Advances in Abdominal Wall Reconstruction

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Author :
Publisher : Thieme
ISBN 13 : 1626239479
Total Pages : 697 pages
Book Rating : 4.6/5 (262 download)

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Book Synopsis Advances in Abdominal Wall Reconstruction by : Albert Losken

Download or read book Advances in Abdominal Wall Reconstruction written by Albert Losken and published by Thieme. This book was released on 2012-07-22 with total page 697 pages. Available in PDF, EPUB and Kindle. Book excerpt: This practical, go-to reference by Drs. Losken and Janis will provide you with the tools you need when addressing a host of abdominal wall problems, ranging from simple to complex hernia repair and abdominal wall reconstruction. It provides information on the latest developments in mesh and biologic materials and their applications for abdominal hernia repair as well as step-by-step surgical technique for ensuring successful outcomes in all types of abdominal wall reconstruction. Advances in Abdominal Wall Reconstruction presents the range of current options available for surgical repair in a systematic fashion. Treatment options and algorithms provide readers with insights into choices for approaching different problems. Strategies for minimizing morbidity and for avoiding recurrences are also discussed in detail as are helpful tips and tricks and safe and reliable options for dealing with complex problems. New techniques are described along with the evidence-based data on outcomes and numerous case examples to reinforce important concepts. Potential problems and pitfalls are thoroughly covered to help surgeons avoid potential complications. Although the main focus of this book is on surgical technique, it also discusses basic principles, etiology of abdominal defects, organizations strategies and outcomes. A DVD with 3 operative videos complements the book. The editors have put together an imminently helpful work which should prove invaluable for a broad range of surgical specialties. They are assisted by a multi-disciplinary group of leading experts and pioneers in surgery and plastic surgery. The book is divided into three parts. The first part focuses on fundamentals with essential chapters devoted to abdominal wall anatomy, hernia defect classification, abdominal wound care and synthetic meshes, and tissue biologics for abdominal wall reconstruction. Parts II and III are devoted to various types of abdominal wall reconstruction as well as simple and complex hernia repair using synthetic meshes and biologics. Chapters within these sections are clinical and technique-oriented, with ample illustrations and photos depicting the different surgical approaches. A key chapter in this section focuses on "Anatomic Components Separation: Applications and Advances in Technique." This simple, reliable technique is one of the most exciting, recent advances in abdominal wall reconstruction. Another hot topic covered in depth in several comprehensive chapters is that of biologics in complex abdominal wall repair; these materials have revolutionized abdominal wall reconstruction. Critical chapters are included on the science behind biologics as well as specific techniques for using them. Other cutting-edge topics include: laparoscopic hernia repair and management of parastomal hernias, enterocutaneous fistulas, postoperative abdominal bulges (a common, challenging problem), and recurrent ventral abdominal hernias, to name a few. An exciting chapter on abdominal wall transplantation gives readers insight into promising new developments and what lies on the horizon in abdominal wall reconstruction. Hot Topics Biologics in Abdominal Wall Reconstruction: Basic Science and Technical Considerations Synthetic Mesh in Abdominal Wall Reconstruction Separation of Anatomic Components Method of Abdominal Wall Reconstruction: Application and Advances in Technique Minimally Invasive Ventral Hernia Repair Management of Postoperative Abdominal Bulges The Retro-Rectus Technique for Mesh Placement

Atlas of Abdominal Wall Reconstruction E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 0323428053
Total Pages : 400 pages
Book Rating : 4.3/5 (234 download)

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Book Synopsis Atlas of Abdominal Wall Reconstruction E-Book by : Michael J. Rosen

