The SAGES Manual of Hernia Repair

The SAGES Manual of Hernia Repair

Brian P. Jacob, MD, FACSMount Sinai School of Medicine, NY, USA

Bruce Ramshaw, MD, FACSTransformative Care Institute, Daytona Beach, FL, USA

Editors

EditorsBrian P. Jacob, MD, FACSMount Sinai School of MedicineMount Sinai Medical CenterNew York, NY, USA

Bruce Ramshaw, MD, FACSTransformative Care InstituteAdvanced Hernia SolutionsDepartment of General SurgeryDaytona Beach, FL, USA

ISBN 978-1-4614-4823-5 ISBN 978-1-4614-4824-2 (eBook)DOI 10.1007/978-1-4614-4824-2Springer New York Heidelberg Dordrecht London

Library of Congress Control Number: 2012948968

© Springer Science+Business Media New York 2013This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher’s location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law.The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use.While the advice and information in this book are believed to be true and accurate at the date of publication, 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.

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v

Preface

The evolution of abdominal wall hernia repair, both inguinal and ventral, continues as we begin the second decade of the twenty- fi rst century. There is an ongoing in fl ux of new techniques, new prosthetics and devices, and new hernia programs, each designed to optimize outcomes for our patients. Tomorrow’s techniques and work fl ows will certainly be different than those we are utilizing today. With patient outcomes paramount, it is important to capture and summarize the current trends and debates into one manual that is easily accessible for all hernia surgeons. This new SAGES Manual of Hernia Repair provides practicing surgeons with immediate access in one handbook to many acceptable current ideas and strategies regarding hernia repair.

Each time we repair a hernia, the technique we choose and the mesh we implant will vary, based not just on surgeon experience but also on the individual patient we are trying to help. As surgeons lead the effort to implement evidence-based algorithms to de fi ne and improve patient care and outcomes, this manual can be used as a reference when considering a particular management strategy for hernia patients. We have added a unique section called Current Debates where readers can capture current opinions on many of the ongoing debates of this time period.

We want to genuinely thank all of the contributors for their hard work in preparing these manuscripts for this book, which we dedicate to all of the family members and colleagues who unconditionally support each of us.

New York, NY, USA Brian P. JacobDaytona Beach, FL, USA Bruce Ramshaw

vii

Contents

Part I Essentials of Inguinal Hernia

1 Establishing a Hernia Program and Follow-Up Regimen: A Complex Systems Design for Care and Improvement ......... 3Bruce Ramshaw

2 Prosthetic Choice in Open Inguinal Hernia Repair .................. 19Lisa C. Pickett

3 Prosthetic Choice in Laparoscopic Inguinal Hernia Repair ..... 27Emily L. Albright and J. Scott Roth

Part II Techniques for Inguinal Hernia Repair

4 Technique: Lichtenstein ........................................................... 41David C. Chen and Parviz K. Amid

5 Technique: Plug and Patch ....................................................... 55Carl Doerhoff

6 Technique: Laparoscopic TEP ................................................. 71Guy Voeller and Benjamin S. Powell

7 Technique: Laparoscopic TAPP and IPOM ............................. 81William S. Cobb IV

8 Strangulated Inguinal Hernia ................................................... 91Jonathan P. Pearl and E. Matthew Ritter

9 Femoral Hernia ......................................................................... 103Daniel E. Swartz and Edward L. Felix

Part III Outcomes and Complications Following Inguinal Hernia Repair

10 Results of Laparoscopic Repair of Inguinal Hernia ................. 117Daniel Marcus

viii Contents

11 Outcomes After Transabdominal Preperitoneal Inguinal Hernia Repair ............................................................. 123Nicole Fearing and Kimberly Ponnuru

12 Cord Structure Complications in Inguinal Hernia Surgery ...... 133Aaron M. Lipskar and Mark A. Reiner

13 Intraoperative Complications During Laparoscopic Hernia Repair ........................................................................... 143Davide Lomanto and Rajat Goel

14 Urinary Retention After Laparoscopic Inguinal Hernia Repair ........................................................................... 157David A. McClusky III

15 Recurrent Inguinal Hernia: The Best Approach ....................... 167Abe Fingerhut and Mousa Khoursheed

16 Athletic Groin Pain and Sports Hernia ..................................... 181Nathaniel Stoikes and L. Michael Brunt

Part IV Current Debates in Inguinal Hernia Repair

17 TAPP vs. TEP ........................................................................... 197Alfredo M. Carbonell II

18 Fixation Versus No Fixation in Laparoscopic TEP and TAPP ................................................................................. 203Viney K. Mathavan and Maurice E. Arregui

19 Laparoscopic Versus Open Repair for the Uncomplicated Unilateral Inguinal Hernia .............................. 213Pradeep Pallati and Robert J. Fitzgibbons Jr.

