Incisional Hernia / Edition 1

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Incisional hernia surgery has witnessed an important progress over the last years, not only as far as the pathophysiological and etiopathogenetic aspects are concerned, but also from a technical point of view. Thanks to the recent findings on genetical disorders of the collagen, incisional hernia is today considered a true "disease of the abdominal wall". Surgeons need to be aware of all the different repairing techniques, in order to make an elective choice and to keep side effects and recidives under control. Today, on the basis of the most recent research on synthesis of collagen and collagenolysis, the treatment of the incisional hernia should not disregard the use of synthetic prostheses and of biomaterials, both in the routinal surgical practice and in the most complex clinical cases. Surgeons, surgical residents, and medical students will find this volume very useful in their daily practice.

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Editorial Reviews

Doody's Review Service
Reviewer: Dionne A. Skeete, MD (University of Iowa Hospitals and Clinics)
Description: This is a review on the topic of incisional hernias that was compiled for the Italian Society of Surgery.
Purpose: The authors admit that this topic is widely covered in the literature. Their aim, however, is to provide a practical and concise review and focus on the most important and evolving issues in this topic. The authors effectively combine a "how I do it" approach with a relevant review of what is reported in the literature. This book adds expert opinion to the growing body of literature on incisional hernia repair.
Audience: It appeals to senior general surgical residents and practicing general surgeons who have accomplished the basic open and laparoscopic techniques and are looking to expand their knowledge base with a quick reference.
Features: The book begins with standard basic considerations of abdominal wall anatomy and then summarizes the investigational front of the pathophysiology and basic science behind the development of incisional hernias. It provokes readers to be cognizant of the extra-abdominal effects of repairing incisional hernias especially on pulmonary and cardiac physiology and reminds us to be prepared on both sides of the drape. Both open and laparoscopic hernia repairs are covered, but there is a strong emphasis on the latter. There is appropriate detail on the implants including the biologics, equipment such as the metal tackers, and the various techniques. Advantages and limitations of each are covered. Addressed are the challenging and controversial areas of incisional hernia repair such as timing and repair in the super obese, giant hernias, boundary hernias and prosthetics and parastomal hernias. The book indeed provides an overview of a variety of topics, but unfortunately at times lacks in-depth analysis. It may also lack global acceptance given just the Italian perspective and contributions.
Assessment: This review will be useful to senior general surgical residents and practicing general surgeons who have some experience in incisional hernia repair and are looking to expand their knowledge in a quick study. Readers looking for a detailed in-depth reference will need to look elsewhere.
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Product Details

  • ISBN-13: 9788847007215
  • Publisher: Springer Milan
  • Publication date: 10/28/2007
  • Series: Updates in Surgery Series
  • Edition description: 2008
  • Edition number: 1
  • Pages: 261
  • Product dimensions: 6.00 (w) x 9.20 (h) x 0.60 (d)

Table of Contents

General Part.- The Historical Evolution of the Treatment of Incisional Hernia.- The Anatomical Structures of Abdominal-Wall Continence.- Epidemiology.- Abdominal Compartment Syndrome: Clinical and Physiopathologic Implications in Giant Ventral Hernias.- Respiratory Physiopathology in Surgical Repair of Large Abdominal Hernias.- Notes Concerning Current Pathophysiological Aspects of Incisional Hernia.- Diagnostic Imaging of Incisional Hernia.- Special Part.- Anaesthesiological Aspects in the Abdominal-Wall Surgery.- Pathologies Associated with Incisional Hernia: Timing of Intervention.- The Use of Prosthetic Mesh in Laparoscopic Ventral Hernia Repair.- Mesh Fixation Devices.- Biological Material.- Our Approach to the Rives-Stoppa Technique.- Retromuscular Prosthetic Repair of Incisional Hernia.- Laparoscopic Treatment of Incisional Hernia: Advantages and Limits.- Incisional Hernia Repair with Intra-Peritoneal ePTFE Mesh: Technical Notes and Long-Term Results.- Incisional Hernia Procedure with Mixed or Laparo-Assisted Technique.- Trocar-Site Hernia.- Giant Abdominal Wall Defects.- Incisional Hernia in Obese Patients.- Boundary Incisional Hernias. Diagnosis and Therapy of a Rare Pathology.- Parastomal Hernia.- Emergency Laparoscopic Repair of Complicated Ventral and Incisional Hernias.- Porcine Dermal Collagen Graft in Complicated Incisional Hernia.- The Complications of Surgical Treatment of Incisional Hernia.

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