ISBN-10:
3642045529
ISBN-13:
9783642045523
Pub. Date:
02/18/2010
Publisher:
Springer Berlin Heidelberg
Hernia Repair Sequelae / Edition 1

Hernia Repair Sequelae / Edition 1

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Overview

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.

Product Details

ISBN-13: 9783642045523
Publisher: Springer Berlin Heidelberg
Publication date: 02/18/2010
Edition description: 2010
Pages: 529
Product dimensions: 6.80(w) x 9.50(h) x 1.10(d)

Table of Contents

I Risk for the Spermatic Cord

1 Are There Adverse Effects of Herniorrhaphy Techniques on Testicular Perfusion? 3

2 The Effects of Mesh Bioprosthesis on the Spermatic Cord Structures in a Rat Model 13

3 Damage to the Spermatic Cord by the Lichtenstein Procedure in a Pig Model-Preliminary Results 21

4 Influence of Prosthetic Implants on Male Fertility in Rabbits and Rats 29

5 The Effects of a Mesh Bioprosthesis on the Spermatic Cord Structures 39

6 Influence of Prosthetic Implants on Male Fertility in Rats 43

7 What Can We Do To Decrease the Risk of Vas Deferens injury due to Inguinal Hernioplasty? 49

8 The Long-Term Effect on Testicular Function of a Mesh Bioprosthesis Used for Inguinal Hernia Repair 57

9 Reoperation Following Lichtenstein Repair: What Do Vas and Nerves Look Like? 65

10 Damage to the Spermatic Cord from Groin Herniorrhaphy: A Review 71

II Risk for Infection

11 Mesh Infection Following Hernia Repair: A Frequent Problem? 79

12 Patient Factors as a Major Determinant of Wound Outcome and Infection After Surgery 87

13 Mesh-Related Infections After Hernia Repair 97

14 Human Acellular Dermal Matrix for Ventral Hernia Repair in the Compromised Surgical Field 103

15 Fate of the Inguinal Hernia Following Removal of Infected Prosthetic Mesh 113

16 Mesh Infection-Therapeutic Options 119

17 Does Antibiotic Prophylaxis Prevent the Occurrence of Wound Infection After Groin Hernia Surgery? 125

18 Infection Control in a Hernia Clinic: 24-Year Results of Aseptic and Antiseptic Measure Implementation in 4,620 »Clean Cases« Based on Up-To-Date Microbiological Research 135

19 Components Separation Technique: Pros and Cons 143

III Risk for Pain

20 Self-Assessment of Discomfort and Pain after Inguinal Hernia Repair: A Reflection of Both Individual Pain Propensity and Surgical Strategy 155

21 Chronic Pain After Inguinal Hernia Repair 163

22 What Do We Know About the Pathophysiology and Pathology of Neuropathic Pain? 169

23 Surgical Trauma of Nerves-Causes of Neuropathic Pain, Classification, and Options in Surgical Therapy 177

24 Risks for Pain-Neuropathic Pain: How Should We Handle the Nerves? 185

25 What To Consider as Clinicians About Chronic Postoperative Pain and Inguinal Herniorrhaphy 191

26 Risk Factors for Chronic Pain After Groin Hernia Surgery 199

27 Ischemic Inflammatory Response Syndrome as an Alternative Explanation for Postherniorrhaphy Pain 207

28 Postoperative CRPS in Inguinal Hernia Patients 213

29 Chronic Pain After Open Mesh Repair of Incisional Hernia 221

30 Clinical Results After Open Mesh Repair 227

31 Acute and Chronic Pain After Laparoscopic Incisional Hernia Repair 233

32 Effect of Nerve Identification on the Rate of Postoperative Chronic Pain Following Inguinal Hernia Surgery 239

33 Discomfort 5 Years After Laparoscopic and Shouldice Inguinal Hernia Repair: A Report from the SMIL Study Group 245

34 Recurrence or Complication: The Lesser of Two Evils? A Review of Patient-Reported Outcomes from the VA Hernia Trial 251

35 Chronic Pain After Inguinal Hernia Repair: The Choice of Prosthesis Outweighs That of Technique 257

36 The Effect of Polypropylene Mesh on the Ilioinguinal Nerve in Open Mesh Repair of Groin Hernia 265

37 Lightweight Macroporous Mesh vs. Standard Polypropylene Mesh in Lichtenstein Hernioplasty 275

38 Does the Choice of Prosthetic Mesh Type Make a Difference in Postherniorrhaphy Groin Pain? 279

39 New Understanding of the Causes and Surgical Treatment of Postherniorrhaphy Inguinodynia and Orchialgia 287

40 Surgery for Chronic Inguinal Pain: Neurectomy, Mesh Explantation, or Both? 293

41 Results of Tailored Therapy for Patients with Chronic Inguinal Pain 299

IV Risk for Adhesion

42 Adhesion as a Chronic Inflammatory Problem? Risk for Adhesions, Migration, and Erosions? 305

43 Biological Tissue Graft: Present Status 317

44 IPOM Results of 344 Consecutive Patients with a PVDF-Derived Prosthesis 323

45 Pooled Data Analysis of Laparoscopic vs. Open Ventral Hernia Repair: 14 Years of Patient Data Accrual 331

46 Tissue Ingrowth, Adhesion, and Mesh Contraction 345

47 Effect of Different Mesh Materials on Adhesion Formation 353

48 Tissue Ingrowth and Laparoscopic Ventral Hernia Mesh Materials: An Updated Review of the Literature 365

49 Porosity and Adhesion in an IPOM Model 375

50 Benefit of Lightweight and/or Titanium Meshes? 381

51 ePTFE Prostheses and Modifications 393

52 The Role of Stem Cells in Abdominal Wall Repair 401

V Risk for Migration and Erosion

53 Safety and Durability of Prosthetic Repair of the Hiatal Hernia: Lessons Learned from a 15-Year Experience 413

54 Mesh Migration into the Esophageal Wall After Mesh Hiatoplasty 421

55 Complications After Gastric Banding-Results in Germany 429

56 Alloplastic Implants for the Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse 439

57 Prophylactic IPOM Mesh To Prevent Parastomal Hernias 445

58 Laparoscopic Parastomal Hernia Repair: Pitfalls and Complications 451

59 Concept of Visible Mesh and Possibilities for Analysis of Mesh Migration and Shrinkage 457

VI Strategy to Improve Results

60 Who Has the Major Role in Hernia Surgery: The Surgeon or the Material? 463

61 Two Controversial Concepts: Standard Procedure in a Standard Patient Versus Tailored Surgery with Procedures Adjusted to Individual Patients 467

VII Pro and Contra

62 In Support of a Standard Technique for Inguinal Hernia Repair 475

63 In Support of Individual Selection of Technique as Related to the Patient-Improvement by Better Selection of Patients Who Can Be Offered a Less Risky Technique: Groin Hernia 479

64 In Support of Standard Procedure in Abdominal Hernia Repair 485

65 In Support of Individualized Procedures in Abdominal Wall Hernia Repair 493

66 In Support of Standard Procedure in Hiatal Hernia Repair 503

67 Strategy To Improve the Results? In Support of Individualized Procedures in Hiatal Hernia Repair 513

68 Questionnaire 521

Subject Index 525

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