Techniques of Abdominal Wall Hernia Repair Pradeep Chowbey Davide Lomanto Editors 123 Techniques of Abdominal Wall Hernia Repair Pradeep Chowbey • Davide Lomanto Editors Techniques of Abdominal Wall Hernia Repair Editors Pradeep Chowbey Davide Lomanto Metabolic and Bariatric Surgery Minimally Invasive Surgical Centre Max Super Specialty Hospital KTP Advanced Surgical Training Centre New Delhi Yong Loo Lin School of Medicine India National University Health System National University of Singapore Singapore ISBN 978-81-322-3942-0 ISBN 978-81-322-3944-4 (eBook) https://doi.org/10.1007/978-81-322-3944-4 © Springer Nature India Private Limited 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. This Springer imprint is published by the registered company Springer Nature India Private Limited The registered company address is: 7th Floor, Vijaya Building, 17 Barakhamba Road, New Delhi 110 001, India Contents Part I General 1 The Economics of Hernia Surgery . . . . . . . . . . . . . . . . . . . . . . . . 3 Jose Macario Faylona 2 Surgical Anatomy of Groin and Groin Hernia . . . . . . . . . . . . . . . 11 Shintaro Sakurai 3 Abdominal Wall Hernia Classification . . . . . . . . . . . . . . . . . . . . . 49 Basim Alkhafaji 4 Imaging of Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . 55 Rakesh K. Mathur and Nidhi Goyal Part II G roin Hernia 5 Biomaterials for Inguinal Hernia Repair . . . . . . . . . . . . . . . . . . . 77 Rolf Ulrich Hartung 6 Anaesthesia for Laparoscopic Abdominal Wall Hernia Repair . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83 Aparna Sinha and Lakshmi Jayaraman 7 Surgical Techniques for Inguinal Hernia Repair: Open Techniques—Tissue Repairs . . . . . . . . . . . . . . . . . . . . . . . . 97 Rey Melchor F. Santos 8 Surgical Techniques for Inguinal Hernia Repair: Open Tension- Free Repairs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 111 Ching-Shui Huang 9 Total Extraperitoneal Repair of Groin Hernias . . . . . . . . . . . . . . 119 Pradeep Chowbey 10 Transabdominal Pre-peritoneal (TAPP) Repair for Groin Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 133 George Pei Cheung Yang 11 Open and Laparoscopic Repair of Femoral Hernia . . . . . . . . . . 141 Deepraj S. Bhandarkar v vi Contents 12 Groin Hernia in the Elderly . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 147 K. G. Mathew 13 Sportsman Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 157 Yen Ping Tan and Jaideepraj Rao 14 Complications Inguinal Hernias: Strangulated Incarcerated and Obstructed Hernias . . . . . . . . . . . . . . . . . . . . . 163 Pradeep Chowbey 15 Recurrent Inguinal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 169 Rajesh Khullar Part III A bdominal Wall Hernia 16 Biomaterials for Abdominal Wall Hernia Repair . . . . . . . . . . . . 177 Asim Shabbir and Sujith Wijerathne 17 Laparoscopic Incisional and Ventral Hernia Mesh Repair . . . . . 185 Davide Lomanto and Hrishikesh P. Salgaonkar 18 Laparoscopic Pre-peritoneal Onlay Mesh (PPOM) Repair for Ventral and Incisional Hernia . . . . . . . . . . . . . . . . . . . 195 George Pei Cheung Yang 19 Laparoscopic Repair of Peripheral Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 203 Anil Sharma 20 Obesity and Abdominal Wall Hernias . . . . . . . . . . . . . . . . . . . . . . 207 Alfred Allen Buenafe 21 Components Separation Technique for Repair of Complex Abdominal Wall Hernia . . . . . . . . . . . . . . . . . . . . . . . 213 Jonathan Foo and Wei-Keat Cheah 22 Parastomal Hernia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223 Kai He and Qiyuan Yao 23 Muscle–Aponeurotic Plication Associated with Dermolipectomy in the Treatment of Ventral Hernias and Diastasis Recti: A Functional and Aesthetic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233 Marco Aurelio Faria-Correa 24 Faria-Correa_Minimally Invasive Subcutaneouscopic and Robotic Rectus Plication . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 247 Marco Aurelio Faria-Correa 25 Robotic Repair for Ventral Hernias . . . . . . . . . . . . . . . . . . . . . . . 261 Davide Lomanto and Sajid Malik 26 Future Consideration . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 267 Davide Lomanto About the Editors Pradeep Chowbey is currently Chairman of the Max Institute of Minimal Access, and Chief of Surgery and Allied Surgical Specialties at Max Hospital, New Delhi, India. He is the Honorary Surgeon to the President of India and Surgeon to His Holiness the Dalai Lama. He is the Founder President of the Asia Pacific Hernia Society (2004) and Former President of the Asia-Pacific Metabolic and Bariatric Surgery Society (2010–2012), of the Pacific Chapter of the International Federation for the Surgery of Obesity and Metabolic Disorders (2011–2013), and of the International Federation for the Surgery of Obesity and Metabolic Disorders (2012–2013). He established the Minimal Access, Metabolic & Bariatric Surgery Centre, Sir Ganga Ram Hospital, New Delhi, in 1996, the first of its kind on the Asian subcontinent. His current institute, the Max Institute of Minimal Access, is accredited as an International Centre of Excellence for Endohernia Surgery and Bariatric Surgery. He was on the steering committee for formulating the Worldwide Guidelines and Recommendations for inguinal hernia and ven- tral and incisional abdominal wall hernias published in the Surgical Endoscopy journal (Springer). He is the Editor in Chief of the Journal of Minimal Access Surgery, the official publication of IAGES, a Section Editor (Ventral/Incisional Hernia Surgery) for Hernia: The World Journal of Hernia and Abdominal Wall Surgery, and an Associate Editor for the International Journal of Abdominal Wall and Hernia Surgery. Davide  Lomanto is currently a Professor of Surgery at the National University of Singapore and Director of the Minimally Invasive Surgical Centre (MISC) and of the KTP Advanced Surgery Training Centre (ASTC), National University Hospital (NUS). He is a Secretary-General and a Past President of the Endoscopic and Laparoscopic Surgeons of ASIA (ELSA); a Founding Member and Advisory President of the Asia Pacific Hernia Society (APHS); and a Founding Member and Past-President of the Asia-Pacific Metabolic and Bariatric Surgery Society (APMBSS). He has been awarded Honorary Memberships in several endolaparoscopic societies: Japan (JSES), India (IAGES), Indonesia (PBEI, PERHERI), the Philippines (PCS, PALES), and Thailand (RCST). He recently been awarded the prestigious Honorary Fellowship Ad Hominem from the Royal College of Surgeons of Edinburg (FRCS) and from the European Association for Endoscopic Surgery (EAES). vii viii About the Editors He serves as Experts in several Guidelines Committee for Inguinal and Abdominal Wall Hernia. He currently serves as Managing Editor of the Asian Journal of Endoscopic Surgery; Associate Editor of Hernia: The World Journal of Hernia and Abdominal Wall Surgery; and International Editorial Member for Surgical Endoscopy and Asian Journal of Surgery. He was knighted by the Italian Government on 26 December 2009. Part I General 1 The Economics of Hernia Surgery Jose Macario Faylona 1.1 Introduction more people. In line with this, health econo- mists need to make crucial decisions as to Hernia surgery is one of the most common opera- which will be funded and which will be tions being done worldwide. Statistics from the rejected. In the case of hernia surgery, there are different countries varies but in the US, China, so many variables that need to be considered in and India, inguinal hernia surgery can go as high deciding the most economical choice for a her- as one million cases per year [1]. Throughout the nia patient. Things that need to be considered lifetime of an individual, the chance of having a are the following: hernia operation is 27% for males and 3% for females [2]. Hernia surgery involves not only 1. Tissue repair vs. prosthetic repair inguinal hernia but also ventral or incisional her- 2. Open vs. laparoscopic repair nias. Through the years, the management of her- 3. Type of mesh to use nias has evolved from tissue repairs to prosthetic 4. Type of fixation repairs and laparoscopic repairs. With the advent 5. Day case or in-hospital procedure of all of these technological breakthroughs and 6. Type of anesthesia new techniques in hernia surgery, it is necessary 7. Antibiotic use to assess the economic impact of these things in 8. Impact on patients’ quality of life and return terms of health care cost, as well as costs that the to work patients will incur. With all these things to consider, it is essential for the decision-makers of health care to under- 1.2 Health Economics stand the concepts of health economics. Decision should be based on several concepts: In terms of health economics, different coun- tries will have different systems of funding 1. Cost-minimization analysis health care, but they have one thing in com- 2. Cost-effectiveness analysis mon; health care resources are limited and 3. Cost-utility Analysis needs to be spent rationally for the benefit of 4. Cost-benefit analysis J. M. Faylona (*) Department of Surgery, UP College of Medicine, University of the Philippines-Manila, Manila, Philippines © Springer Nature India Private Limited 2020 3 P. Chowbey, D. Lomanto (eds.), Techniques of Abdominal Wall Hernia Repair, https://doi.org/10.1007/978-81-322-3944-4_1