Download or read book Atlas of Abdominal Wall Reconstruction E-Book written by Michael J. Rosen and published by Elsevier Health Sciences. This book was released on 2016-07-31 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: The second edition of Rosen’s Atlas of Abdominal Wall Reconstruction has been refreshed and updated to include today's latest advances in abdominal wall surgery. Coverage of 10 brand-new operative procedures provides the clear guidance needed to make the most effective use of both commonly performed and new and emerging surgical techniques for reconstruction. Comprehensive in scope and lavishly illustrated throughout, it's a must-have resource that residents and practitioners alike will reference for repairs ranging from the simple to the complex. Covers congenital as well as acquired abdominal wall problems and surgeries, presenting readers with the full range of disorders which cause these defects and their surgical therapies. High-quality 4-color anatomic illustrations and clinical intra-operative photos allow users to view internal structures in a meaningful way. Features laparoscopic, open, and hybrid surgical approaches, providing surgeons with the skills necessary to repair both simple and complex defects. Familiarizes readers with all aspects of the preoperative, intraoperative and postoperative care of the patient. Covers the latest advances in reconstruction, including mesh deployment techniques and minimally invasive techniques for hernia repair. Highlights 10 brand-new operative procedures: -Posterior Component Separation with Transversus Abdominus Muscle Release -Open Ventral Hernia Repair with Onlay Mesh -Chemical Component Separation with Botox -Perineal Hernia Repair -Robotic Transabdominal Preperitoneal (r-TAPP) Hernia Repair for Ventral Hernias -Surgical Approach to the Rectus Diastasis -Umbilical Hernia Repair -Repair of the Post-TRAM Bulge/Hernia -Transabdominal Preperitoneal Inguinal Hernia Repair -Laparoscopic Totally Extraperitoneal Inguinal Hernia Repair Includes a new chapter on the Preoperative Optimization of the Hernia Patient.

Advances in Laparoscopy of the Abdominal Wall Hernia

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1447147006
Total Pages : 215 pages
Book Rating : 4.4/5 (471 download)

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Book Synopsis Advances in Laparoscopy of the Abdominal Wall Hernia by : Juan Manuel Suárez Grau

Download or read book Advances in Laparoscopy of the Abdominal Wall Hernia written by Juan Manuel Suárez Grau and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 215 pages. Available in PDF, EPUB and Kindle. Book excerpt: Advances in Laparoscopy of the Abdominal Wall Hernia is fully illustrated, comprehensive guide which describes in detail the most up-to-date techniques used in the laparoscopic repair of hernias. Written by world renowned authors, this manual reviews laparoscopic techniques used in the repair of inguinal hernias and ventral incisional hernias. Among the topics explored within this updated, engaging and informative text are: • Techniques such as Extraperitoneal (TEP) and transabdominal (TAPP) hernia repair • Fundamentals of ventral hernia repair • A detailed overview of mesh fixation in laparoscopic surgery • Methods to deal with rarer hernias and those of atypical location Advances in Laparoscopy of the Abdominal Wall Hernia is a valuable reference tool that would be of great benefit to surgeons and medical practitioners working in this field.

Advances in Abdominal Wall Hernia Repair

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Author :
Publisher : W B Saunders Company
ISBN 13 : 9781416058038
Total Pages : 222 pages
Book Rating : 4.0/5 (58 download)

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Book Synopsis Advances in Abdominal Wall Hernia Repair by : Kamal M. F. Itani

Download or read book Advances in Abdominal Wall Hernia Repair written by Kamal M. F. Itani and published by W B Saunders Company. This book was released on 2008 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: A group of authors will address the overall topics of abdominal wall hernias; inguinal hernias and ventral hernias. Some of the specific topics include: the biology of hernia formation, open and laparoscopic repair of inguinal hernias, prosthetic material hernia repair, post herniorraphy groin pain, the pediatric patient, open and laparoscopic repair of ventral incisional hernias: and parastomal hernias.

Atlas of Abdominal Wall Reconstruction E-Book

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Author :
Publisher : Elsevier Health Sciences
ISBN 13 : 1455740306
Total Pages : 354 pages
Book Rating : 4.4/5 (557 download)

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Book Synopsis Atlas of Abdominal Wall Reconstruction E-Book by : Michael J. Rosen

