Abdominal Wall Hernias - Springer978-1-4419-8574-3/1.pdf · Robert Bendavid, MD Jack Abrahamson, MD...

Abdominal Wall Hernias

Springer Science+Business Media, LLC

Robert Bendavid, MD Jack Abrahamson, MD Maurice E. Arregui, MD Jean Bernard Flament, MD Edward H. Phillips, MD

Editors

Abdominal Wall Hernias Principles and ManagelIlent Foreword by Raymond c. Read, MD

Preface by Rene Stoppa, MD

With 738 Figures, 46 in Full Color

Springer

Robert Bendavid, MD Toronto, Canada

Jaek Abrahamson, MD Haifa, Israel

Mauriee E. Arregui, MD Indianapolis, IN, USA

Jean Bernard Flament, MD Reims, Franee

Edward H. Phillips, MD Los Angeles, CA, USA

Library of Congress Cataloging-in-Publication Data Abdominal wall hernias : principles and management / editors, Robert Bendavid ... [et all.

p. ; cm. Includes bibliographical references and index. ISBN 978-1-4612-6440-8 ISBN 978-1-4419-8574-3 (eBook) DOI 10.1007/978-1-4419-8574-3

1. Hernias-Surgery. 2. Hernias-Pathophysiology. I. Bendavid, Robert. [DNLM: 1. Hernia, Ventral. 2. Abdomen-pathology. 3. Abdomen-surgery. 4. Surgical

Procedures, Operative. WI 955 A135 2000] RD621 .A193 2000 617.5'59----dc21

Printed on acid-free paper.

© 2001 Springer Science+Business Media New York Originally published by Springer-Verlag New York, Inc. in 2001 Softcover reprint of the hardcover 1 st edition 2001

00-020620

All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use of general descriptive names, trade names, trademarks, etc., in this publication, even if the former are not especially identified, is not to be taken as a sign that such names, as understood by the Trade Marks and Merchandise Marks Act, may accordingly be used freely by anyone. While the advice and information in this book are believed to be true and accurate at the date of going to press, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.

Production coordinated by Chernow Editorial Services, Inc., and managed by Steven Pisano; manufacturing supervised by Jacqui Ashri. Typeset by Matrix Publishing Services, Inc., York, PA.

9 8 765 432 1

ISBN 978-1-4612-6440-8 SPIN 10750916

This book is dedicated, with love, to the memory of my first and most important teacher,

my father. He was always there.

R.B.

A powerful idea communicates some of its power to the man who contradicts it. MARCEL PROUST, 1919-In Search of Lost Time

Who shall decide, when doctors disagree? ALEXANDER POPE, 1732-Epistle III: Of the Use of Riches

We are usually convinced more easily by reasons we have found ourselves than by those which have occurred to others.

BLAISE PASCAL, 1670-Pensees

He that will not apply new remedies must expect new evils; for time is the great innovator.

SIR FRANCIS BACON, 1625-Essays 1597-1625; "On Innovation"

The certainties of one age are the problems of the next. R.H. TAWNEY, 1926

Don't limit a child to your own learning, for he was born in another time. Rabbinic saying

Foreword

Herniology, during the latter part of the twentieth century, had become transformed by the realization that most abdominal defects in the adult are not predetermined by anatomic anomalies. Rather, they relate to connective tissue damage brought about by abnormal collagen metabolism, secondary to extended longevity, cigarette smoking, or impaired genetic expression. Surgeons now recognize that sutured repairs under tension are liable to give way sooner or later. Fortunately, bridging with prosthetic mesh has repeatedly been shown to be well tolerated and successful when the interposition is firmly anchored. The introduction of laparoscopic placement has led to the competitive development of minimally invasive open techniques which, by reducing postoperative pain, hasten recovery.

The herniologist has emerged as a specialist, supported by a dedicated staff and clinic facilities, with a professional society and journal. Two of the heroes who, with their gold standard, led the way were the Shouldices, father and son. Therefore, it is fitting that this, the first new text of the third millenium, is edited by one of their colleagues. Robert Bendavid took a sabbatical year to write this book, with the help of his peers from around the world. Although educated in Canada, he was born overseas, and is multilingual. This skill has helped him edit the many foreign contributions in the light of his own enormous clinical experience. Robert, despite his promotion of the "Modern Bassini," has already put together an internationally recognized text on prostheses and abdominal wall hernias. He is well known for other original contributions-fletching and umbrella prostheses for groin defects, parapubic herniation, dysejaculation after hernia surgery, nomenclature, and a new understanding of the transversalis fascia. He has been a mainstay at international conferences on herniae during the past 15 years and has contributed 25 chapters to the textbooks of other editors.

The text itself, as is expected from such a leading scholar in the field, encompasses all the new information that has so recently become available. It begins with history, anatomy, epidemiology, and pathology. Extensive documentation of new biomaterials is followed by adjuncts to surgery, techniques of repair, plastic surgery, emergencies, and pediatrics. The female hernia patient is followed by the elderly, incidental pathology, sports injuries, and ventral defects. Finally, complications are dealt with, along with unusual herniae and medicolegal aspects.

It is a wonderfully fresh product that will serve as a point of reference for years to come. Dr. Bendavid and his co-editors have taken much time and trouble to provide us with a statement of what is known around the world today regarding herniology. Hopefully, this gift will enable us to better serve humanity.

RAYMOND C. READ

Little Rock, Arkansas, USA

ix

Preface

It gives me particular pleasure to present the compilation Abdominal Wall Hernias: Principles and Management. One would not expect anything of less substance and quality from a textbook edited by Robert Bendavid, at the fateful start of the third millennium. Since Ephraim Chambers's and Denis Diderot's encyclopedic works, compilations such as this call for the collaboration of many experts, whose participation is obtained by virtue of the editor's own noteworthiness, unremitting work, and expertise in the subject. Is not every editor compelled to do better than his rivals in a strongly competitive field? This has been done-in the opinion of the most exacting among them.

