Pub Date : 2018-07-18DOI: 10.5772/INTECHOPEN.77977
A. Malik
Hernias are as old as history of mankind. The history of hernia dates back to 400 BC when Ancient Greeks diagnosed and proposed various modes of treatment. The word hernia has its origin from the Greek word hernios, a bud or a shoot. Despite the fact that the common course of the hernia was not sudden and the progress was typically slow, it eventually grows to an enormous size at times and could make the life of the patient difficult as far as the routine work was concerned. This coupled with an impending danger of complications made it mandatory for the physicians to find out some remedy.
{"title":"Introductory Chapter: Hernia Surgery and the Developing World","authors":"A. Malik","doi":"10.5772/INTECHOPEN.77977","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.77977","url":null,"abstract":"Hernias are as old as history of mankind. The history of hernia dates back to 400 BC when Ancient Greeks diagnosed and proposed various modes of treatment. The word hernia has its origin from the Greek word hernios, a bud or a shoot. Despite the fact that the common course of the hernia was not sudden and the progress was typically slow, it eventually grows to an enormous size at times and could make the life of the patient difficult as far as the routine work was concerned. This coupled with an impending danger of complications made it mandatory for the physicians to find out some remedy.","PeriodicalId":430404,"journal":{"name":"Hernia Surgery and Recent Developments","volume":"87 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124951885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-18DOI: 10.5772/INTECHOPEN.76906
F. Popa
All surgeons must remember the main purpose for which they choose to practice this specialty: to help people. In all books about hernia, the debates are focused on the new surgical techniques developed, the discovery of new materials that can be used for the repair, and the presentation of the particular hernia cases. I believe that progress in this field comes by organizing training programs, visiting fellowships, common clinical stud - ies, sharing knowledge, and medical support for the benefit of the patient. The idea of organizing an international collaboration should be mentioned in this book because ulti - mately a hernia repair will be made depending on the experience of the surgeon, the particularities of the patient, and the hospital resources.
{"title":"International Surgical Collaboration in Hernia Repair for the Benefit of the Patients: Things We Must Do","authors":"F. Popa","doi":"10.5772/INTECHOPEN.76906","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76906","url":null,"abstract":"All surgeons must remember the main purpose for which they choose to practice this specialty: to help people. In all books about hernia, the debates are focused on the new surgical techniques developed, the discovery of new materials that can be used for the repair, and the presentation of the particular hernia cases. I believe that progress in this field comes by organizing training programs, visiting fellowships, common clinical stud - ies, sharing knowledge, and medical support for the benefit of the patient. The idea of organizing an international collaboration should be mentioned in this book because ulti - mately a hernia repair will be made depending on the experience of the surgeon, the particularities of the patient, and the hospital resources.","PeriodicalId":430404,"journal":{"name":"Hernia Surgery and Recent Developments","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114518950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-18DOI: 10.5772/INTECHOPEN.76356
M. Gupta
{"title":"“555 Manish Technique” for Mini TEP Repair","authors":"M. Gupta","doi":"10.5772/INTECHOPEN.76356","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76356","url":null,"abstract":"","PeriodicalId":430404,"journal":{"name":"Hernia Surgery and Recent Developments","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126301534","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-18DOI: 10.5772/INTECHOPEN.76942
F. Altıntoprak, E. Akin, Kemal Gundogdu, E. Dikicier
