Indications All patients with incisional hernias are candidates for hernia repair with mesh. The eligibility for a minimally invasive hernia repair depends largely on the hernia width. In our practice, a hernia width of up to 7 cm measured preoperatively…
Background Inguinal hernia is a common pathology, occurring in approximately 27% of men and 3% of women throughout their lives. Worldwide, operative repair of inguinal hernia is performed an estimated 20 million times annually. With the widespread adoption of tension-free,…
There has always been a need to perform an inguinal hernia repair without mesh, i.e., tissue repair. These repairs are typically performed in an open, anterior fashion and include techniques as described by Shouldice, Bassini, and McVay. The open preperitoneal…
Introduction Inguinal hernia is the most common of all primary abdominal wall hernias. Surgical repair of these constitutes 80% of all hernia operations. Over 800,000 inguinal hernias are repaired annually in the United States. Definitive treatment is surgical and can…
Indications The principles of hernia repair management are based on the patient’s symptoms, along with the characteristics of the hernia, including the size and location of the hernia defect(s), and the presence of bowel, infection, among other factors. Patients presenting…
A comprehensive understanding of abdominal wall anatomy is critical for the successful repair of hernias. Such anatomical understanding is generally considered to be practically applied in the operative theater but is perhaps most appropriately utilized in the preoperative evaluation of…
Introduction Novel surgical techniques and technologies (such as retromuscular repairs and robotic surgery) have allowed surgeons to better understand the different layers that constitute the abdominal wall and how they relate to each other. A comprehensive knowledge of these anatomical…
Introduction The number of robot-assisted cases performed by general surgeons continues to rise annually worldwide. , With the adoption of new technology and techniques comes challenges. Implementation of any new technique or adoption of new technology is associated with a…
Introduction The adoption and implementation of new technologies in surgical practice are growing at an exponential rate. The evolution of techniques, devices, and surgical platforms has revolutionized the training experience. New approaches to surgical disease have resulted in a vastly…
Access the accompanying videos for this chapter online. Available on ExpertConsult.com . Despite the first successful surgical treatment for correctable biliary atresia (BA) being reported in 1928, very few patients with correctable BA survived long term. In 1959, Professor Kasai…