By (auth.), Juan Manuel Suárez Grau, Juan Antonio Bellido Luque (eds.)
Advances in Laparoscopy of the belly Wall Hernia is totally illustrated, complete consultant which describes intimately the main up to date options utilized in the laparoscopic fix of hernias. Written by way of international popular authors, this guide reports laparoscopic ideas 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: • options reminiscent of Extraperitoneal (TEP) and transabdominal (TAPP) hernia fix • basics of ventral hernia fix • an in depth evaluation of mesh fixation in laparoscopic surgical procedure • the right way to take care of rarer hernias and people of ordinary place Advances in Laparoscopy of the stomach Wall Hernia is a helpful reference software that might be of serious gain to surgeons and clinical practitioners operating during this field.
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Extra info for Advances in Laparoscopy of the Abdominal Wall Hernia
TEP has a steeper learning curve, and after mastering TEP, performing TAPP will come easily. M. com I. M. A. M. Suárez Grau and I. Alarcón del Agua Introduction There are currently two laparoscopic techniques for inguinal hernia repair: a totally extraperitoneal technique (TEP) and a transabdominal preperitoneal technique (TAPP). Both techniques access the same preperitoneal space, after opening of the parietal peritoneum and performing similar surgical steps common to both techniques: reduction of hernial content, treatment of the hernial sac, and placement of a preperitoneal mesh.
If necessary, two more retracting ports can be placed in the same arc but more laterally so that instruments do not clash. When the optical trocar is placed as one of the lateral port trocars, it is called sectorization. See Fig. 6b. Sectoring of instruments should be avoided by beginners since it requires a greater degree of understanding of laparoscopic views and significantly different one-eye coordination. More specifically, there are ergonomic issues that are unique to laparoscopic hernia repair, such as the strain of working against the camera (mirror-image effect) and the complex movements required to repair hernia defects from underneath the anterior abdominal wall during ventral hernioplasty.
4 Gilbert classification (anterior approach) Fig. L. García Moreno and I. Durán Ferreras 3 Classification of Ventral Hernias and Inguinal Hernias • • • • 33 Type IV: Direct hernia, with a defect of the entire floor of the inguinal canal. Type V: Direct hernia, with saccular defect of 1–2 cm. Type VI: Hernias with direct + indirect components. Type VII: Femoral hernia. EHS Classification In recent years, the European Hernia Society (EHS) has proposed a classification that is simple and easy to memorize, with the aim of a systematic use in the daily surgical practice.