By Michael J. Rosen MD FACS
An very important overview on stomach wall reconstruction for the final general practitioner! issues will comprise preoperative optimization of a ventral hernia sufferer, prevention of incisional hernias, laparoscopic ventral hernia fix, open ventral hernia fix, unusual hernias, epigastric and umbilical hernias, parastomal hernia fix, flap reconstruction, artificial mesh, medical results of biologic mesh, pediatric hernias, takedown of enterocutaneous fistula, a overview of laparoscopic as opposed to open inguinal hernia, and extra!
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18. Seiler, C. , Diener, M. , et al. Midline versus transverse incision in major abdominal surgery: a randomized, double-blind equivalence trial (POVATI: ISRCTN60734227). Ann Surg. 2009; 249(6):913–920. 19. Peacock, E. , van Winkle, W. Wound repair, 3rd edition. Philadelphia: W. B. Saunders; 1984. 20. Rath, A.
With ventral hernias being one of the most common procedures performed by general surgeons, the financial implications of many of our decisions is now coming under careful scrutiny. It is important for all surgeons to understand the financial impact on the decisions they make in the operating room, to both improve patients' outcomes and provide cost effective care. The old saying in surgery that if there is more than one way to perform an operation, there is often no one right way, likely will never hold true for hernia surgery.
This method adheres to the literature-supported principles of a tension-free midline fascial closure with wide mesh overlap of mesh positioned in a sublay position. The authors’ experience with this method supports a low recurrence rate and reduced wound morbidity. Atypical Hernias: Suprapubic, Subxiphoid, and Flank William W. Hope and W. Borden Hooks III Thorough knowledge of anatomy, appropriate preoperative planning, and reliance on the principles of hernia repair ensure successful outcomes.