20 Polyester, Polypropylene, ePTFE for Inguinal Hernias: Does It Really Matter? ............................................................. 231Dmitry Oleynikov and Matthew Goede

Part V Essentials of Ventral and Incisional Hernia Repair

21 Evolution of Incisional and Ventral Hernia Repair .................. 243Malini D. Sur and L. Brian Katz

ixContents

22 Tissue Ingrowth: The Mesh–Tissue Interface: What Do We Know So Far? ..................................................... 253Gregory J. Mancini and A. Mariah Alexander

23 Patient Comorbidities Complicating a Hernia Repair: The Preoperative Workup and Postoperative Planning ............ 271Scott Philipp

24 What Is a Complex Abdominal Wall? ...................................... 283Mickey M. Ott and Jose J. Diaz Jr.

Part VI Techniques for Ventral and Incisional Hernia Repair

25 Synthetic Prosthetic Choices in Ventral Hernia Repair ............ 299Sheila A. Grant

26 Biologic Prosthetics: What Are They and How Do They Interact with the Body? ............................. 311Gina L. Adrales and Elizabeth Honigsberg

27 Open Component Separation for Abdominal Wall Reconstruction ................................................................. 323David Earle

28 Endoscopic Component Separation ......................................... 333Michael J. Rosen

29 Technique: Laparoscopic Ventral/Incisional Hernia Repair ..... 341Archana Ramaswamy

30 Loss of Abdominal Domain ..................................................... 353Victor B. Tsirline, Igor Belyansky, David A. Klima, and B. Todd Heniford

31 Drains, Pain Pumps, and Abdominal Binders .......................... 371Chris Edwards

Part VII Outcomes and Complications Following Ventral and Incisional Hernia Repair

32 Skin Necrosis After Open Component Separation: Prevention and Management .................................................... 381Jignesh V. Unadkat and Dinakar Golla

x Contents

33 Recurrent Incisional Hernia Repair .......................................... 387John G. Linn and Dean J. Mikami

34 Chronic Mesh Infections .......................................................... 399Andrei Churyla and Andrew B. Lederman

35 Adhesions After Lap Ventral: Do They Matter? ...................... 405Dennis L. Fowler

36 Chronic Pain After Ventral Hernia Repair ............................... 411Victor B. Tsirline, David A. Klima, Igor Belyansky, and Kent W. Kercher

37 Enterotomy During Hernia Repair ........................................... 423Ross F. Goldberg and C. Daniel Smith

38 Chronic Seroma ........................................................................ 431Morris Franklin Jr., Richard Alexander, Gerardo Lozano, and Karla Russek

Part VIII Current Debates in Ventral and Incisional Hernia Repair

39 Bridging Versus Closing the Defect During Laparoscopic Ventral Hernia Repair .............................................................. 439Yuri W. Novitsky

40 Bridging versus Closing the Defect During Laparoscopic Ventral Hernia Repair: It Is OK to Bridge ............................... 445Stephen M. Kavic and Adrian Park

41 The Bariatric Patient with a Complex Ventral Hernia .............. 455Jenny J. Choi and Alfons Pomp

42 Open Versus Endoscopic Component Separation: How to Choose One or the Other ............................................. 463Eduardo Parra-Davila, Juan J. Diaz-Hernandez, and Carlos M. Ortiz-Ortiz

43 Absorbable Fixation Materials: A Critical Appraisal .............. 475Kevin El-Hayek and Matthew Kroh

44 Biologic Mesh: When and Why—A Critical Appraisal........... 487Jaime A. Cavallo, Corey R. Deeken, and Brent D. Matthews

xiContents

Part IX Other Hernias

45 Parastomal Hernia Repair: Latest Updates ............................... 507Chee-Chee H. Stucky and Kristi L. Harold

46 Repair of Paraesophageal Hernia ............................................. 521Steven P. Bowers

47 Challenging Hernia Locations: Flank Hernias ......................... 531Gregory F. Dakin and Michael L. Kendrick

48 Challenging Hernia Locations: Suprapubic and Subxiphoid ........................................................................ 541John R. Romanelli and Jose E. Espinel