Download or read book Atlas of Abdominal Wall Reconstruction E-Book written by Michael J. Rosen and published by Elsevier Health Sciences. This book was released on 2011-08-06 with total page 354 pages. Available in PDF, EPUB and Kindle. Book excerpt: Atlas of Abdominal Wall Reconstruction, edited by Michael J. Rosen, offers comprehensive coverage on the full range of abdominal wall reconstruction and hernia repair. Master laparoscopic repairs, open flank surgery, mesh choices for surgical repair, and more with high-quality, full-color anatomic illustrations and clinical intra-operative photographs and videos of procedures performed by masters. In print and online at www.expertconsult.com, this detailed atlas provides the clear guidance you need to make the most effective use of both commonly performed and new and emerging surgical techniques for abdominal wall reconstruction. Tap into the experience of masters from videos demonstrating key moments and techniques in abdominal wall surgery. Manage the full range of treatments for abdominal wall disorders with coverage of congenital as well as acquired problems. Get a clear picture of internal structures thanks to high-quality, full-color anatomic illustrations and clinical intra-operative photographs. Make optimal choices of surgical meshes with the best current information on the range of materials available for surgical repair. Access the fully searchable contents and videos online at www.expertconsult.com.

Manual of Complex Abdominal Wall Reconstruction

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Author :
Publisher : CRC Press
ISBN 13 : 1498739482
Total Pages : 412 pages
Book Rating : 4.4/5 (987 download)

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Book Synopsis Manual of Complex Abdominal Wall Reconstruction by : Jeff Garner

Download or read book Manual of Complex Abdominal Wall Reconstruction written by Jeff Garner and published by CRC Press. This book was released on 2020-12-29 with total page 412 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides a useful guide for the management of complex abdominal wall problems from the perspective of a general surgeon, with sensible, practical clinical advice for the management of problems as they arise. Starting from managing the open abdomen and optimising the chances of achieving later definitive fascial closure, through to dealing with incisional and parastomal hernias throughout the abdomen. Expert guidance supported by an evidence-based review of the literature aids higher surgical trainees and consultant general surgeons who wish to expand their practice in this area. Focuses on the needs of the general surgeon Offers practical tips and advice for handling difficult cases Based on current best evidence Complemented by high quality images

Open Abdomen

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Author :
Publisher : Springer
ISBN 13 : 3319480723
Total Pages : 279 pages
Book Rating : 4.3/5 (194 download)

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Book Synopsis Open Abdomen by : Federico Coccolini

Download or read book Open Abdomen written by Federico Coccolini and published by Springer. This book was released on 2018-06-06 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is the first available practical manual on the open abdomen. Practicing physicians, surgeons, anesthesiologists, nurses, and physiotherapists will find in it a ready source of information on all aspects of open abdomen management in a wide variety of settings. The coverage includes, for example, the open abdomen in trauma, intra-abdominal sepsis, and acute pancreatitis, step-by-step descriptions of different techniques with the aid of high-quality color figures, guidance on potential complications and their management, and features of management in different age groups. The book contents illustrate the most recent innovations and drawing upon a thorough and up-to-date literature review. Useful tips and tricks are highlighted, and the book is designed to support in daily decision making. The authors include worldwide opinion leaders in the field, guaranteeing the high scientific value of the content.

Techniques of Abdominal Wall Hernia Repair

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Author :
Publisher : Springer Nature
ISBN 13 : 813223944X
Total Pages : 261 pages
Book Rating : 4.1/5 (322 download)

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Book Synopsis Techniques of Abdominal Wall Hernia Repair by : Pradeep Chowbey

Download or read book Techniques of Abdominal Wall Hernia Repair written by Pradeep Chowbey and published by Springer Nature. This book was released on 2019-11-28 with total page 261 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written by an international team of experts, and endorsed by the Asia Pacific Hernia Society (APHS), the main objective of this book is to provide and promote best practices in hernia surgery. It is intended for those surgeons who are already performing hernia repair surgeries, helping them update their surgical know-how in a landscape of rapidly improving techniques. Covering all the commonly performed procedures, from tissue repair to mesh repair (both conventional and laparoscopic), it presents all currently available techniques in detail, addressing the needs of younger and more experienced surgeons alike. Each surgical procedure is explained step by step and supported with high-resolution serial intra-operative photographs and line diagrams. While the majority of the text covers the surgical anatomy, classification, pathophysiology, and imaging techniques for hernias, a closing chapter on future directions introduces readers to the latest and emerging techniques and approaches.