Additional is available at the end of the chapter Abstract Expanding view of minimal invasive surgery horizon reveals new practice areas for surgeons and patients. Laparoscopic inguinal hernia repair is an example in progress wondered by many patients and surgeons. Advantages in laparoscopic repair motivate surgeons to discover this popular field. In addition, patients search the most convenient surgical method for themselves today. Laparoscopic approaches to inguinal hernia sur- gery have become popular as a result of the development of experience about different laparoscopic interventions, and these techniques are increasingly used these days. As other laparoscopic surgical methods, experience is the most important point in order to obtain good results. This chapter aims to show technical details, pitfalls and the litera - ture results about two methods that are commonly used in laparoscopic inguinal hernia repair. there is a parietal peritoneum from the back of the rectus muscle and from the end of this fascia to the transverse course of the linea semilunaris. After blunt dissection and cannula is completely inserted from the preperitoneal tunnel to the pubis, it is removed from the trocar cannula and replaced with a telescope, and the cannula is inflated with a balloon attached to the mandrel. Air is discharged 20–25 times with puar after waiting for 30 s and this pro cess is repeated three times. With some balloons, it is possible to view inside with scope as it inflates. It can also be monitored whether the definite surgical area is viewed during this observation. Upper view of rectus fibrils and lower view of parietal peritoneum indicates the
{"title":"Laparoscopic Inguinal Hernia Repair: Technical Details, Pitfalls and Current Results","authors":"F. Altıntoprak, E. Akin, Kemal Gundogdu, E. Dikicier","doi":"10.5772/INTECHOPEN.76942","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76942","url":null,"abstract":"Additional is available at the end of the chapter Abstract Expanding view of minimal invasive surgery horizon reveals new practice areas for surgeons and patients. Laparoscopic inguinal hernia repair is an example in progress wondered by many patients and surgeons. Advantages in laparoscopic repair motivate surgeons to discover this popular field. In addition, patients search the most convenient surgical method for themselves today. Laparoscopic approaches to inguinal hernia sur- gery have become popular as a result of the development of experience about different laparoscopic interventions, and these techniques are increasingly used these days. As other laparoscopic surgical methods, experience is the most important point in order to obtain good results. This chapter aims to show technical details, pitfalls and the litera - ture results about two methods that are commonly used in laparoscopic inguinal hernia repair. there is a parietal peritoneum from the back of the rectus muscle and from the end of this fascia to the transverse course of the linea semilunaris. After blunt dissection and cannula is completely inserted from the preperitoneal tunnel to the pubis, it is removed from the trocar cannula and replaced with a telescope, and the cannula is inflated with a balloon attached to the mandrel. Air is discharged 20–25 times with puar after waiting for 30 s and this pro cess is repeated three times. With some balloons, it is possible to view inside with scope as it inflates. It can also be monitored whether the definite surgical area is viewed during this observation. Upper view of rectus fibrils and lower view of parietal peritoneum indicates the","PeriodicalId":430404,"journal":{"name":"Hernia Surgery and Recent Developments","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114547180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-07-18DOI: 10.5772/INTECHOPEN.76941
Monika Romanowska, J. Pawlak
Hernia is one of the most common complications post any laparotomy. Various techniques are used for the repair of incisional hernias. Hernioplasty with synthetic materials is worldwide standard, and indications to the simple suture methods are rare. Miniinvasive techniques for hernia repair have become popular since 1990 and carry many advantages. Some incisional hernias have a very large hernia sac with large loss of fascia, which makes an exclusive laparoscopic approach challenging. Moreover, some patients are found to have very dense adhesions, which makes laparoscopic approach unsafe, and almost impossible necessitating conversion from laparoscopic to open surgery. Then, the process is carried on until the safe implantation of mesh into abdominal cavity becomes possible. This has led to the birth of what is known as the hybrid technique for incisional hernia repair (laparoscopy, conversion, laparotomy, laparoscopy). Patients with large, complicated, and recurrent incisional hernias should primarily be qualified to hernioplasty with the hybrid technique, which combines the conventional open repairs (safe adhesiolysis, safe placement of laparoscopic tools into the abdominal cavity, closing the defect) with laparoscopic repair (intraperitoneal mesh placing).