49 Hernias in the Pediatric Population .......................................... 553David M. Krpata and Todd A. Ponsky

50 Spigelian Hernias: Diagnosis and Treatment ........................... 567Marc Miserez and Marc H.F. Schreinemacher

51 Hernia, Mesh, and Gynecology Procedures ............................. 583Lauren Rascoff, Brian P. Jacob, and Charles Ascher-Walsh

Index ................................................................................................ 593

xiii

Contributors

Gina L. Adrales , MD, MPH Department of Surgery , Dartmouth-Hitchcock Medical Center , Lebanon , NH , USA

Emily L. Albright , MD Division of General Surgery, Department of Surgery , University of Kentucky College of Medicine , Lexington , KY , USA

A. Mariah Alexander , MD Department of Surgery , University of Tennessee Graduate School of Medicine , Knoxville , TN , USA

Richard Alexander , MD Department of Minimally Invasive Surgery , Texas Endosurgery Institute , San Antonia , TX , USA

Parviz K. Amid , MD Department of General Surgery , Lichtenstein Hernia Institute, David Geffen School of Medicine at UCLA , Santa Monica , CA , USA

Maurice E. Arregui , MD, FACS Department of General Surgery , St Vincent Hospital , Indianapolis , IN , USA

Charles Ascher-Walsh , MD Department of Obstetrics, Gynecology and Reproductive Science , The Mount Sinai Hospital , New York , NY , USA

Gerardo Lozano Balderas , MD Department of General Surgery , Hospital San José–Tec de Monterrey , Monterrey , Nuevo Leon , Mexico

Igor Belyansky , MD Department of General Surgery, General Surgery Faculty , Anne Arundel Medical Center , Annapolis , MD , USA

xiv Contributors

Steven P. Bowers , MD Department of General Surgery , Mayo Clinic Florida , Jacksonville , FL , USA

L. Michael Brunt , MD Department of Surgery , Barnes-Jewish Hospital , St. Louis , MO , USA

Alfredo M. Carbonell II , DO Division of Minimal Access and Bariatric Surgery, Department of Surgery , Greenville Hospital System University Medical Center, University of South Carolina School of Medicine–Greenville , Greenville , SC , USA

Jaime A. Cavallo , MD, MPHS Section of Minimally Invasive Surgery, Department of Surgery , Washington University School of Medicine , St. Louis , MO , USA

David C. Chen , MD Department of General Surgery , Lichtenstein Hernia Institute, David Geffen School of Medicine at UCLA , Santa Monica , CA , USA

Jenny J. Choi , MD Department of Surgery , Monte fi ore Medical Center , Bronx , NY , USA

Andrei Churyla , MD Department of Surgery , Berkshire Medical Center , Pitts fi eld , MA , USA

William S. Cobb IV, MD Department of Surgery , Greenville Hospital System University Medical Center , Greenville , SC , USA

Gregory F. Dakin , MD Department of Surgery , Weill Cornell Medical College, New York Presbyterian Hospital , New York , NY , USA

Corey R. Deeken , PhD Department of Surgery , Washington University School of Medicine , St. Louis , MO , USA

Jose J. Diaz Jr., MD, FACS, FCCM Department of Surgery , University of Maryland Medical Center , Baltimore , MD , USA

Juan J. Diaz-Hernandez , MD Department of General Surgery , Florida Hospital Celebration Health , Celebration , FL , USA

xvContributors

Carl Doerhoff , MD, FACS Department of Surgery , Capital Region Medical Center , Jefferson City , MO , USA

David Earle , MD, FACS Minimally Invasive Surgery and Esophageal Physiology Laboratory , Baystate Medical Center, Tufts University School of Medicine , Spring fi eld , MA , USA

Chris Edwards , MD Mission Bariatrics, Mission Hospitals , Asheville , NC , USA

Kevin El-Hayek , MD Bariatric and Metabolic Institute, Cleveland Clinic , Cleveland , OH , USA

Jose E. Espinel , MD, FACS Department of Surgery , Baystate Medical Center , Spring fi eld , MA , USA

Nicole Fearing , MD Malley Surgical , Mission , KS , USA

Edward L. Felix , MD, FACS Department of Surgery , Central California Institute of Minimally Invasive Surgery , Fresno , CA , USA

Abe Fingerhut , MD, FACS, FRCPS, FRCS Ed European Association for Endoscopic Surgery , Eindhoven , The Netherlands

