Techniques of Abdominal Wall Hernia Repair

261 Pages·2020·22.376 MB·English

by  Pradeep Chowbey, Davide Lomanto

Techniques
of Abdominal Wall
Hernia Repair
Pradeep Chowbey
Davide Lomanto
Editors
123
Techniques of Abdominal
Wall Hernia Repair
Pradeep Chowbey • Davide Lomanto
Editors
Techniques
of Abdominal Wall
Hernia Repair
Editors
Pradeep Chowbey Davide Lomanto
Metabolic and Bariatric Surgery Minimally Invasive Surgical Centre
Max Super Specialty Hospital KTP Advanced Surgical Training Centre
New Delhi Yong Loo Lin School of Medicine
India National University Health System
National University of Singapore
Singapore
ISBN 978-81-322-3942-0 ISBN 978-81-322-3944-4 (eBook)
https://doi.org/10.1007/978-81-322-3944-4
© Springer Nature India Private Limited 2020
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Contents
Part I General
1 The Economics of Hernia Surgery . . . . . . . . . . . . . . . . . . . . . . . . 3
Jose Macario Faylona
2 Surgical Anatomy of Groin and Groin Hernia . . . . . . . . . . . . . . . 11
Shintaro Sakurai
3 Abdominal Wall Hernia Classification . . . . . . . . . . . . . . . . . . . . . 49
Basim Alkhafaji
4 Imaging of Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . 55
Rakesh K. Mathur and Nidhi Goyal
Part II G roin Hernia
5 Biomaterials for Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . 77
Rolf Ulrich Hartung
6 Anaesthesia for Laparoscopic Abdominal Wall
Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Aparna Sinha and Lakshmi Jayaraman
7 Surgical Techniques for Inguinal Hernia Repair:
Open Techniques—Tissue Repairs . . . . . . . . . . . . . . . . . . . . . . . . 97
Rey Melchor F. Santos
8 Surgical Techniques for Inguinal Hernia Repair:
Open Tension- Free Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111
Ching-Shui Huang
9 Total Extraperitoneal Repair of Groin Hernias . . . . . . . . . . . . . . 119
Pradeep Chowbey
10 Transabdominal Pre-peritoneal (TAPP) Repair
for Groin Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133
George Pei Cheung Yang
11 Open and Laparoscopic Repair of Femoral Hernia . . . . . . . . . . 141
Deepraj S. Bhandarkar
v
vi Contents
12 Groin Hernia in the Elderly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147
K. G. Mathew
13 Sportsman Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157
Yen Ping Tan and Jaideepraj Rao
14 Complications Inguinal Hernias: Strangulated
Incarcerated and Obstructed Hernias . . . . . . . . . . . . . . . . . . . . . 163
Pradeep Chowbey
15 Recurrent Inguinal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169
Rajesh Khullar
Part III A bdominal Wall Hernia
16 Biomaterials for Abdominal Wall Hernia Repair . . . . . . . . . . . . 177
Asim Shabbir and Sujith Wijerathne
17 Laparoscopic Incisional and Ventral Hernia Mesh Repair . . . . . 185
Davide Lomanto and Hrishikesh P. Salgaonkar
18 Laparoscopic Pre-peritoneal Onlay Mesh (PPOM)
Repair for Ventral and Incisional Hernia . . . . . . . . . . . . . . . . . . . 195
George Pei Cheung Yang
19 Laparoscopic Repair of Peripheral Abdominal
Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203
Anil Sharma
20 Obesity and Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . 207
Alfred Allen Buenafe
21 Components Separation Technique for Repair
of Complex Abdominal Wall Hernia . . . . . . . . . . . . . . . . . . . . . . . 213
Jonathan Foo and Wei-Keat Cheah
22 Parastomal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Kai He and Qiyuan Yao
23 Muscle–Aponeurotic Plication Associated
with Dermolipectomy in the Treatment of Ventral
Hernias and Diastasis Recti: A Functional
and Aesthetic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Marco Aurelio Faria-Correa
24 Faria-Correa_Minimally Invasive Subcutaneouscopic
and Robotic Rectus Plication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247
Marco Aurelio Faria-Correa
25 Robotic Repair for Ventral Hernias . . . . . . . . . . . . . . . . . . . . . . . 261
Davide Lomanto and Sajid Malik
26 Future Consideration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267
Davide Lomanto
About the Editors
Pradeep Chowbey is currently Chairman of the Max Institute of Minimal