The coauthors have reconsidered all the accepted classics in the light of more recent additions, in accordance with the editor's plan. The necessary chapters on fundamentals begin with the historical evolution of some of the main themes of surgery, as seen by surgeons themselves. Then, by way of update, comes the discussion of the many techniques commonly used in surgery of the abdominal wall, some already established, others-more recent-still in the process of being evaluated. Prostheses have a significant legitimate place, for they have experienced a remarkable upsurge and are used not only in recurrent hernias and burst abdomens, but also very considerably in primary treatment. Laparoscopic surgery of hernias-a seductive product of high technology-was another item to be tackled with particular attention among the methods being currently evaluated.

Thus, should readers wish to review a standard technique or one of its details, they will find it, more often than not, described by its inventor in this book. Should they be confronted by particular cases of rare hernias or exceptional circumstances, surgeons will be able to find exhaustive and up-twate information on these less familiar problems.

Certain matters rarely approached in detail have also been notably considered, such as abdominal wall surgery for patients with ascites, for athletes, the obese, women, the elderly, even for the futuristic surgeon-the intellectual disciple of Jules Verne-technologies yet to be invented, in which robots will perhaps make their appearance, technologies to be welcomed cautiously and on the condition that they bring true benefit to the patient and to society.

This book is a successful achievement, a tribute to the vitality of the surgeon of the abdominal wall. Remarkably illustrated, and with unvarying precision throughout, the work serves well its double purpose: to help readers to acquire fundamental, indispensable principles for up-twate understanding of abdominal wall pathology and to enhance their ability to make good choices of tactics or techniques, whatever the situation. This is the best one can ask for. Everyone knows that a consensus is unlikely, at present or in the near future, on the problem of the treatment of hernias. This question cannot be resolved solely by the contribution of scientific proofs, because it has "sociological" elements derived from the diversity of the many people concerned (the surgeons and their patients) and from the polymorphism of the lesions.

One can promise that Abdominal Wall Hernias: Principles and Management will fulfill the ethical obligation to further the teaching of abdominal wall surgery and the control of its quality. This remains essential to this day. The 1998 Inquiry of the National Union of the Medical Press and Health Professionals in France revealed that written documents are the primary source of information in continued medical education, ahead of conferences and meetings.

xi

xii

A book like this one must therefore have the support of many readers, as indeed one must hope it shall. But then, a simple glance at the table of contents is enough to disclose the difference between this and other comparable books, a difference in favor of the present work, which must take its place within reach of every surgeon's hand.

These few words are thus no more than a deliberately brief preface to the feasts prepared for the satisfaction of the reader.

RENE STOPPA

Amiens, France

Preface

Introduction

As we begin a new millennium, it seems fitting that a publication on hernias should meld the acquired knowledge and wisdom on the subject to constitute a state-of-the-science address-a century-ending statement before starting a new surgical period. This much has been attempted.

The versatility and speed of today's communications have brought more than 120 surgeons from 16 countries into a futuristic "surgical village" dotted with satellite dishes and antennas. The abundance of scientific information has been difficult to contain, but an effort has been made to include all current concepts, theories, practices, operations, prostheses, and even gadgets: so much so that inclusion should not be construed as a recommendation, which brings to mind a quote from Sir Maximillian Beerbohm, "It distresses me, this failure to keep pace with the leaders of thought, as they pass into oblivion!"

Foremost in my thoughts was an attempt to remain above controversy, to avoid bias, and to allow a generous exposure to all participants. To that end, I have to apologize for the elimination of certain chapters when authors were too opinionated too early, but also unshakeable in their attitude and presentation. The existence of an European Hernia Society and now the American Hernia Society has made it imperative that both sides of the Atlantic be given an even role in the elucidation of the hernia diathesis. This I feel was fairly accomplished.

This book was made possible thanks to the generosity of each contributor who shared his time and knowledge. I know also that for some it meant a sacrifice. For that, I am grateful, and many readers will express the same feeling. My hope is that the result will meet with their warm approval.

ROBERT BENDAVID

Toronto, Ontario, Canada

xiii

Contents

Foreword by Raymond C. Read ................................... ix Preface by Rene Stoppa . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xi Introduction ................................................ xiii Contributors ................................................ xxv

Part I History

1 Evolution and Present State of Groin Hernia Repair . . . . . . . . . . . . . . . . 3 RENE STOPPA, GEORGE E. WANTZ, GABRIELE MUNEGATO, AND

ALFONSO PLUCHINOTTA

2 Use of the Preperitoneal Space in Inguinofemoral Herniorrhaphy: Historical Considerations ................................... 11 RAYMOND C. READ

3 Prostheses in Hernia Surgery: A Century of Evolution .............. 16 JAMES R. DEBoRD

4 Evolution of Laparoscopic Hernia Repair ....................... 33 KARL LEBLANC AND RALPH GER

Part II Anatomy

5 Anatomy of the Abdominal Wall . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 39 JEAN BERNARD FLAMENT, CLAUDE AVISSE, AND

JEAN FRANQOIS DELATTRE

6 Aponeurotic Hernias: Epigastric, Umbilical, Paraumbilical, Hypogastric . . . 64 OMAR M. ASKAR

Tribute to Omar M. Askar by John E. Skandalakis 71

7 Surgical Anatomy of the Inguinal Region from a Laparoscopic Perspective . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 72 RICCARDO ANNIBALI, ROBERT J. FITZGIBBONS, JR., AND THOMAS QUINN

8 Fascial Anatomy of the Inguinal Region ........................ 86 JONATHAN D. SPITZ AND MAURICE E. ARREGUI

xv

xvi

9 The Ligaments of Cooper and Thomson ....................... 92 J.P. RICHER, J.P. FAURE, M. CARRETIER, AND JACQUES BARBIER

10 The Transversalis Fascia: New Observations ..................... 97 ROBERT BENDAVID

11 The Space of Bogros and the Interparietoperitoneal Spaces ........ 101 J. HUREAU

Part III Epidemiology

12 Epidemiology of Inguinal Hernia: A Useful Aid for Adequate Surgical Decisions ....................................... 109 ALEJANDRO WEBER, DENZIL GARTEIZ, AND SALVADOR VALENCIA

