At the last Suvretta meeting in 2006 on recurrent hernia prevention and treatment, the authors demonstrated that with the wide range of available techniques, materials, and meshes at our disposal today, an experienced hernia surgeon will be able to prevent or at least treat a recurrent hernia.
But whereas recurrences can be treated successfully in most cases, some other hernia repair sequelae can result in severe, sometimes untreatable problems, e.g. pain, infection, adhesion, or infertility. That was the reason to focus the 5th Suvretta meeting in 2008 on hernia repair sequelae. The authors are convinced that such sequelae can be a more serious problem for the patient than the mostly treatable recurrent hernia. Therefore, it was appropriate to focus the 5th Suvretta meeting on these longterm problems.
During a four-day meeting, the authors discussed all technical aspects of the various operations and materials to generate a consensus concerning the best techniques and meshes. They explored methods to improve surgical techniques to look into the multifactorial causes of post hernia repair sequelae. In the seclusion of the Swiss plateau valley they had a perfect setting todiscuss these important hernia repair problems in detail with the top hernia specialists in the world.
With this book, the results of this exceptional 5th Suvretta meeting have been made accessible for every surgeon who is interested in hernia surgery and its sequelae.
I Risk for the Spermatic Cord
- 1 Are There Adverse Effects of Herniorrhaphy Techniques on Testicular Perfusion?
- 2 The Effects of Mesh Bioprosthesis on the Spermatic Cord Structures in a Rat Model
- 3 Damage to the Spermatic Cord by the Lichtenstein Procedure in a Pig Model–Preliminary Results
- 4 Influence of Prosthetic Implants on Male Fertility in Rabbits and Rats
- 5 The Effects of a Mesh Bioprosthesis on the Spermatic Cord Structures
- 6 Influence of Prosthetic Implants on Male Fertility in Rats
- 7 What Can We Do To Decrease the Risk of Vas Deferens Injury due to Inguinal Hernioplasty?
- 8 The Long-Term Effect on Testicular Function of a Mesh Bioprosthesis Used for Inguinal Hernia Repair
- 9 Reoperation Following Lichtenstein Repair: What Do Vas and Nerves Look Like?
- 10 Damage to the Spermatic Cord from Groin Herniorrhaphy: A Review
II Risk for Infection
- 11 Mesh Infection Following Hernia Repair: A Frequent Problem?
- 12 Patient Factors as a Major Determinant of Wound Outcome and Infection After Surgery
- 13 Mesh-Related Infections After Hernia Repair
- 14 Human Acellular Dermal Matrix for Ventral Hernia Repair in the Compromised Surgical Field
- 15 Fate of the Inguinal Hernia Following Removal of Infected Prosthetic Mesh
- 16 Mesh Infection–Therapeutic Options
- 17 Does Antibiotic Prophylaxis Prevent the Occurrence of Wound Infection After Groin Hernia Surgery?
- 18 Infection Control in a Hernia Clinic: 24-Year Results of Aseptic and Antiseptic Measure Implementation in 4,620 »Clean Cases« Based on Up-To-Date Microbiological Research
- 19 Components Separation Technique: Pros and Cons
III Risk for Pain
- 20 Self-Assessment of Discomfort and Pain after Inguinal Hernia Repair: A Reflection of Both Individual Pain Propensity and Surgical Strategy
- 21 Chronic Pain After Inguinal Hernia Repair
- 22 What Do We Know About the Pathophysiology and Pathology of Neuropathic Pain?
- 23 Surgical Trauma of Nerves–Causes of Neuropathic Pain, Classification, and Options in Surgical Therapy
- 24 Risks for Pain–Neuropathic Pain: How Should We Handle the Nerves?
