NDLI: - 2-AKL 1-1 AKL 1-2 AKL 1-3 Evolution of Herniology

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- 2-AKL 1-1 AKL 1-2 AKL 1-3 Evolution of Herniology

Content Provider	Semantic Scholar
Author	Chowbey, Pradeep K. Lomanto, Davide Sato, Tatsuo
Abstract	Hernia repair today has a vast number of surgical options. In addition to the choice of approach (open vs laparoscopic, anterior vs preperitoneal), the plane where placing the mesh (in front of the trasversalis fascia vs preperitoneal space), and the fi xation device (tacks vs staples vs sutures vs glue vs sutureless), surgeons can select among a wide range of prosthesis. Laparoscopic repair can be performed for most hernias today and easily qualifi es itself as a safe, feasible, patient friendly and cost effective technique. It is well accepted today that inguinal hernia is a local manifestation of a generalized disorder of collagen synthesis which has lead to a number of centers including ours to perform a simultaneous bilateral inguinal exploration and mesh placement. Choosing the proper biomaterial can determine the success of an operation and prevent biomaterial-related complications. Modern advances in hernia repair are credited with reduced recurrence rate, so surgeons’ attention is shifted from preventing recurrence to the new topic of chronic pain after surgery. The laparoscopic repair of ventral / incisional hernias offers all the advantages of a minimally invasive procedure to patients as it saves them the insult of large incisions and the associated wound related complications. The technique of laparoscopic repair involves intraperitoneal onlay mesh placement and in selected cases, partial or total extraperitoneal mesh placement. The laparoscopic approach affords the surgeon the ability to clearly defi ne the margins of the hernia defect and to identify additional defects that may not have been clinically apparent preoperatively.
File Format	PDF HTM / HTML
Alternate Webpage(s)	http://www.c-linkage.co.jp/aphs2016/dl/aphs2016_abs_akl1.pdf
Language	English
Access Restriction	Open
Content Type	Text
Resource Type	Article

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