13 Occult Hernias in the Male Patient ........................... 116 SAM G.G. SMEDBERG AND LEIF SPANGEN

14 Quality Control and Scientific Rigor .......................... 122 ERIK NILSSON AND STAFFAN HAAPANIEMI

15 Classification of Inguinal Hernias ............................ 128 V. SCHUMPELICK AND K-H. TREUTNER

Commentary: An IDF Classification? IYy Robert Bendavid 130

Part W Pathology

16 Mechanisms of Hernia Formation ............................ 133 JACK ABRAHAMSON

17 Metabolic Aspects of Hernia Disease . . . . . . . . . . . . . . . . . . . . . . . . .. 139 RAYMOND C. READ

18 Pathological Tissue Changes and Hernia Formation .............. 143 ALAIN PANS

19 The Role of Collagen in Hernia Genesis ....................... 150 LARS NANNESTAD JORGENSEN AND FINN GoTTRUP

20 Recurrent Herniation: Etiology and Mechanisms JACK ABRAHAMSON

156

21 Respiratory Pathophysiology and Giant Incisional Hernias ......... 166 GIOVANNI TRIVELLINI AND PIERGIORGIO DANELLI

Commentary IYy Robert Bendavid 172

22 Undescended and Cryptorchid Testes ......................... 173 JOHN M. HUTSON AND SUZANNE HASTHORPE

Commentary by Robert Bendavid 178

23 Testicular Atrophy ............................. :......... 179 ROBERT M. ZOLLINGER, JR.

Commentary IYy Robert Bendavid 182

Contents

Contents

24 Unexpected Findings in Inguinal Hernia Surgery ENRICO NICOLO

xvii

184

25 Soft Tissue Infection and Loss of Abdominal Wall Substance ....... 192 RONALD T. LEWIS

Part V Biomaterials

26 Biochemistry, Immunology, and Tissue Response to Prosthetic Material ....................................... 201 SUSANNE K. WOLOSON AND HOWARD P. GREISLER

27 Biomaterials: Structural and Mechanical Aspects of Prosthetic Herniorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 208 RJ. MINNS AND M.I.A. SELMIA

28 Biomaterials Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 221 NIR KOSSOVSKY, CHARLES J. FREIMAN, AND DAVID HOWARTH

29 Carcinogenicity of Implantable Biomaterials .................... 235 B. KLOSTERHALFEN, U. KLINGE, AND V. SCHUMPELICK

30 Suture Selection for Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . 237 PHILIP B. DOBRIN

31 Use of Fibrin Glues in the Surgical Treatment of Incisional Hernias ..................................... 246 J.P. CHEVREL AND A.M. RATH

32 Collagen-Based Prostheses for Hernia Repair ................... 250 P.B. VAN WACHEM, T.M. VAN GULIK, MJ.A. VAN LUYN, AND

ROBERT P. BLEICHRODT

33 Clinical Applications of Stainless Steel Mesh .................... 258 JEAN JACQUES DURON

Commentary by Rnbert Bendavid 260

34 Repair of Abdominal Wall Defects by Intraperitoneal Implantation of Polytetrafluoroethylene (Teflon®) Mesh ..................... 262 M.L. DRUART, R. CHAMLOU, A. MEHDI, AND J.M. LIMBOSCH

Commentary by Rnbert Bendavid 265

35 Polyester (Dacron®) Mesh ................................. 266 MARC SOLER, PIERRE J. VERHAEGHE, AND RENE STOPPA

36 Polypropylene Prostheses PARVIZ K. AMID

272

37 Expanded Polytetrafluoroethylene ........................... 279 NICHOLAS LAw

38 Vypro®: A New Generation of Polypropylene Mesh ............... 286 U. KLINGE, B. KLOSTERHALFEN, AND V. SCHUMPELICK

xviii Contents

39 Combined Absorbable and Nonabsorbable Prostheses in the Treatment of Major Defects of the Abdominal Wall .............. 292 GIOVANNI TRIVELLINI


40 Prosthetic Materials and Adhesion Formation ................... 294 RICCARDO ANNIBALI

41 Intraperitoneal Prostheses ................................. 299 R.KJ. SIMMERMACHER

42 Use of Absorbable Mesh in the Staged Repair of Contaminated Abdominal Wall Defects . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 306 MERRIL T. DAYTON

Part VI Adjuncts to Surgery

43 Local Anesthesia ........................................ 317 ORESTE TERRANOVA, LUIGI DE SANTIS, AND FRANCESCO BATTOCCHIO

44 Antibiotics in Hernia Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 324 JOHN M.A. BOHNEN

45 Imaging Hernias of the Abdominal Wall . . . . . . . . . . . . . . . . . . . . . . . 335 ]. ANDREW HAMLIN

46 Techniques of Pneumoperitoneum . . . . . . . . . . . . . . . . . . . . . . . . . . . 341 LE6N HERSZAGE

47 Relaxing Incisions ....................................... 343 ROBERT BENDAVID

48 Drains in Hernia Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 347 PAOLO BOCCHI

Part VII Techniques of Open Groin Hernia Repair

Introduction to Pure Tissue Repairs ROBERT BENDAVID

353

49 The Bassini Operation .................................... 354 ORESTE TERRANOVA, LUIGI DE SANTIS, AND LUIGI CIARDO


50 The Dam Repair ........................................ 361 JACK ABRAHAMSON

51 The McVay Operation .................................... 365 JOHN]' RYAN


52 The Shouldice Repair. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 370 ROBERT BENDAVID

Contents

Introduction to Tension-Free Repairs ROBERT BENDAVID

xix

376

53 Gilbert's Repair of Inguinal Hernias .......................... 377 ARTHUR I. GILBERT, MICHAEL F. GRAHAM, AND WALTER]. VOIGT

