Hernia Surgery Simplified

221 Pages·2013·27.106 MB·English

by  Sachin Kuber

HERNIA SURGERY
Simplified

HERNIA SURGERY
Simplified
Sachin Kuber MS (General Surgeon)
Director (Panel Surgeon)
Oyster and Pearl Hospital, Pune, Maharashtra, India
Rajiv Gandhi Medical University, Karnataka, India
Sanjeevan Hospital, Pune, Maharashtra, India
Yashada Hospital, Pune, Maharashtra, India
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Hernia Surgery Simplified
First Edition: 2013
ISBN: 978-93-5025-949-8
Printed at
Dedicated to
My mother
Late Mrs Anjali Bhaskar Kuber
My father
Mr Bhaskar D Kuber
My better half
Dr (Mrs) Mugdha Sachin Kuber
My teacher
Dr Laxmikant Shah

PREFACE
It is my great pleasure to introduce to you, all readers another marvel from M/s Jaypee Brothers Medical Publishers
(P) Ltd, New Delhi, India, and me. The book Hernia Surgery Simplified is a totally new concept of book writing.
This is very vast and complicated subject and any book written on this subject can never be perfect. As medical
field is changing and evolving so fast, that to accomplish this information in a single book is too difficult to comply.
Here, we have come up with a short book explaining about the facts of hernia repair. The aim of the book is to
present the latest techniques of hernia surgery prevalent today. We have tried to cover this huge subject in short
but adequate manner. All the chapters contain new and relevant, useful techniques of various types of hernia
repair. All the obsolete techniques are eliminated from the book. Our book also lets readers to know about the
latest mesh products available in the market, to make them familiar.
Our outlook in writing the book is to make hernia surgery easy for learners, surgeons in a way that they will get the
ready and useful information on this subject. To prepare a book in a handy manner is difficult than writing a huge
book. We have compiled the latest techniques on hernia repair in the book. This will surely help the undergraduate
and postgraduate students to understand what is happening in the medical and surgical field today.
It is our sincere attempt to put this valuable information on hernia surgery for your approval. We hope that this
detailed book dedicated to hernia repair will be useful in updating the knowledge of the learners.
Sincerely, I thank M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for giving me an
opportunity to write the book.
Sachin Kuber

CONTENTS
1. Milestones in Hernia Surgery 1
• History of the Procedure 3
2. Surgical Anatomy of Hernia Sites 5
• Surgical Anatomy of Hernia Sites 5
• External Anatomy of Abdominal Wall—The Surface Markings 6
• The Fascia 7
• Rectus Abdominis and Rectus Sheath 8
• Importance of Langer’s Lines in Hernia Surgery 16
• Vascular Supply of Abdomen 17
• Posterior Abdominal Wall 21
• Blood Supply of Posterior Abdominal Wall 22
• Deep Inguinal Ring 23
• Diaphragm 29
• Esophageal Hiatus 30
3. Incidence, Prevalence of Hernia 32
• Incidence, Prevalence of Hernias (Abdominal) 32
• Epidemiology 34
• Epigastric Hernia 34
• Hiatal Hernia 34
• Epidemiology of Inguinal Hernia Survey Results 35
4. Etiology of Herniation 37
• Etiology 37
• Pathophysiology 39
5. Prosthesis Used in Hernioplasty 46
• Use of Prosthetics in Hernia Repair 46
• Permacol 49
• AlloDerm Mesh 49
• Flat Nonabsorbable/Partially Absorbable Mesh 50