By (auth.), Juan Manuel Suárez Grau, Juan Antonio Bellido Luque (eds.)
Advances in Laparoscopy of the belly Wall Hernia is absolutely illustrated, entire consultant which describes intimately the main up to date options utilized in the laparoscopic fix of hernias. Written by way of international well known authors, this guide reports laparoscopic strategies utilized in the fix of inguinal hernias and ventral incisional hernias. one of the issues explored inside of this up-to-date, attractive and informative textual content are: • strategies corresponding to Extraperitoneal (TEP) and transabdominal (TAPP) hernia fix • basics of ventral hernia fix • a close assessment of mesh fixation in laparoscopic surgical procedure • tips on how to take care of rarer hernias and people of bizarre situation Advances in Laparoscopy of the stomach Wall Hernia is a important reference software that might be of significant profit to surgeons and clinical practitioners operating during this field.
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Additional resources for Advances in Laparoscopy of the Abdominal Wall Hernia
They appear in both genders alike, usually in older people. Classification of Inguinal Hernias Hernias have historically been classified into three types: direct, indirect, and femoral (Figs. 3). Indirect (lateral or external oblique) hernias are more common, comprising 2/3 of the total found in adult males. They develop through the deep inguinal orifice, with the hernia sac appearing in the anterior approach inside the cremasteric sheath and in the posterior or laparoscopic approach at the level of the deep inguinal ring, lateral to the epigastric vessels.
There are many variations, according to the two main types of surgeries: • TAPP: 2 5 mm trocars and one 10 mm trocar, generally. But we can exchange the 10 mm trocar for a 5 mm trocar (optic) if we use a lightweight mesh, as it is able to handle a 5 mm trocar. We sometimes use a 3 mm trocar on the left side (for the nondominant hand) instead of the 5 mm trocar. 4 Basic Concepts in Laparoscopic Hernia Repair 41 Fig. 4 Different styles of graspers, shears, dissectors, and 30° optic in laparoscopy • TEP: 2 5 mm trocars and two special trocars: BTT and PDB.
Furthermore, available data suggest less chronic long-term pain after laparoscopic repair. In female patients, laparoscopic repair is the recommended method. Laparoscopic repair is preferred in patients with a previous open repair, while patients with recurrence after laparoscopic repair should undergo open mesh repair. Surgical services should review their current practice and adopt laparoscopic hernia surgery with appropriate training. This procedure at the present time can be indicated in incisional hernia, in bilateral hernia, in reproduced hernia, and in the obese patient (recommendation grade B).
Advances in Laparoscopy of the Abdominal Wall Hernia by (auth.), Juan Manuel Suárez Grau, Juan Antonio Bellido Luque (eds.)