54 The Mesh Plug Repair .................................... 382 IRA M. RUTKOW AND ALAN ROBBINS

55 Moran's Preperitoneal Mesh Repair for Inguinal Hernias .......... 388 ROBERT M. MORAN

Commentary by Rnhert Bendavid 389

56 The Nyhus Preperitoneal Repair of Groin Hernias ............... 391 JOSE F. PATINO


57 Unilateral Giant Prosthetic Reinforcement of the Visceral Sac: Preperitoneal Hernioplasties with Dacron® ..................... 396 GEORGE E. WANTZ AND EVA FISCHER

58 The Rives Technique: Treatment of Groin Hernias with Mersilene Mesh by an Inguinal Approach .............................. 401 JEAN BERNARD FLAMENT, CLAUDE AVISSE,JEAN-PIERRE PALOT,

AND]. RIVES


59 The Gridiron Hernioplasty FRANZ UGAHARY

60 Dynamic Self-Regulating Prosthesis (Protesi Autoregolantesi

407

Dinamica) (PAD) ........................................ 412 G. VALENTI, A. TESTA, AND N. BARLETTA

61 Ventral Hernias: Use of the Kugel Patch ....................... 416 ROBERT D. KUGEL

62 Use ofVicryl Pads in Inguinal Hernia Repairs ................... 419 H.R WILLMEN

63 Lichtenstein Tension-Free Hernioplasty for the Repair of Primary and Recurrent Inguinal Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 423 PARVIZ K. AMID

64 Reinforcement of the Visceral Sac by a Preperitoneal Bilateral Mesh Prosthesis in Groin Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . 428 RENE STOPPA

65 A Combined Abdominoinguinal Approach to Stoppa's Giant Prosthetic Reinforcement of the Visceral Sac Procedure ........... 437 VINCENZO MANDALA

66 Open Techniques of Femoral Hernia Repair .................... 439 JEAN-PIERRE PALOT AND CLAUDE AVISSE

xx Contents

Part VIII Laparoscopic Techniques of Groin Hernia Repair

67 Laparoscopic Intraperitoneal Onlay Mesh Repair ................ 451 MORRIS E. FRANKLIN,JR., AND JOSE ANTONIO DfAZ-ELIZONDO

68 Laparoscopic Transabdominal Preperitoneal Hernia Repair (TAPP) . . . 454 MICHAEL S. KAvlc AND SERGIO ROLL

69 Laparoscopic Totally Extraperitoneal Hernioplasty (TEP): Part I . . . . . 464 EDWARD L. FELIX

70 Laparoscopic Totally Extraperitoneal Repair for Inguinal Hernias (TEP): Part II ........................................... 472

JONATHAN D. SPITZ AND MAURICE E. ARREGUI

Part IX Open Techniques of Incisional Hernia Repair

71 The Shoelace Repair ..................................... 483 JACK ABRAHAMSON

72 Closure of Chronic Abdominal Wall Defects: The Components Separation Technique .................................... 487 OSCAR M. RAMIREZ AND JOHN A. GIROTTO

73 The Components Separation Technique Modified for Use with Enterostomies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 497 SYLVESTER M. MAAs, TAMMO S. DE VRIES REILINGH, AND

ROBERT P. BLEICHRODT

74 Treatment of Incisional Hernias by an Overlapping Herniorrhaphy and Onlay Prosthetic Implant . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 500 J.P. CHEVREL

75 The Kugel Repair for Groin Hernias ......................... 504 ROBERT D. KUGEL

76 Treatment of Major Incisional Hernias ........................ 508 JEAN BERNARD FLAMENT,JEAN-PIERRE PALOT, A. BURDE,

JEAN FRANc,;;OIS DELATTRE, AND CLAUDE AVISSE

Part X Laparoscopic Techniques of Incisional Hernia Repair

77 Repair ofIncisional Hernias and Midline Defects .. . . . . . . . . . . . . . . 519 GUY R. VOELLER

Part XI Loss of Abdominal Wall Substance

78 Loss of Abdominal Wall Substance ........................... 527 J.P. CHEVREL

79 Acute Loss of Abdominal Wall Substance and Abdominal Compartment Syndrome H. HARLAN STONE

538

Contents xxi

Part XII Plastic and Reconstructive Surgery

80 Plastic Surgery of Abdominal Wall Reconstruction . . . . . . . . . . . . . . . . 547 A. BERGER AND J. LIEBAU

Commentary by Rnlph Ger 553

Part XIII Emergency Surgery

81 Should Prostheses Be Used in Emergency Hernia Surgery? ........ 557 XAVIER HENRY AND N. BOURAS-KARA TERKI

82 Groin Hernias in the Adult Presenting as Emergencies ... . . . . . . . . . 560 DAVID WATKIN

83 Abdominal Wound Dehiscence . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 569 DIRK VAN GELDERE

84 Treatment of Strangulated Inguinal Hernias with Nonabsorbable Prostheses .................................. 577 ALAIN PANS, C. DESAIVE, AND N. JACQUET

85 Use of Prosthetic Materials in Incisional Hernias with a Septic Risk ... 580 VINCENZO MANDALA

86 Incisional Hernias as Emergencies ........................... 582 DAVID V. FELICIANO

Part XIV Pediatrics

87 Pediatric Hernias ........................................ 591 BRADLEY M. RODGERS, EUGENE D. MCGAHREN, III, AND

ROBERT C. BURNS

Part XV The Female Hernia Patient

88 Epidemology of Hernias in the Female ........................ 613 ALEJANDRO WEBER, SALVADOR VALENCIA, DENZIL GARTEIZ,

AND ALFREDO BURGUESS

89 Anesthesia for Hernia Repair in Pregnancy and Lactation ......... 620 STEPHEN HALPERN AND MARGARET SREBRNJAK

90 Nonpalpable Inguinal Hernia in Women LEIF SPANGEN AND SAM G.G. SMEDBERG

625

91 Hernia and Chronic Pelvic Pain in Women ..................... 630 IBRAHIM M. DAOUD

92 Chronic Pelvic Pain in Women .............................. 632 MICHAEL S. KAVIC

xxii Contents

93 Femoral Hernias in Females: Facts, Figures, and Fallacies ......... 639 ROBERT BENDAVID

Part XVI Special Problems

94 Hernias in the Elderly .................................... 643 PIERRE J. VERHAEGHE, TSIRY B. ANDRIAMIHAMISOA,

AND FIDY M. RALAIMIARAMANANA

95 Elective Herniorrhaphy in an Aging Population ................. 646 STANLEY D. BERLINER AND NATHANIEL SPIER


96 Management of Genitourinary Tract Pathology Encountered During Inguinal Herniorrhaphy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 653 W. SCOTT McDOUGAL