- 25 What To Consider as Clinicians About Chronic Postoperative Pain and Inguinal Herniorrhaphy
- 26 Risk Factors for Chronic Pain After Groin Hernia Surgery
- 27 Ischemic Inflammatory Response Syndrome as an Alternative Explanation for Postherniorrhaphy Pain
- 28 Postoperative CRPS in Inguinal Hernia Patients
- 29 Chronic Pain After Open Mesh Repair of Incisional Hernia
- 30 Clinical Results After Open Mesh Repair
- 31 Acute and Chronic Pain After Laparoscopic Incisional Hernia Repair
- 32 Effect of Nerve Identification on the Rate of Postoperative Chronic Pain Following Inguinal Hernia Surgery
- 33 Discomfort 5 Years After Laparoscopic and Shouldice Inguinal Hernia Repair: A Report from the SMIL Study Group
- 34 Recurrence or Complication: The Lesser of Two Evils? A Review of Patient-Reported Outcomes from the VA Hernia Trial
- 35 Chronic Pain After Inguinal Hernia Repair: The Choice of Prosthesis Outweighs That of Technique
- 36 The Effect of Polypropylene Mesh on the Ilioinguinal Nerve in Open Mesh Repair of Groin Hernia
- 37 Lightweight Macroporous Mesh vs. Standard Polypropylene Mesh in Lichtenstein Hernioplasty
- 38 Does the Choice of Prosthetic Mesh Type Make a Difference in Postherniorrhaphy Groin Pain?
- 39 New Understanding of the Causes and Surgical Treatment of Postherniorrhaphy Inguinodynia and Orchialgia
- 40 Surgery for Chronic Inguinal Pain: Neurectomy, Mesh Explantation, or Both?
- 41 Results of Tailored Therapy for Patients with Chronic Inguinal Pain
IV Risk for Adhesion
- 42 Adhesion as a Chronic Inflammatory Problem? Risk for Adhesions, Migration, and Erosions?
- 43 Biological Tissue Graft: Present Status
- 44 IPOM Results of 344 Consecutive Patients with a PVDF-Derived Prosthesis
- 45 Pooled Data Analysis of Laparoscopic vs. Open Ventral Hernia Repair: 14 Years of Patient Data Accrual
- 46 Tissue Ingrowth, Adhesion, and Mesh Contraction
- 47 Effect of Different Mesh Materials on Adhesion Formation
- 48 Tissue Ingrowth and Laparoscopic Ventral Hernia Mesh Materials: An Updated Review of the Literature
- 49 Porosity and Adhesion in an IPOM Model
- 50 Benefit of Lightweight and/or Titanium Meshes?
- 51 ePTFE Prostheses and Modifications
- 52 The Role of Stem Cells in Abdominal Wall Repair
V Risk for Migration and Erosion
- 53 Safety and Durability of Prosthetic Repair of the Hiatal Hernia: Lessons Learned from a 15-Year Experience
- 54 Mesh Migration into the Esophageal Wall After Mesh Hiatoplasty
- 55 Complications After Gastric Banding–Results in Germany
- 56 Alloplastic Implants for the Treatment of Stress Urinary Incontinence and Pelvic Organ Prolapse
- 57 Prophylactic IPOM Mesh To Prevent Parastomal Hernias
- 58 Laparoscopic Parastomal Hernia Repair: Pitfalls and Complications
- 59 Concept of Visible Mesh and Possibilities for Analysis of Mesh Migration and Shrinkage
VI Strategy to Improve Results
- 60 Who Has the Major Role in Hernia Surgery: The Surgeon or the Material?
- 61 Two Controversial Concepts: Standard Procedure in a Standard Patient Versus Tailored Surgery with Procedures Adjusted to Individual Patients
VII Pro and Contra
- 62 In Support of a Standard Technique for Inguinal Hernia Repair
- 63 In Support of Individual Selection of Technique as Related to the Patient–Improvement by Better Selection of Patients Who Can Be Offered a Less Risky Technique: Groin Hernia
- 64 In Support of Standard Procedure in Abdominal Hernia Repair
- 65 In Support of Individualized Procedures in Abdominal Wall Hernia Repair
- 66 In Support of Standard Procedure in Hiatal Hernia Repair
- 67 Strategy To Improve the Results? In Support of Individualized Procedures in Hiatal Hernia Repair
- 68 Questionnaire
Subject Index
- Hardcover: 530 pages
- Publisher: Springer; 1st edition (February 18, 2010)
- Language: English
- ISBN-10: 3642045529
- ISBN-13: 978-3642045523
- Product Dimensions: 9.7 x 6.9 x 1.1 inches
List Price: $199.00