Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae as for example pain, infertility, infection, adhesion and dislocation of the protheses. That can happen many years later and now, where the general principle of hernia repair is well understood all over the world, these sequelae are noticed more and more. To define them, to evaluate the absolute and relative risk of these sequelaes and to describe the ways of their prevention, diagnosis and treatment, the 5th Suvretta meeting had focussed on this subject. We discussed if there’s a principle risk by technique, material or both. The results of these discussions and the future handling and evaluation of this problem was the aim of this meeting. Even the best method can be made better by optimization of its single components. Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae such as pain, infertility, infection, adhesion and dislocation of the prostheses. This can happen many years later, and now that the general principle of hernia repair is broadly understood all over the world, these sequelae are being noticed more and more. The 5th Suvretta meeting was held in order to define these sequelae, to evaluate the absolute and relative risks they pose, and to discuss the methods of their prevention, diagnosis and treatment. We discussed whether the principal risk was related to technique, material or both. This discussion and the future approach to and evaluation of this problem were the aims of the meeting, working on the premise that even the best method can be made better by optimizing its individual components.

The repair and management of inguinal hernias represents a significant part of the general surgeon's workload. It was therefore inevitable that following the success of laparoscopic cholysysectomy, surgeons would develop a procedure for repairing inguinal hernias laparoscopically. This book provides the first comprehensive account of laparoscopic inguinal hernia repair. The Editors' aim has been to give step-by-step guidance to each operative procedure discussed with reference to long term results. One of the biggest problems facing surgeons learning new laparoscopic procedures is an understanding and orientation of basic anatomy when viewed through the laparoscope. This issue is discussed at length with guidance on how to avoid the common pitfalls. Final chapters look at the advantages and disadvantages of the Lichtenstein open mesh hernia repair approach, safety and properties of non-absorbal mesh with the last chapters concentrating on laparoscopic suture repair and the new mini hernia operation.

All the latest trends and technical innovations for both routine and complex hernia repair Surgical procedures to repair hernias are among the most common procedures of all, with a history going back over 200 years. While most procedures are routine, they can be a challenge, particularly when previous surgery in the area has caused scarring that distorts the anatomy. All currently established operative techniques are described and explained in detail in the book and illustrated, step by step, with a wealth of brilliant figures and diagrams. A detailed description of laparoscopic anatomy and preperitoneal procedures is given. Important information regarding indications and postoperative care is provided. New surgical treatment concepts for hernia arising in the early 21st century and expounded in this book include tension-free principles, inguinal hernia repair under local anesthesia, use of the preperitoneal space, and laparoscopic hernia repair. Key Features 3D mesh and patch-and-plug procedures Laparoscopic methods such as the single-port technique and mini-technique New developments in open and laparoscopic surgery of incisional hernias Special disorders such as sports hernia Richly illustrated with hundreds of exquisite artist renderings Ideal for all surgeons in training, and of benefit to experienced surgeons as well, Schumpelick's Hernia Surgery is a complete introduction to evidence-based techniques in this field. This book includes complimentary access to a digital copy on https://medone.thieme.com.

Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.

This book is distinctive in that it focuses exclusively on current laparoscopic and endoscopic techniques for inguinal, primary and incisional abdominal wall, and hiatal hernias. Individual steps in diagnosis and treatment are described by experts in the field, but this clinical expertise is also integrated with the best available external evidence from systematic research as encapsulated in statements, recommendations, and guidelines. The reader will thus not only learn how to perform techniques systematically and reproducibly but also come to understand which of the procedures have been scientifically validated by studies, reviews, and meta-analyses and which have simply developed empirically. The descriptions of technique are supplemented by detailed guidance on such aspects as indications, anesthesia, aftercare and pain management, and the prevention and management of complications. Where appropriate, careful comparisons are made of competing repair options, including open techniques. In summary, this book will help practicing surgeons to standardize their operative technique so as to reflect current scientific knowledge and thereby improve the quality of laparoscopic/endoscopic hernia surgery.

Laparoscopic hernia repair is a relatively new surgical technique to fix tears in the abdominal wall using small incisions, a patch and special cameras to view inside the body. It frequently offers a more rapid recovery for the patient, less postoperative pain, and a quicker return to work and normal activities. (LapSurg.org). This concise guide discusses the latest procedures in laparoscopic hernia repair. Beginning with chapters on the history of hernia, imaging and equipment, the following sections discuss surgical procedures for different types of hernia. Nearly 400 colour images and illustrations are included, as well as two DVD ROMs demonstrating different laparoscopic procedures and discussing potential complications. Key points Guide to latest procedures in laparoscopic hernia repair Covers techniques for different types of hernia Nearly 400 colour images and illustrations Includes DVD ROMs demonstrating procedures and discussing complications

The SAGES Manual of Hernia Repair will serve as a state-of-the-art resource for hernia surgeons and residents alike who are interested in the rapidly evolving area of abdominal wall hernia repair. This manual captures and summarizes the current trends in the field, as well as describing the new ideas, programs, and strategies regarding hernia repair. Through a unique section called Current Debates in Inguinal Hernia Repair, this volume also provides readers an overview of the current opinions on many of the ongoing debates of this time period. Furthermore, the manual is lavishly illustrated, containing an array of instructional charts and photographs, and is authored by a panel of experts in hernia repair. Comprehensive and easily accessible, The SAGES Manual of Hernia Repair is a portable reference that will be of great value to all practicing surgeons and residents working in the field of abdominal wall hernia repair.