97 Sports Injuries and Groin Pain . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 657 OJ.A. GILMORE

98 Hernias and Patients with Ascites ............................ 662 J. BELGHITI AND M. HAKIM

99 Paraostomy Hernias: Prevention and Prosthetic Mesh Repair ....... 666 PAUL H. SUGARBAKER

100 Hernia and Obesity ...................................... 672 HARVEYj.SUGERMAN

101 Pneumoperitoneum in the Treatment of Giant Hernias, with Special Reference to Obesity ............................... 675 EDWARD E. MASON


102 Umbilical Hernias ....................................... 680 MAXIMO DEYSINE


103 Epigastric Hernias MAXIMO DEYSINE

685

104 Acquired Lumbar Hernias ................................. 688 PARVIZ K. AMID AND ROBERT BENDAVID

Part XVII Complications of Hernia Repairs

105 Complications of Groin Hernia Surgery ....................... 693 ROBERT BENDAVID

106 Complications of Laparoscopic Inguinal Hernioplasty . . . . . . . . . . . . . 700 STEVEN M. FASS AND EDWARD H. PHILLIPS

107 Complications of the Use of Prostheses: Part I .................. 707 PARVIZ K. AMID

Contents xxiii

108 Complications of the Use of Prostheses: Part II .................. 714 GIANFRANCO FRANCIONI, PRO SPERO MAGISTRELLI, AND MARIO PRANDI

109 Infected Abdominal Wall Prosthesis .......................... 721 DONALD E. FRY

110 Chronic Pain Following Repair of a Groin Hernia ................ 726 P J. O'DWYER AND M.G. SERPELL

111 Neuralgia Following Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . 730 C. TONS, J. HOER, AND V. SCHUMPELICK

112 Mesh Inguinodynia Mter Inguinal Herniorrhaphy . . . . . . . . . . . . . . . . 734 JAMES R. STARLING

113 Ilioinguinal/Iliohypogastric Neuropathy ....................... 737 R. GRAHAM VANDERLINDEN, RAJIV MIDHA, AND LOREN VANDERLINDEN

114 Sexual Dysfunction Following Inguinal Hernia Repair ............. 740 JERALD BAIN

115 Vascular Injuries from Hernia Surgery ........................ 743 JAMES R. DEBORD

116 Seromas............................................... 753 ROBERT BENDAVID AND MATTHIAS Kux

117 Dysejaculation .......................................... 757 ROBERT BENDAVID

Part XVIII Other Considerations

118 Medicolegal Issues Relating to Herniorrhaphy ................... 761 ERLE E. PEACOCK

119 Ambulatory Hernia Surgery ................................ 767 MARTIN KURZER, PHILIP A. BELSHAM, AND ALLAN E. KARK

120 Telemedicine and Robotics in Surgery PETER M.N.Y.H. Go

772

Epilogue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 776 GEORGE E. WANTZ

Index ..................................................... 777

Contributors

JACK ABRAHAMSON, MD

31 Kadimah Street, Haifa 34383, Israel

PARVIZ K AMID, MD

Lichtenstein Hernia Institute, Los Angeles, CA 90069, USA

TSIRY B. ANDRIAMIHAMISOA

Service de Chirurgie Viscerale et Digestive, Hopital Nord, Amiens 80054, France

RICCARDO ANNIBALI, MD

Department of Surgery, Section of Coloproctology, San Pio 10th Hospital, Milan 20159, Italy

MAURICE E. ARREGUI, MD

Department of General Surgery, St. Vincent Hospital and Healthcare Center, Indianapolis, IN 46260, USA

OMAR M. AsKAR, MDt

Department of General Surgery and Anatomy, University of Cairo, Cairo, Egypt

CLAUDE AVISSE, MD

Department of Surgery, Hopital Robert Debre, Reims 51100, France

JERALD BAIN, MD

Department of Endocrinology, University of Toronto/Mount Sinai Hospital, Toronto, Ontario M5G 1X5, Canada

JACQUES BARBIER, MD

Service de Chirurgie Viscerale, Jean Bernard University Hospital, Poitiers 86021, France

N. BARLETIA, MD

Department of General Surgery, Ospedale G.B. Grassi, Rome 00189, Italy

FRANCESCO BATIOCCHIO, MD

Division of Surgery, Hospital of Este, Este 35056, Italy

J. BELGHITI, MD

Hopital Beaujon, Clichy 92210, France

xxv

xxvi

PHILIP A. BELSHAM, MD

The British Hernia Center, Hendon, London NW4 4RS, UK

ROBERT BENDAVID, MD

18 Cedarcroft Boulevard, Toronto, Ontario M2R 2Z2, Canada

A. BERGER, MD

Department of Plastic, Hand, and Reconstructive Surgery, Medical School of Hannover, D-30659 Hannover, Germany

STANLEY D. BERLINER, MD

75-967 Hiona Street, Holualoa, HI 96725-9601, USA

ROBERT P. BLEICHRODT, MD

Department of Surgery, Nijmegen University Medical Center, Nijmegen 6500HB, The Netherlands

PAOLO BOCCHI, MD

Divisione Chirurgica, Ospedale Magiore di Parma, Parma 43100, Italy

JOHN M.A. BOHNEN, MD

160 Wellesley Street East, Toronto, Ontario M4Y IJ3, Canada

A. BURDE, MD


ALFREDO BURGUESS, MD

Department of General Surgery, Hospital Angeles de las Lomas, Huixquilucan 52763, Mexico