Access, and Chief of Surgery and Allied Surgical Specialties at Max Hospital,
New Delhi, India. He is the Honorary Surgeon to the President of India and
Surgeon to His Holiness the Dalai Lama. He is the Founder President of the
Asia Pacific Hernia Society (2004) and Former President of the Asia-Pacific
Metabolic and Bariatric Surgery Society (2010–2012), of the Pacific Chapter
of the International Federation for the Surgery of Obesity and Metabolic
Disorders (2011–2013), and of the International Federation for the Surgery of
Obesity and Metabolic Disorders (2012–2013).
He established the Minimal Access, Metabolic & Bariatric Surgery Centre,
Sir Ganga Ram Hospital, New Delhi, in 1996, the first of its kind on the Asian
subcontinent. His current institute, the Max Institute of Minimal Access, is
accredited as an International Centre of Excellence for Endohernia Surgery
and Bariatric Surgery. He was on the steering committee for formulating the
Worldwide Guidelines and Recommendations for inguinal hernia and ven-
tral and incisional abdominal wall hernias published in the Surgical Endoscopy
journal (Springer).
He is the Editor in Chief of the Journal of Minimal Access Surgery, the
official publication of IAGES, a Section Editor (Ventral/Incisional Hernia
Surgery) for Hernia: The World Journal of Hernia and Abdominal Wall
Surgery, and an Associate Editor for the International Journal of Abdominal
Wall and Hernia Surgery.
Davide  Lomanto is currently a Professor of Surgery at the National

University of Singapore and Director of the Minimally Invasive Surgical
Centre (MISC) and of the KTP Advanced Surgery Training Centre (ASTC),
National University Hospital (NUS). He is a Secretary-General and a Past
President of the Endoscopic and Laparoscopic Surgeons of ASIA (ELSA); a
Founding Member and Advisory President of the Asia Pacific Hernia Society
(APHS); and a Founding Member and Past-President of the Asia-Pacific
Metabolic and Bariatric Surgery Society (APMBSS). He has been awarded
Honorary Memberships in several endolaparoscopic societies: Japan (JSES),
India (IAGES), Indonesia (PBEI, PERHERI), the Philippines (PCS, PALES),
and Thailand (RCST). He recently been awarded the prestigious Honorary
Fellowship Ad Hominem from the Royal College of Surgeons of Edinburg
(FRCS) and from the European Association for Endoscopic Surgery (EAES).
vii
viii About the Editors
He serves as Experts in several Guidelines Committee for Inguinal and
Abdominal Wall Hernia.
He currently serves as Managing Editor of the Asian Journal of Endoscopic
Surgery; Associate Editor of Hernia: The World Journal of Hernia and
Abdominal Wall Surgery; and International Editorial Member for Surgical
Endoscopy and Asian Journal of Surgery. He was knighted by the Italian
Government on 26 December 2009.
Part I
General
1
The Economics of Hernia Surgery
Jose Macario Faylona
1.1 Introduction more people. In line with this, health econo-
mists need to make crucial decisions as to
Hernia surgery is one of the most common opera- which will be funded and which will be
tions being done worldwide. Statistics from the rejected. In the case of hernia surgery, there are
different countries varies but in the US, China, so many variables that need to be considered in
and India, inguinal hernia surgery can go as high deciding the most economical choice for a her-
as one million cases per year [1]. Throughout the nia patient. Things that need to be considered
lifetime of an individual, the chance of having a are the following:
hernia operation is 27% for males and 3% for
females [2]. Hernia surgery involves not only 1. Tissue repair vs. prosthetic repair
inguinal hernia but also ventral or incisional her- 2. Open vs. laparoscopic repair
nias. Through the years, the management of her- 3. Type of mesh to use
nias has evolved from tissue repairs to prosthetic 4. Type of fixation
repairs and laparoscopic repairs. With the advent 5. Day case or in-hospital procedure
of all of these technological breakthroughs and 6. Type of anesthesia
new techniques in hernia surgery, it is necessary 7. Antibiotic use
to assess the economic impact of these things in 8. Impact on patients’ quality of life and return
terms of health care cost, as well as costs that the to work
patients will incur.
With all these things to consider, it is essential
for the decision-makers of health care to under-
1.2 Health Economics stand the concepts of health economics. Decision
should be based on several concepts:
In terms of health economics, different coun-
tries will have different systems of funding 1. Cost-minimization analysis
health care, but they have one thing in com- 2. Cost-effectiveness analysis
mon; health care resources are limited and 3. Cost-utility Analysis
needs to be spent rationally for the benefit of 4. Cost-benefit analysis
J. M. Faylona (*)
Department of Surgery, UP College of Medicine,
University of the Philippines-Manila,
Manila, Philippines
© Springer Nature India Private Limited 2020 3
P. Chowbey, D. Lomanto (eds.), Techniques of Abdominal Wall Hernia Repair,
https://doi.org/10.1007/978-81-322-3944-4_1