Hernias: Signs/Symptoms, Management and Surgical Complications


Mark Suckow (Editor)
Department of Biological Sciences, University of Notre Dame, Notre Dame, IN, USA

Series: Surgery – Procedures, Complications, and Results
BISAC: MED085000

Patients affected with a hernia continue to represent a significant clinical population. Resulting from varied causes and associated with an array of pathophysiologies, a hernia can pose marked diagnostic and treatment challenges for the clinician. Sometimes subclinical and sometimes life-threatening, a hernia may require little or substantial medical intervention.

This book consists of sixteen chapters by noted clinicians and scientists. Many chapters include background pathogenesis, typical symptoms experienced by patients, diagnostic measures, and therapeutic approaches. Current information is summarized and interpretations offered where appropriate.

Basic pathogenic mechanisms and pathophysiology are considered in chapters such as those on the inheritance of a groin hernia (Burcharth and Rosenberg), and on alterations in arterial blood gases both before and after surgery (Tsounaki). These chapters make evident both the progress made in understanding the processes underlying hernias and related diseases, as well as the incomplete understanding we have with respect to such processes.

Descriptions of clinical presentations, diagnostic approaches, and medical and surgical management are provided for several types of hernias, including inguinal, diaphragmatic, incisional, and Richter’s. The utility of new methods for correction, such as laparoscopy and components separation, is described in the chapters by Maxwell and Baird, Marescaux et al, Mazzochi et al, and Sabino et al. These chapters reflect the technological improvements that have been brought to the successful treatment of hernias.

It is likely that, with time, further definitions and refinements will additionally advance the understanding and approaches to hernias. The goal of this book is to summarize our understanding of basic concepts of hernia, at present, as a reference for scientists and clinicians. (Imprint: Nova Biomedical )

Table of Contents

Table of Contents

Preface pp,vii-viii

Chapter 1. The Inheritability and Genetic Aspects of Groin Hernias
(Jakob Burcharth and Jacob Rosenberg, Center for Perioperative Optimization, Department of Surgery, Herlev Hospital, Herlev Ringvej, Denmark)pp,1-24

Chapter 2. Current Concepts in Neonatal and Pediatric Inguinal Hernia Repair
(Bogdan Protyniak, Diana Thaung and Sathya-Prasad Burjonrappa, Department of Surgery, Monmouth Medical Center, Long Branch, New Jersey, USA, and others)pp,25-36

Chapter 3. Inguinal Hernia in Girls: Surgical Management and Surgical Complications
(Takeshi Hirabayashi, Tokai University School of Medicine, Tokyo, Japan)pp,37-54

Chapter 4. Metachronous Contralateral Inguinal Hernia in the Paediatric Population
(Ramesh M. Nataraja and Shehryer Naqvi, Royal London Hospital, London, United Kingdom)pp,55-66

Chapter 5. Ventral Hernia Repair: Technical Principles of the Standardized Laparoscopic Approach
(Didier Mutter, Stefano Mandala and Jacques Marescaux, Digestive and Endocrine Surgery Department, IRCAD; IHU Strasbourg, France)pp,67-76

Chapter 6. The Role of Laparoscopy in the Repair of Pediatric Inguinal Hernias
(Damian Maxwell and Robert Baird, Department of Pediatric General and Thoracic Surgery, Montreal Children’s Hospital, McGill University, Montreal, Quebec, Canada)pp,77-94

Chapter 7. Management of Adult Inguinal Hernias: The Open Preperitoneal Approaches
(Junsheng Li and Zhenling Ji, Center of Hernia Repair, Department of General Surgery, Zhongda Hospital, Southeast University, Nanjing, P.R. China)pp,95-112
Chapter 8. Complications of Inguinal Hernia Surgery
(Manuel Hidalgo, Josè L. Porrero, Manuel Ortiz, Belen Porrero and Ana Hidalgo, Hospital Universitario 12 de Octubre, Madrid, Spain, and others)pp,113-124

Chapter 9. Components Separation Technique and Modifications to Improve Outcomes
(Jennifer Sabino, Jamil A. Matthews and Devinder P. Singh, University of Maryland School of Medicine, Division of Plastic Surgery, Baltimore, MD, USA)pp,125-138

Chapter 10. Richter’s Hernia: Clinical Aspects and Management
(Peter Bistolarides and Aziz M. Merchant, Division of General Surgery, Central Michigan University College of Medicine, Saginaw, MI, USA, and others)pp,139-154

Chapter 11. Lumbar Hernia: Signs, Symptoms and Treatment
(Junsheng Li and Zhenling Ji, Center of Hernia Repair, Department of General Surgery, Zhongda Hospital, Southeast University, Nanjing, P.R. China)pp,155-164

Chapter 12. Component Separation Technique and Panniculectomy for Repair of Incisional Hernia
(Marco Mazzocchi, Luca A. Dessy, Silvia Di Ronza and Nicolò Scuderi, Department of Plastic and Reconstructive Surgery, University of Perugia, Perugia, Italy, and others)pp,165-178

Chapter 13. Diaphragmatic Hernias
(Ivan Martinez Serna and Antonio Pablo Gamez Garcia, Thoracic Surgery Department, Hospital Universitario 12 de Octubre, Madrid, Spain)pp,179-208

Chapter 14. The Surgical Management of Atypical Hernias
(William W. Hope, William F. Powers, IV and W. Borden Hooks, Department of Surgery, New Hanover Regional Medical, Center, South East Area Health Education Center, Wilmington, NC, USA)pp,209-226

Chapter 15. Small Intestinal Submucosa Biomaterial for the Repair of an Abdominal Hernia in a Diabetic Rat Model
(Mark A. Suckow, William R. Wolter, Susan M. LaBadie-Suckow and Chad Johnson, University of Notre Dame, Notre Dame, IN, USA, and others)
Chapter 16. Arterial Blood Gas Changes in Patients Undergoing Inguinal, Umbilical and Postoperative Hernia Repair Surgery
(Efthimia Tsounaki, General Hospital Patision, Athens, Greece)pp,235-248

Index pp,249-261

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