ROBERT C. BURNS, MD

Department of Surgery, University of Virginia Health Sciences, Charlottesville, VA 22906, USA

M. CARRETIER, MD

Jean Bernard University Hospital, Poitiers 86021, France

R. CHAMLOU, MD

Centre Hospitalier Etterbeck-Ixelles, Brussels 1050, Belgium

J.P. CHEVREL, MD

Service de Chirurgie Generale et Digestive Hopital Avicenne, Bobigny 93009, France

LUIGI CIARDO, MD

Department of Surgical and Gastroenterological Sciences, University of Padua, Padua 35128, Italy

PIERGIORGIO DANELLI, MD

Department of General Surgery, State University of Milan-"L. Sacco"University Hospital, Milan 20157, Italy

IBRAHIM M. DAOUD, MD

Department of Surgery, University of Connecticut and St. Francis Hospital and Medical Center, Hartford, CT 06105, USA

Contributors

Contributors

MERRIL T. DAYTON, MD

Department of Surgery, University of Utah, Salt Lake City, UT 84131, USA

JAMES R. DEBORD, MD

Department of Surgery, University of Illinois College of Medicine at Peoria, Peoria, IL 61603, USA

JEAN FRANCOIS DELATTRE, MD


C.DESAIVE,MD

xxvii

Department of Abdominal Surgery, Clinique A. Renard, Herstal 4040, Belgium

LUIGI DE SANTIS, MD

Department of Surgical and Gastroenterological Sciences, University of Padua, Padua 35128, Italy

MAxIMO DEYSINE, MD

Department of Surgery, State University of New York at Stony Brook and Mercy Medical Center, Rockville Center, NY 11570, USA

JOSE ANTONIO DiAl-ELIZONDO, MD

Department of Surgery, University of Texas Health Sciences Center, San Antonio, TX 78222, USA

PHILIP B. DOBRIN, MD, PHD

Department of Surgery, University of Missouri-Columbia, Harry S Truman Memorial Veterans' Hospital, Columbia, MO 65211, USA

M.L. DRUART, MD

Centre Hospitalier Etterbeek-Ixelles, Brussels 1050, Belgium

JEAN JACQUES DURON, MD

Department of Digestive Surgery, Pitie-Salpetriare, Paris 75013, France

STEVEN M. FASS, MD

Department of Surgery, Cedars-Sinai Medical Center, University of California at Los Angeles, School of Medicine, Los Angeles, CA 90048, USA

J.P. FAURE, MD

Jean Bernard University Hospital, Poitiers 86021, France

DAVID V. FELICIANO, MD

Department of Surgery, Emory University School of Medicine, Grady Memorial Hospital, Atlanta, GA 30303, USA

EDWARD L. FELIX, MD

Department of Surgery, University of California, San Francisco, Fresno, CA 93710, USA

EVA FISCHER, MD

Department of Surgery, The New York Hospital Cornell Medical Center, New York, NY 10021, USA

ROBERT J. FITZGIBBONS, JR., MD

Department of Surgery, Creighton University School of Medicine, Omaha, NE 68131, USA

JEAN BERNARD FLAMENT, MD


xxviii

GIANFRANCO FRANCIONI, MD Department of General Surgery, S. Andrea Hospital, La Spezia 19100, Italy

MORRIS E. FRANKLIN,JR., MD Department of Surgery, University of Texas Health Sciences Center, San An~?nio, TX 78222, USA

CHARLES J. FREIMAN, MD Department of Surgery, University of California at Los Angeles, School of Medicine, Los Angeles, CA 90095, USA

DONALD E. FRy, MD Department of Surgery, University of New Mexico School of Medicine, Albuquerque, NM 87131, USA

DENZIL GARTEIZ, MD Department of General Surgery, Hospital Angeles de las Lomas, Huixquilucan 52763, Mexico

RALPH GER, MD

Department of Anatomy, Albert Einstein College of Medicine, Bronx, NY 10461-1975, USA

ARTHUR I. GILBERT, MD Hernia Institute of Florida, Miami, FL 33143, USA

OJA. GILMORE, MS, FRCS, FRCS (ED) The Groin and Hernia Clinic, London WIN 2ET, UK

JOHN A. GIROTTO, MD

Department of Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA

PETER M.N.YH. Go, MD St. Antonius Ziekenhuis, Nieuwegein 3430, The Netherlands

FINN GoTTRUP, MD

Bispebjerg Hospital, University of Copenhagen, Copenhagen Wound Healing Center, Copenhagen NY, DK-2400 Denmark

MICHAEL F. GRAHAM, MD Hernia Institute of Florida, Miami, FL 33143, USA

HOWARD P. GREISLER, MD Department of Surgery, Loyola University Medical Center, Maywood, IL 60153, USA

STAFFAN liAAPANIEMI, MD Department of Surgery, Vrinnevi Hospital, Norroping 60182, Sweden

M. HAKIM, MD

Department of Surgery, University of Paris, Paris 75343, France

STEPHEN HALPERN, MD

Department Anesthesia, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Ontario M5S 1B2, Canada

Contributors

Contributors xxix

J. ANDREW HAMLIN, MD

Department of Radiology, St. John's Hospital, Santa Monica, CA 90404, and Department of Radiology, Century City Hospital, Los Angeles, CA 90065, USA

STAFFAN HAPPANIEMI, MD

Department of Surgery, Vrinnevi Hospital, Norroping 60182, Sweden

SUZANNE HAsTHORPE, PH.D.

