Surgery: Abdominal Wall Hernias — Comprehensive Expert Level Treaty

Surgery · Clinical Specialties

How it begins

An expert-level analytical compendium focused on the microscopic and macroscopic anatomy of the inguinofemoral region, cutting-edge biomaterials, advanced reconstructive techniques (Rives-Stoppa, TAR, Ramírez), and addressing the most challenging complications.

What it covers

1. Pathophysiology, Surgical Anatomy and Complex Reconstruction of the Abdominal Wall
2. Anatomy of the Anterolateral Abdominal Wall Musculature, Aponeurotic Sheaths and Transition Lines
3. · Flat and Vertical Muscular Structures
4. · The Recti Pod and the Arched Line of Douglas
5. · Spiegel's Semilunar Line and the Alba Line
6. High Definition Inguinal Anatomy The Inguinal Canal, Continent and Content
7. · The Four Walls of the Inguinal Canal
8. · The Superficial and Deep Inguinal Rings
9. · Nervous Pathways of the Inguinal Region
10. Myopectineal orifice of Fruchaud Triangles of Doom and Pain in Posterior Approach
11. · Limits of Fruchaud's Myopectineal Orifice
12. · Posterior Endoscopic Anatomy: The Surgical Triangles
13. · The Corona Mortis
14. Definitions and Classification of Nyhus Hernias, Gilbert and EHS Classification
15. · Fundamental Clinical Nomenclature
16. · Nyhus Classification (Inguinal and Femoral)
17. · European Hernia Society (EHS) classification
18. Epidemiology and Genomics of Collagen The Physiology of Connective Tissue and Risk Factors
19. · Alteration of Collagen Metabolism
20. · Systemic and Local Risk Factors
21. Pathophysiology of Fascial Defect Vectors of Force, Strangulation and Loss of Domain
22. · The Dynamics of Pressures and Force Vectors
23. · The Process of Imprisonment and Strangulation
24. · Pathophysiology of Loss of Domain (LOD)
25. Indirect, Direct and Femoral Inguinal Region Hernias — Differential Diagnosis
26. · Indirect Inguinal Hernia (IIH)
27. · Direct Inguinal Hernia (DIH)
28. · Femoral or Crural Hernia (HF)
29. Ventral and Spigelian Hernias Defects of the Midline and Semilunar Line
30. · Epigastric and Umbilical Hernias
31. · Spigelian hernia
32. Incisional Hernia and Loss of Home Etiopathogenesis, Tomographic Evaluation and Advanced Preparation
33. · Computed Tomography Evaluation Criteria
34. · Preoperative Preparation Techniques
35. Rare and Eponymous Hernias Surgical Eponyms, Specific Mechanisms and Locations
36. · Obturator Hernia
37. Biomaterials and Meshes in Hernia Surgery Polymers, Biophysical Properties and Prosthesis Selection
38. · Classification by Structure and Weight (Density)
39. · Chemical Composition of Biomaterials
40. · The Concept of Porosity and Infectious Response
41. Open Approach for Shouldice Inguinal Hernioplasty, Lichtenstein and McVay Repair
42. · Shouldice Technique (Tissue Gold Standard)
43. · Lichtenstein Technique (Open Gold Standard without Tension)
44. · McVay Technique (Herniorrhaphy to Cooper's Ligament)
45. Laparoscopic and Robotic Inguinal Approach TAPP and PE Procedures — Detailed Surgical Technique
46. · TAPP (Transabdominal Preperitoneal)
47. · TEP (Totally Extraperitoneal repair)
48. · Robotic Approach (r-TAPP)
49. Rives-Stoppa, Ramírez Complex Ventral and Incisional Reconstruction and Transversus Abdomen Release (TAR)
50. · Rives-Stoppa Technique (Open Gold Standard)
51. · Separation of Anterior Components (Ramírez Technique)
52. · TAR (Transversus Abdominis Release - Posterior Separation of Components)
53. Surgical Complications and Their Management Seromas, Mesh Infection and Chronic Inguinodynia
54. · Hematomas and Seromas
55. · Surgical Site Infection and Management of Infected Mesh
56. · Chronic Postoperative Pain (CPIP - Inguinodynia)
57. Integration Cases and Clinical Discussions Emergency Clinical Scenarios and Complex Elective Planning