Laparoscopic Hernia Surgery: An Operative Guide (Arnold by Karl Leblanc

By Karl Leblanc

Fix of easy and complicated belly hernias by means of the laparoscopic method is now the tactic of selection in lots of facilities. Laparoscopic fix bargains an identical results to open fix, with the extra merits of better sufferer delight and diminished hospitalization. For a few hernias, significantly incisional and hiatal, the end result seems to be improved utilizing the minimally invasive approach. This publication, authored by way of a global crew of prime surgeons within the box of hernia fix, supplies a distinct advisor to suitable sufferer choice and operative approach. The introductory part can provide an invaluable, illustrated account of instrumentation, biomaterials and mesh fixation. next sections supply exact information regarding inguinal, incisional and hiatal herniorraphy, together with 4 chapters dedicated to using laparoscopy within the pediatric sufferer. Robotics and the socio-economic features of hernia surgical procedure also are mentioned. * The ebook provides in-depth insurance of every surgery, together with crucial heritage info, suitable anatomy, preoperative review of the sufferer, collection of instrumentation and biomaterials, and beauty effects. *Each technique is illustrated with a step by step sequence of fine quality laparoscopic pictures, permitting the reader to persist with the series of the operation. * the popularity and administration of issues is highlighted, and winning postoperative administration ideas also are thought of. tutorial, descriptive and illustrated in colour all through, this unrivalled operative advisor deals an entire research of every of the present applied sciences, and is a useful resource of data for citizens and training surgeons.

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All but the last patient in this series were repaired through an open incision. The thirteenth patient was repaired in 1979 under laparoscopic guidance with a special stapling device. The three-year follow-up of this patient revealed him to be free of an identifiable recurrence. Ger and colleagues continued their efforts to repair these hernias laparoscopically. 2 This device was never produced commercially, but it was certainly ahead of its time. 5 ϫ 5 cm) over the defect. These rolls of mesh were not secured to either the fascia or peritoneum.

Close-up views reveal that these differences in appearance are due to the laminar construction of the Dulex and the transverse interstices of the DualMesh. Collagen penetration will be throughout the entire structure of the latter and will be stopped at the visceral surface of the biomaterial. Another unique feature of the DualMesh is that it is available impregnated with silver and chlorhexidine, antimicrobial agents that are added for the obvious purpose of preventing infection. Long-term data on the benefits of impregnating these substances into the product are difficult to document due to the low rate of infection that is associated with laparoscopic hernioplasty.

46 Berguer R, Smith WD, Davis S. An ergonomic study of the optimum operating table height for laparoscopic surgery. Surg Endosc 2002; 16: 416–21. This page intentionally left blank 3 Prosthetic biomaterials for hernioplasty KARL A. LEBLANC Synthetic prosthetic biomaterials: flat, single-component products 17 Synthetic prosthetic biomaterials: preformed products 21 Synthetic prosthetic biomaterials: composite products 21 Almost all hernia repairs that are performed laparoscopically utilize some form of prosthetic biomaterial.

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