tailieunhanh - Ebook Master techniques in surgery hernia: Part 2

(BQ) Part 2 book "Master techniques in surgery hernia" presentation of content: Laparoscopic transabdominal preperitoneal inguinal hernia repair, totally extraperitoneal inguinal hernia repair, onlay mesh repair, sports hernia, umbilical hernia repair, massive ventral hernia with loss of domain, components separation,.and other contents. | Open Abdominal Wall Hernia 23 Choice of Mesh Arthur Rawlings and Brent D. Matthews lfwe could artificially produce tissue of the density and toughness offascia and tendon, the secret of the radical cure of hernia repair would be discovered. Theodore Bilroth (1829-1894) Introduction Edoardo Bassini ushered in the modem era of hernia repair in 1887 with his "radical cure" for an inguinal hernia on the basis of an anatomical repair. Despite improved understanding of abdominal wall anatomy, the advent of aseptic technique, the development of antibiotic therapy for prophylaxis, and refined surgical skills over the decades, recurrence from a tissue repair of an abdominal wall hernia occurs at an alarming rate. This is not the "radical cure" that Bassini envisioned for an inguinal hernia nor for any abdominal wall hernia. For example, one study showed that a primary repair of a large ventral hernia is reported to have a 63% recurrence rate at 10 years. This is reduced to 32% if a mesh is used to augment the primary closure. If the hernia is small, less than 10 cm2 , then the recurrence rate for a primary repair is 67%, whereas it drops to 17% if a mesh is used to augment the repair. Though there is much to learn about hernia anatomy and its usefulness in repair, studies have demonstrated that a mesh should be a primary tool for an abdominal wall hernia repair. A mesh should be used unless there is a compelling reason not to use one. With so many options available the question becomes, "Which one?" What is the Ideal Mesh? Before discussing what is available, it would be a good exercise to consider what would be an ideal mesh. What is being asked from a piece of mesh in an abdominal wall hernia repair? There are several desired characteristics, some absolute while others only highly desirable. The ideal mesh would be (in no significant order): 1. Noncarcinogenic 2. Strong enough to prevent a recurrence 3. Easy to handle 245 246 Part Ill Open Abdominal Wall .

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• Master techniques in surgery hernia
• Onlay mesh repair
• Sports hernia
• Umbilical hernia repair
• Components separation
• Suprapubic hernia
• Pathophysiology of hernias
• Lichtenstein based groin hernia repair
• Patch inguinal hernia repair
• The bassini operation
• Cooper ligament repair
• Surgery hernia
• Master techniques
• Regulation of pathways
• Glucose homeostasis
• Fructose metabolism
• Diabetes mellitus
• Lipid metabolism
• Metabolism of amino acids
• Molecular biology
• Diagnostic clinical biochemistry