Surgical Research, Royal Children's Hospital Research Institute, University of Melbourne, Parkville, Victoria 3052, Australia

XAVIER HENRY, MD

Service de Chirurgie Viscerale et Disgestive, Hopital Nord, Amiens 80054, France

LEON HERSZAGE, MD

Department of General Surgery, I. Pirovano Hospital, Buenos Aires, Argentina 1055

J. HOER, MD

Department of Surgery, University of Aachen, Aachen 52076, Germany

DAVID HOWARTH, MD

Department of Pathology, Mount Sinai Hospital, Toronto, Ontario M5G 1X4, Canada

J. HUREAU, MD

85 Avenue Emile Thibault, Paris 10362, France

JOHN M. HUTSON, MD, FRACS

Department of General Pediatric Surgery, Royal Children's Hospital Research Institute, University of Melbourne, Parkville, Victoria 3052, Australia

N. JACQUET, MD

Department of Abdominal Surgery, CHU Saet Tilman, Liege 4000, Belgium

LARs NANNESTAD JORGENSEN, MD

Department of Surgical Gastroenterology, Bispebjerg Hospital, University of Copenhagen, Copenhagen NY, DK-2400 Denmark

ALLAN E. KARK, MD


MICHAEL S. KAVIC, MD

Department of Education and General Surgery, St. Elizabeth Health Center, Youngstown, OH 44501-1790, USA

U. KLINGE, MD


B. KLOSTERHALFEN, MD

Institute for Pathology, University of Aachen, Aachen 52076, Germany

NIR KossovsKY, MD

Department of Surgery, University of California at Los Angeles, School of Medicine, Los Angeles, CA 90095, USA

xxx

ROBERT D. KUGEL, MD

Hernia Treatment Center, Olympia, WA 98506, USA

MARTIN KURZER, MD


MATTHIAS Kux, MD

Department of Surgery, St. Joseph Hospital, Vienna 11130, Austria

NICHOLAS LAw, MD

Case Far Hospital, The Ridgeway, Enfield, Middlesex EN2 8JL, UK

KARL LEBLANc, MD

Department of Surgery, Louisiana State University, New Orleans, LA, and Surgical Specialty Group, Inc., Baton Rouge, LA 70808, USA

RONALD T. LEWIS, MD

Department of Surgery, McGill University, Montreal, Quebec H3A 1A1, Canada

J. LIEBAu, MD

Department of Plastic, Hand, and Reconstructive Surgery, Medical School of Hannover, Hannover 30659, Germany

J.M. UMBOSCH, MD

Department of Surgery, Centre Hospitalier Etterbeck-Ixelles, Brussels 1050, Belgium

SYLVESTER M. MAAs, MD

Department of Plastic and Reconstructive Surgery, Academic Hospital Maastricht, Maastricht 6202 AZ, The Netherlands

PROSPERO MAGISTRELLI, MD

Department of General Surgery, S. Andrea Hospital, La Spezia 19100, Italy

VINCENZO MANDAIA, MD

Department of General and Emergency Surgery, Villa Sofia-CTO Hospital, Palermo 90015, Italy

EDWARD E. MAsON, MD

University of Iowa College of Medicine, Iowa City, IA 52242, USA

W. SCOTT McDOUGAL, MD

Department of Urology, Harvard Medical School, Massachusetts General Hospital, Boston, MA 02114, USA

EUGENE D. MCGAHREN, III, MD


A. MEHDI, MD

Department of Surgery, Centre Hospitalier Etterbeck-Ixelles, Brussels 1050, Belgium

RAJIV MIDHA, MD

Department of Neurosurgery, Sunnybrook and Womens College Health Sciences Centre, University of Toronto, Toronto, Ontario M4N 3M5, Canada

RJ. MINNS, PH.D., DSCTECH

Department of Medical Physics, Dryburn Hospital, Durham DH1 5TW, UK

Contributors

Contributors xxxi

ROBERT M. MORAN, MD

National Ambulatory Hernia Institute, La Puente, CA 91744, USA

GABRIELE MUNEGATO, MD

Department of Surgery, Clinique Chirurgicale de l'Universite, Centre Hospitalier Universitaire, Amiens 80054, France

ENRICO NICOLO, MD, FACS

Department of Surgery, University of Pittsburgh Medical Center, McKeesport, PA 15132, USA

ERIK NILSSON, MD, PH.D., FRCS

Department of Surgery, Motala Hospital, Linkoping University, Motala 5-591 85, Sweden

PJ. O'DWYER, MH, FRCS

Department of Surgery, Western Infirmary, Glasgow G11 6NT, UK

JEAN-PIERRE PALOT, MD

Service de Chirurgie Generale et Digestive, Universitaire de Reims, Reims 51687, France

ALAIN PANS, PH.D.

Department of Abdominal Surgery, Clinique A. Renard, Herstal 4040, Belgium

JosE F. PATINO, MD

Department of Surgery, Fundacion Santa Fe de Bogota, Bogota, Distrito Especial, Columbia

ERLE E. PEACOCK, MD

Department of Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27514, USA

EDWARD H. PHILLIPS, MD

Department of Surgery, Cedars-Sinai Medical Center, University of California at Los Angeles, Los Angeles, CA 90048, USA

ALFONSO PLUCHINOTTA, MD

Department of Surgery, Clinique Chirurgicale de l'Universite Centre Hospitalier Universitaire, Amiens 85004, France

MARIo PRANDI, MD

Department of General Surgery, S. Andrea Hospital, La Spezia 19110, Italy

THOMAS QUINN, MD

Department of Biomedical Sciences, Creighton University, Omaha, NE 68178, USA

FIDY M. RALAIMIARAMANANA, MD

Service de Chirurgie Visceral et Digestive, Hopital Nord, Amiens 80054, France

OSCAR M. RAMIREZ, MD

Department of Plastic Surgery, The Johns Hopkins University, Lutherville, MD 21093, USA

A.M. RATH, MD

Serivce de Chirurgie Generale et Digestive, Hopital de Bobigny, Bobigny 93009, France

RAYMOND C. READ, MD

Department of Thoracic Surgery, Central Arkansas Veterans Healthcare Center, Department of Surgery, University of Arkansas for Medical Sciences, Little Rock, AR 72205, USA

xxxii

TAMMO S. DE VRIES REIUNGH, MD

Department of Surgery, University Hospital "Vrije Universeiteit," 1081 HV Amsterdam, The Netherlands