The Art of Hernia Surgery

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Author :
Publisher : Springer
ISBN 13 : 3319726269
Total Pages : 658 pages
Book Rating : 4.3/5 (197 download)

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Book Synopsis The Art of Hernia Surgery by : Giampiero Campanelli

Download or read book The Art of Hernia Surgery written by Giampiero Campanelli and published by Springer. This book was released on 2018-07-30 with total page 658 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book is a comprehensive guide to the surgical repair of inguinal and abdominal wall hernias that not only describes all potential approaches, but also places them in the context of the anatomy of the region, the pathology, and the advances in scientific knowledge over the past decade. It documents in detail the individual techniques applicable in each region (inguinal, femoral, and ventral), highlighting tips and tricks and focusing on indications, potential complications, and outcomes. In addition, it presents cases of incisional hernia and examines less frequent and rare cases and complex situations. Written for surgeons from around the globe, it includes procedures used in wealthy, developed countries and those without mesh more commonly employed in developing countries. With a format designed to facilitate use in daily practice, it is invaluable for residents seeking step-by-step guidance on procedures ranging from repair of simple inguinal hernias to complex reconstruction; for general surgeons who frequently perform hernia repairs; and for hernia specialists aiming to achieve optimal results. It also appeals to researchers with an interest in the scientific background to hernia surgery.

Coloproctology

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 3540712178
Total Pages : 274 pages
Book Rating : 4.5/5 (47 download)

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Book Synopsis Coloproctology by : Alexander Herold

Download or read book Coloproctology written by Alexander Herold and published by Springer Science & Business Media. This book was released on 2008-08-15 with total page 274 pages. Available in PDF, EPUB and Kindle. Book excerpt: EMM: Coloproctology presents the state-of-the-art in coloproctology. The topics covered include anatomy, physiology, anal disorders, dermatology, functional disorders, inflammatory bowel disease, benign and malignant tumours, endoscopy, emergencies and pain syndromes. All chapters give a comprehensive overview of aetiology, incidence, epidemiology, diagnostics, medical and surgical treatment, complications and individual special considerations. This work presents surgical trainees with a comprehensive and condensed guide to the core knowledge required for the European Board of Surgery Qualification (EBSQ) examination. The manual will also be of assistance to practising coloproctologists across Europe and beyond who have an interest in continued professional development. Written by an international team of experts who have each made noteworthy contributions in their field, the coverage of most aspects of coloproctology in an easy-to-follow format also makes this manual valuable to other specialists.

Techniques and Innovation in Hernia Surgery

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Author :
Publisher : BoD – Books on Demand
ISBN 13 : 1838801472
Total Pages : 152 pages
Book Rating : 4.8/5 (388 download)

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Book Synopsis Techniques and Innovation in Hernia Surgery by : Angelo Guttadauro

Download or read book Techniques and Innovation in Hernia Surgery written by Angelo Guttadauro and published by BoD – Books on Demand. This book was released on 2020-05-27 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Every year in the United States there are about 800 000 interventions for the treatment of hernias.New prosthetic materials, specific devices, and surgical techniques that are more attentive to patient well-being and patient compliance offer a new dimension to abdominal wall surgery . Surgery of the abdominal wall, once considered minor, has now acquired the interest of the scientific world.Today, many surgical procedure options are available for hernia pathology. The choice of the correct indication for the patient’s pathology is very important for improving the effectiveness of surgery and ensuring better patient comfort, according to the concept of “tailored surgery”. The aim of this book is to collect experiences that analyze the most used and innovative surgical techniques by evaluating the correct indications in order to obtain maximum patient comfort and the lowest number of complications.