Department of Surgery , Hippokration Hospital, University of Athens , Athens , Greece

Robert J. Fitzgibbons Jr. , MD, FACS Department of General Surgery , Creighton University Medical Center , Omaha , NE , USA

Dennis L. Fowler , MD, MPH Department of Surgery , Reemtsma Center for Innovation and Outcomes Research, College of Physicians and Surgeons, Columbia University , New York , NY , USA

Morris Franklin Jr. , MD, FACS Department of Minimally Invasive Surgery , Texas Endosurgery Institute , San Antonio , TX , USA

Matthew Goede , MD Department of Surgery , University of Nebraska Medical Center , Omaha , NE , USA

xvi Contributors

Rajat Goel , MBBS, MS, DNB Mimimal Access and Bariatric Surgery , Columbia Asia Hospital, Palam Vihar , Gurgaon , India

Ross F. Goldberg , MD Department of Surgery , Mayo Clinic Florida , Jacksonville , FL , USA

Dinakar Golla , MD Department of Plastic Surgery , University of Pittsburgh Medical Center , Pittsburgh , PA , USA

Sheila A. Grant , PhD Department of Biological Engineering , University of Missouri , Columbia , MO , USA

Kristi L. Harold , MD Division of General Surgery , Mayo Clinic Arizona , Phoenix , AZ , USA

B. Todd Heniford , MD, FACS Department of Surgery , University of North Carolina at Chapel Hill , Charlotte , NC , USA

Elizabeth Honigsberg , MD Department of Surgery , Dartmouth-Hitchcock Medical Center , Lebanon , NH , USA

Brian P. Jacob , MD, FACS Department of Surgery , Mount Sinai Medical Center, Mount Sinai School of Medicine , New York , NY , USA

L. Brian Katz , MD Department of Surgery , The Mount Sinai Hospital , New York , NY , USA

Stephen M. Kavic , MD, FACS Department of Surgery , University of Maryland School of Medicine , Baltimore , MD , USA

Michael L. Kendrick , MD Department of Surgery , Mayo Clinic , Rochester , MN , USA

Kent W. Kercher , MD, FACS Division of GI and Minimally Invasive Surgery , Carolinas Medical Center , Charlotte , NC , USA

xviiContributors

Mousa Khoursheed , MD, FRCPS Department of Surgery , Mubarak Al-Kabeer Hospital, University of Kuwait , Safat , Kuwait

David A. Klima , BS, MD Department of General Surgery , Carolinas Medical Center , Charlotte , NC , USA

Matthew Kroh , MD Department of General Surgery , Digestive Disease Institute, Cleveland Clinic Lerner College of Medicine , Cleveland , OH , USA

David M. Krpata , MD Division of Pediatric Surgery , Rainbow Babies and Children’s Hospital , Cleveland , OH , USA

Andrew B. Lederman , MD, FACS Department of Surgery , Berkshire Medical Center , Pitts fi eld , MA , USA

John G. Linn , MD Department of Surgery , Ohio State University Medical Center , Columbus , OH , USA

Aaron M. Lipskar , MD Department of General Surgery , The Mount Sinai School of Medicine , New York , NY , USA

Davide Lomanto , MD, PhD Minimally Invasive Surgical Centre, National University Health System , Singapore , Singapore

Gregory J. Mancini , MD Department of Surgery , University of Tennessee Graduate School of Medicine , Knoxville , TN , USA

Daniel Marcus , MD Department of Surgery , Marina del Rey Hospital , Marina del Rey , CA , USA

St. Johns Health Center , Santa Monica , CA , USA

Roxbury Hernia Center , Beverly Hills , CA , USA

Viney K. Mathavan , MD Department of General Surgery , St Vincent Hospital , Indianapolis , IN , USA

xviii Contributors

Brent D. Matthews , MD, FACS Section of Minimally Invasive Surgery, Department of Surgery , Washington University School of Medicine , St. Louis , MO , USA

David A. McClusky III , MD Department of Surgery , Atlanta VAMC and Emory University School of Medicine , Decatur , GA , USA

Dean J. Mikami , MD Department of Gastrointestinal Surgery , The Ohio State University Medical Center , Columbus , OH , USA

Marc Miserez , MD, PhD Department of Abdominal Surgery , University Hospital Gasthuisberg , Leuven , Belgium