JP. RICHER, MD

jean Bernard University Hospital, Poitiers 86021, France

J RIvEs, MD

Universitaire de Reims, Reims 51687, France

ALAN ROBBINS, MD

The Hernia Center, Freehold, Nj 07728, USA

BRADLEY M. RODGERS, MD


SERGIO ROLL, MD

Department of Surgery, University of Sao Paulo, Sao Paulo 04012-002, Brazil

IRA M. RUTKOW, MD

Department of Surgery, University of Medicine and Dentistry of New jersey, New jersey Medical School, Newark, Nj 08903, USA

JOHN J RYAN, MA, MB, BCH, FRCSI

Department of Surgery, University of South Dakota School of Medicine, Sioux Falls, SD 57105, USA

V. SCHUMPEUCK, MD

Medizinische Fakultat RWTH, Chirurgischen Klinik, Aachen 52074, Germany

M.I.A. SELMIA, MD

Department of General Surgery, South Cleveland Hospital-Middlesborough, Wickham, Newcastle-upon-Tyne NEll 9PW, UK

M.G. SERPELL, MD

Department of Surgery, Western Infirmary, Glasgow GIl 6NT, UK

R.KJ. SIMMERMACHER, MD

Department of Surgery, University Hospital, Utrecht 3508 GA, The Netherlands

JOHN E. SKANDALAKIS, MD, PH.D.

Center for Surgical Anatomy, Emory University School of Medicine, Atlanta, GA 30322, USA

SAM G.G. SMEDBERG, MD, PH.D.

Department of Surgery, Helsingborg Hospital, Helsingborg S-251 87, Sweden

MARc SOLER, MD

Chirurgie Generale, Clinique Saint jean, Cagnes sur Mer 06800, France

LEIF SPANGEN, MD

Surgical Clinic, Central Hospital, S-651 85 Karlstad, Sweden

NATHANIEL SPIER, MD

Department of Surgery, North Shore University Hospital, Manhasset, NY 11030, USA

Contributors

Contributors

JONATHAN D. SPITZ, MD

Department of General Surgery, St. Vincent Hospital and Healthcare Center, Indianapolis, IN 46260, USA

MARGARET SREBIU-{JAK, MD, FRCPC

xxxiii

Department of Anaestesia, Sunnybrook and Women's College Health Sciences Centre, University of Toronto, Toronto, Ontario M5S IB2, Canada

JAMES R. STARLING, MD

Department of Surgery, University of Wisconsin, Madison, WI 53792, USA

H. HARLAN STONE, MD

Department of Surgery, University of Arizona College of Medicine, Phoenix, AZ 85032, USA

RENE STOPPA, MD

Clinique Chirurgicale de l'Universite, Centre Hospitalier Universitaire, Amiens 80054, France

PAUL H. SUGARBAKER, MD

Department of Surgery, Washington Hospital Center, Washington, DC 20010, USA

HARVEYJ. SUGERMAN,MD

Department of Surgery, Medical College of Virginia of Virginia Commonwealth University, Richmond, VA 23298, USA

N. BOURAS-KARA TERKI, MD


ORESTE TERRANOVA, MD

Department of Surgical and Gastroenterological Sciences, Geriatric Surgical Clinic, University of Padua, Padua 35128, Italy

A. TESTA, MD

Department of General Surgery, Ospedale S. Pietro, Rome 00189, Italy

C. TONS, MD


K-H. TREUTNER, MD


GIOVANNI TRIVELLINI, MD

University of Milan, Milan 20142, Italy

FRANZ U GAHARY, MD

Department of Surgery, Rivierenland Ziekenhuis Tiel, Tiel 4002, The Netherlands

SALVADOR VALENCIA, MD


G. VALENTI, MD

Lungotevere Sanzeio 1, Rome 00153, Italy

xxxiv

LOREN VANDERLINDEN, MD

Department of Neurosurgery, Trillium Health Centre, Mississauga, Ontario L5B 2V2, Canada

R. GRAHAM VANDERLINDEN, MD

Department of Neurosurgery, Trillium Health Centre, Mississauga, Ontario L5B 2V2, Canada

DIRK VAN GELDERE, MD

Department of Surgery, Ziekenhuis Amstelveen 1180 AH, The Netherlands

T.M. VAN GUUK, MD, PH.D.

Department of Surgery, Academic Medical Center, 1100 DD, Amsterdam, The Netherlands

MJ.A. VAN LUYN, PH.D.

Department of Pathology, Laboratory Medicine, Medical Biology, University of Groningen, Groningen 9713 GZ, The Netherlands

P.B. VAN WACHEM, PH.D.

Department of Pathology, Laboratory Medicine, Medical Biology, University of Groningen, Groningen 9713 GZ, The Netherlands

PIERRE]' VERHAEGHE, MD


GUY R. VOELLER, MD

Department of Surgery, University of Tennessee-Memphis, Memphis, TN 38163, USA

WALTER]. VOIGT, MD

Hernia Institute of Florida, Miami, FL 33143, USA

GEORGE E. WANTZ, MD

Department of Surgery, The New York Hospital Cornell Medical Center, New York, NY 10021, USA

DAVID WATKIN, MD, FRCS

Department of General Surgery, Leicester Royal Infirmary, Leicester LEI 5WW, UK

ALEJANDRO WEBER, MD


H.R. WILLMEN, MD

Arzt fUr Chirurgie und Unfallchirurgie, Chirurgische Klinik, Kreiskrankenhaus Grevenbroich, 41515 Grevenbroich, Germany

SUSANNE K WOLOSON, MD

Department of Surgery, Loyola University Medical Center, Maywood IL 60153, USA

ROBERT M. ZOLUNGER, JR., MD

Department of Surgery, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, Cleveland, OH 44106. USA

Contributors

Abdominal Wall Hernias - Springer978-1-4419-8574-3/1.pdf · Robert Bendavid, MD Jack Abrahamson, MD...

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