{"title":"Hybrid Technique for Incisional Hernias","authors":"Monika Romanowska, J. Pawlak","doi":"10.5772/INTECHOPEN.76941","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76941","url":null,"abstract":"Hernia is one of the most common complications post any laparotomy. Various techniques are used for the repair of incisional hernias. Hernioplasty with synthetic materials is worldwide standard, and indications to the simple suture methods are rare. Miniinvasive techniques for hernia repair have become popular since 1990 and carry many advantages. Some incisional hernias have a very large hernia sac with large loss of fascia, which makes an exclusive laparoscopic approach challenging. Moreover, some patients are found to have very dense adhesions, which makes laparoscopic approach unsafe, and almost impossible necessitating conversion from laparoscopic to open surgery. Then, the process is carried on until the safe implantation of mesh into abdominal cavity becomes possible. This has led to the birth of what is known as the hybrid technique for incisional hernia repair (laparoscopy, conversion, laparotomy, laparoscopy). Patients with large, complicated, and recurrent incisional hernias should primarily be qualified to hernioplasty with the hybrid technique, which combines the conventional open repairs (safe adhesiolysis, safe placement of laparoscopic tools into the abdominal cavity, closing the defect) with laparoscopic repair (intraperitoneal mesh placing).","PeriodicalId":430404,"journal":{"name":"Hernia Surgery and Recent Developments","volume":"58 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122770338","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-04-12DOI: 10.5772/INTECHOPEN.76079
Ahmed Alwahab, A. Alawadhi, Asmaa Abd AlwahabNugud, Shomous Nugud
Incarceration, obstruction and strangulation are well recognized common complications of hernias. Several risk factors determine patients’ morbidity and mortality. Hernia surgery complications encompass infections, fascial dehiscence, recurrence, neuralgia, vis- ceral injury, and mesh erosion or migration predetermined by many risk factors. The types and criteria for surgical site infections are defined by the extent of the infection. Whether the open or laparoscopic approaches are attempted, the rates of the respective complications depend on the approach. Post-operative hernias are appreciated because of their prevalence and complications. The criteria for enhanced recovery after surgery depend on whether patient is in the pre-operative, intra-operative or post-operative phase. Within the pediatric population, the risk of developing umbilical and inguinal is variable.
{"title":"Worst Case Scenarios! Complications Related to Hernial Disease","authors":"Ahmed Alwahab, A. Alawadhi, Asmaa Abd AlwahabNugud, Shomous Nugud","doi":"10.5772/INTECHOPEN.76079","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.76079","url":null,"abstract":"Incarceration, obstruction and strangulation are well recognized common complications of hernias. Several risk factors determine patients’ morbidity and mortality. Hernia surgery complications encompass infections, fascial dehiscence, recurrence, neuralgia, vis- ceral injury, and mesh erosion or migration predetermined by many risk factors. The types and criteria for surgical site infections are defined by the extent of the infection. Whether the open or laparoscopic approaches are attempted, the rates of the respective complications depend on the approach. Post-operative hernias are appreciated because of their prevalence and complications. The criteria for enhanced recovery after surgery depend on whether patient is in the pre-operative, intra-operative or post-operative phase. Within the pediatric population, the risk of developing umbilical and inguinal is variable.","PeriodicalId":430404,"journal":{"name":"Hernia Surgery and Recent Developments","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133549108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-23DOI: 10.5772/INTECHOPEN.75387
A. Guttadauro, M. Maternini, N. Pecora, MarcoChiarelli, V. Riggio, F. Gabrielli
Since the 1970s, when biocompatible meshes were introduced with the consequent decrease of recurrence, one of the priorities in inguinal hernia surgery was that of mini-mizing postoperative chronic pain. All technical variations, proposed during the past years in order to improve patient’s comfort, reported a variable incidence of chronic neuralgia. The procedure we describe, applicable to all cases of primary inguinal her- nia, employs a smaller pre-cut single mesh that covers all weak areas of the inguinal canal and is enveloped in a fibro-cremasteric sheath, avoiding contact of the prosthesis with neural structures. The new procedure, already performed on 250 patients, aims to improve patients’ comfort and to reduce the incidence of chronic neuralgia.
{"title":"All-in-One Mesh Hernioplasty: A New Procedure for Inguinal Hernia Repair","authors":"A. Guttadauro, M. Maternini, N. Pecora, MarcoChiarelli, V. Riggio, F. Gabrielli","doi":"10.5772/INTECHOPEN.75387","DOIUrl":"https://doi.org/10.5772/INTECHOPEN.75387","url":null,"abstract":"Since the 1970s, when biocompatible meshes were introduced with the consequent decrease of recurrence, one of the priorities in inguinal hernia surgery was that of mini-mizing postoperative chronic pain. All technical variations, proposed during the past years in order to improve patient’s comfort, reported a variable incidence of chronic neuralgia. The procedure we describe, applicable to all cases of primary inguinal her- nia, employs a smaller pre-cut single mesh that covers all weak areas of the inguinal canal and is enveloped in a fibro-cremasteric sheath, avoiding contact of the prosthesis with neural structures. The new procedure, already performed on 250 patients, aims to improve patients’ comfort and to reduce the incidence of chronic neuralgia.","PeriodicalId":430404,"journal":{"name":"Hernia Surgery and Recent Developments","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121018121","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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