Surgery of Complex Abdominal Wall Defects

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1461463548
Total Pages : 219 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Surgery of Complex Abdominal Wall Defects by : Rifat Latifi

Download or read book Surgery of Complex Abdominal Wall Defects written by Rifat Latifi and published by Springer Science & Business Media. This book was released on 2013-05-21 with total page 219 pages. Available in PDF, EPUB and Kindle. Book excerpt: Complex abdominal wall hernias and complex abdominal wall defects, including stomas or the complications associated with any of the above, are common and challenging for surgeons. The lack of high quality evidence leaves surgeons without clear guidance regarding the selection of technique or material to be used when treating these serious problem. Surgery of Complex Abdominal Wall Defects has been written to provide this guidance. It covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or entero-atmospheric fistulae, indications for, and surgical techniques used to, reconstruct the abdominal wall. In addition, through a number of illustrations, the placement of mesh in the abdominal wall reconstruction, as well as manipulations of patient’s tissue including lateral compartment release techniques and other tissue transfer techniques are described in detail. The text also covers reconstruction of complex contaminated abdominal wall defects in patients with complex enteric fistulae; ostomies, defects created after the excision of previously placed infected prosthetic mesh, and defects associated with acute tissue loss after severe trauma or necrosis of abdominal wall such as necrotizing soft tissue infections. Complex abdominal wall defects in pediatric population and long-term outcomes and durability of these repairs are also addressed. Surgery of Complex Abdominal Wall Defects is written by experts in their respective areas from around the world. It will serve as a guide for current practice for surgeons, including general, trauma, acute care, plastic and reconstructive surgeons.

Laparoscopic Ventral Hernia Repair

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 2817807529
Total Pages : 518 pages
Book Rating : 4.8/5 (178 download)

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Book Synopsis Laparoscopic Ventral Hernia Repair by : Salvador Morales-Conde

Download or read book Laparoscopic Ventral Hernia Repair written by Salvador Morales-Conde and published by Springer Science & Business Media. This book was released on 2013-12-11 with total page 518 pages. Available in PDF, EPUB and Kindle. Book excerpt: Primary and incisional ventral hernias are common conditions often encountered in surgical practice. Because of the frequency of this problem it has come to be managed by surgeons in general, regardless of the type of hospital or the conditions dealt with in their daily practice. Laparoscopic surgery has demonstrated to have an important role among the different technique described to repair ventral hernia with less recurrent rate, less morbidity and less overall cost than open conventional repair, with all the advange of the laparoscopic approach. As a result the indications for this surgical technique are currently being debated since the advantages are evident and progressive implementation is ensured. Now is the time to analyze the usefulness, results, technical variants, anatomic, physiologic and scientific basis and implications involved in implementation of laparoscopy as the technique of choice.

Hernia Surgery

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Author :
Publisher : Springer
ISBN 13 : 3319274708
Total Pages : 530 pages
Book Rating : 4.3/5 (192 download)

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Book Synopsis Hernia Surgery by : Yuri W. Novitsky

Download or read book Hernia Surgery written by Yuri W. Novitsky and published by Springer. This book was released on 2016-06-11 with total page 530 pages. Available in PDF, EPUB and Kindle. Book excerpt: This textbook provides a state-of-the-art reference in the rapidly changing field of hernia surgery. With contributions by key opinion leaders in the field, this book describes the latest trends and detailed technical modifications for both routine and complex hernias. The reader will gain unique insights into robotic and laparoscopic repairs, anterior and posterior component separations, reconstructions in the setting of contamination, enterocutaneous fistulas and loss of abdominal domain. Important contributions from key reconstructive plastic surgeons detail modern trends on how to deal with complex skin and soft tissue challenges. The textbook provides unparalleled step-by-step instructions to perform both routine and complex repairs by incredible illustrations, intra-operative color photographs and a unique video collection of procedures performed by today’s top hernia surgeons. As a comprehensive and most up-to-date reference to modern treatment algorithms, trends in prosthetic science and technique selections, Hernia Surgery: Current Principles will be an invaluable resource to all residents and practicing general, plastic, and trauma surgeons to help them succeed in the field of Hernia surgery.

