
Department of Obstetrics, Gynecology and Reproductive Science ,
Mount Sinai Hospital , New York , NY , USA
Mark A. Reiner , MD
Department of Surgery , The Mount Sinai Hospital , New York , NY , USA
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