Yuri W. Novitsky , MD Department of Surgery , Case Comprehensive Hernia Center, University Hospitals Case Medical Center , Cleveland , OH , USA

Dmitry Oleynikov , MD, FACS Department of Surgery , University of Nebraska Medical Center , Omaha , NE , USA

Carlos M. Ortiz-Ortiz , MD Department of General Surgery , Florida Hospital Celebration Health , Celebration , FL , USA

Mickey M. Ott , MD Division of Trauma and Surgical Critical Care, Department of Surgery , Vanderbilt University Medical Center , Nashville , TN , USA

Pradeep Pallati , MD Department of General Surgery , Creighton University Medical Center , Omaha , NE , USA

Adrian Park , MD, FRCSC, FACS, FCS(ECSA) Department of Surgery , Anne Arundel Health System , Annapolis , MD , USA

Eduardo Parra-Davila , MD, FACS, FASCRS Department of General Surgery , Florida Hospital Celebration Health , Celebration , FL , USA

xixContributors

Jonathan P. Pearl , MD Norman M. Rich Department of Surgery , Uniformed Services University/Walter Reed National Military Medical Center , Bethesda , MD , USA

Scott Philipp , MD, FACS Department of Surgery , The Permanente Medical Group, Inc , Vallejo , CA , USA

Lisa C. Pickett , MD Departments of Surgery/Critical Care and Medicine , Duke University Hospital , Durham , NC , USA

Alfons Pomp , MD, FACS, FRCSC Department of Surgery , New York Presbyterian Hospital/Weill Medical College of Cornell University , New York , NY , USA

Kimberly Ponnuru , MD, FACS Department of General Surgery , Providence Medical Center, General Surgery Associates , Kansas City , KS , USA

Todd A. Ponsky , MD Division of Pediatric Surgery , Akron Childrens Hospital, One Perkins Square Akron , OH , USA

Benjamin S. Powell , MD Department of Surgery , University of Tennessee Health Science Center , Memphis , TN , USA

Archana Ramaswamy , MD Department of General Surgery , University of Missouri Healthcare , Columbia , MO , USA

Bruce Ramshaw , MD, FACS Department of General Surgery , Transformative Care Institute, Advanced Hernia Solutions , Daytona Beach , FL , USA

Lauren Rascoff , MD Department of Obstetrics, Gynecology and Reproductive Science , Mount Sinai Hospital , New York , NY , USA

Mark A. Reiner , MD Department of Surgery , The Mount Sinai Hospital , New York , NY , USA

xx Contributors

E. Matthew Ritter , MD Division of Academic Surgery, Norman M. Rich Department of Surgery , Uniformed Services University/Walter Reed National Military Medical Center , Bethesda , MD , USA

John R. Romanelli , MD Department of Surgery , Baystate Medical Center, Tufts University School of Medicine , Spring fi eld , MA , USA

Michael J. Rosen , MD Division of GI and General Surgery, Department of Surgery , Case Comprehensive Hernia Center, Case Medical Center, Case Western Reserve University , Cleveland , OH , USA

J. Scott Roth , MD Department of Surgery , University of Kentucky College of Medicine , Lexington , KY , USA

Karla Russek , MD Department of Minimally Invasive Surgery , Texas Endosurgery Institute , San Antonio , TX , USA

Marc H.F. Schreinemacher , MD Department of General Surgery , Maastricht University Medical Center , Maastricht , The Netherlands

C. Daniel Smith , MD, FACS Department of Surgery , Mayo Clinic Florida , Jacksonville , FL , USA

Nathaniel Stoikes , MD Department of Surgery , University of Tennessee Health Sciences Center , Memphis , TN , USA

Chee-Chee H. Stucky , MD Department of General Surgery , Mayo Clinic Arizona , Phoenix , AZ , USA

Malini D. Sur , MD Department of Surgery , Mount Sinai Medical Center , New York , NY , USA

Daniel E. Swartz , MD, FACS, FRCSC Department of Surgery , Central California Institute of Minimally Invasive Surgery , Fresno , CA , USA

Victor B. Tsirline , MD, MS Department of Surgery , Northwestern Lake Forest Hospital , Lake Forest , IL , USA

xxiContributors

Jignesh V. Unadkat , MD, MRCS Department of Plastic Surgery , University of Pittsburgh Medical Center , Pittsburgh , PA , USA

Guy Voeller , MD Department of General Surgery , University of Tennessee Health Science Center , Memphis , TN , USA