Abdominal Wall Hernias

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Author :
Publisher : Springer Science & Business Media
ISBN 13 : 1441985743
Total Pages : 814 pages
Book Rating : 4.4/5 (419 download)

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Book Synopsis Abdominal Wall Hernias by : Robert Bendavid

Download or read book Abdominal Wall Hernias written by Robert Bendavid and published by Springer Science & Business Media. This book was released on 2012-12-06 with total page 814 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abdominal Wall Hernias is the most up-to-date, comprehensive reference available on all aspects of hernia repair. It includes state-of-the-art approaches to conventional open repairs using tissue-to-tissue techniques, the use of prosthetic mesh, minimally invasive approaches, the repair of recurrent and massive hernias, pertinent anatomy, basic science, and emerging biomaterials. The authors present a full spectrum of procedures to enable readers to gain a broad knowledge of the multifaceted repair of hernias. Richly illustrated, this book is a vital resource for all general surgeons and surgeons-in-training.

Surgery of Complex Abdominal Wall Defects

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Author :
Publisher : Springer
ISBN 13 : 3319558684
Total Pages : 256 pages
Book Rating : 4.3/5 (195 download)

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Book Synopsis Surgery of Complex Abdominal Wall Defects by : Rifat Latifi

Download or read book Surgery of Complex Abdominal Wall Defects written by Rifat Latifi and published by Springer. This book was released on 2017-05-31 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: As with the first edition, the second edition of this book covers the surgical anatomy of the abdominal wall, pathology of abdominal wall defects, such as hernias, enterocutaneous or entero-atmospheric fistulae, and indications for and surgical techniques used to reconstruct the abdominal wall from the practical stand point. In addition, through a number of illustrations, the placement of mesh in the abdominal wall reconstruction as well as manipulations of patient’s tissue including lateral compartment release techniques and other tissue transfer techniques are described in detail. The text also covers reconstruction of complex contaminated abdominal wall defects in patients with complex enteric fistulae, stomas, defects created after the excision of previously placed infected prosthetic mesh, and defects associated with acute tissue loss after severe trauma or necrosis of abdominal wall such as necrotizing soft tissue infections. Complex abdominal wall defects in the pediatric population and long-term outcomes and durability of these repairs are also addressed. The second edition of Surgery of Complex Abdominal Wall Defects is written by experts in their respective areas from around the world and has been updated thoroughly. As with the first edition, it will continue to serve as a guide for current practice for surgeons, including general, trauma, acute care, plastic and reconstructive surgeons.

Laparoscopic and Robotic Incisional Hernia Repair

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Author :
Publisher : Springer
ISBN 13 : 3319907379
Total Pages : 189 pages
Book Rating : 4.3/5 (199 download)

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Book Synopsis Laparoscopic and Robotic Incisional Hernia Repair by : Karl A. LeBlanc

Download or read book Laparoscopic and Robotic Incisional Hernia Repair written by Karl A. LeBlanc and published by Springer. This book was released on 2018-10-19 with total page 189 pages. Available in PDF, EPUB and Kindle. Book excerpt: The field of hernia repair, in general, has evolved over the last 25 years. The changes that have followed the introduction of this technique have continued and have even increased in the last few years. There is a need to inform the practicing general surgeon about these advances. This text will seek to present the most up to date and important considerations to date. The book will open with a brief history and evolution of the technology surrounding the repair of incisional and ventral hernias laparoscopically and include the introduction of the robotic technology. Prosthetic biomaterials are an integral part of the successful repair of hernias and a comprehensive presentation of these products will be presented. Preoperative preparation of the patient has now been recognized as a method to improve outcomes in these patients and will be addressed.Technical aspects of the repair of these hernias will then follow in an orderly fashion to include the general considerations of the methodology. The “best practices” of these methods will be presented with appropriate figures and illustrations. The management of difficult situations as well as expected outcomes will be discussed. It is the intent of this text that any surgeon interested in the use of the minimally invasive techniques to repair the incisional and ventral hernias of the abdominal wall will have this resource presenting current opinions and methods. The “thought leaders” in these methods will be the authors of these chapters. This title differs from the Springer related title Novitsky, Hernia Surgery. The Novinsky is more comprehensive at 530 pages. It contains many more illustrations and video. The LeBlanc focuses on Laparoscopic and Robotic Hernia surgery with an estimated page count of 300-350. The LeBlanc presents current opinions of the thought leaders. Therefore, the subtitle: Current Considerations.