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Doody's Review ServiceReviewer: 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.