Hernia Repair Sequelae

1. Front Matter

   Pages I-XIII

   PDF

2. Risk for the Spermatic Cord

   1. Front Matter

      Pages 1-1

      PDF

   2. Are There Adverse Effects of Herniorrhaphy Techniques on Testicular Perfusion?

      • O. N. Dilek

      Pages 3-11

   3. The effects of Mesh Bioprosthesis on the Spermatic Cord Structures in a Rat Model

      • A. Montgomery, F. Berndsen

      Pages 13-19

   4. Damage to the Spermatic Cord by the Lichtenstein Procedure in a Pig Model-Preliminary Results

      • K. Junge, M. Binnebösel, C. Kauffmann, R. Rosch, J. Otto, D. Kämmer et al.

      Pages 21-28

   5. Influence of Prosthetic Implants on Male Fertility in Rabbits and Rats

      • C. Peiper, K. Junge, A. Oettinger, M. Binnebösel

      Pages 29-38

   6. The Effects of a Mesh Bioprosthesis on the Spermatic Cord Structures

      • A. Goldenberg

      Pages 39-41

   7. Influence of Prosthetic Implants on Male Fertility in Rats

      • T. Kolbe, W. Lechner

      Pages 43-48

   8. What Can We Do To Decrease the Risk of Vas Deferens Injury due to Inguinal Hernioplasty?

      • P. Witkowski

      Pages 49-55

   9. The Long-Term Effect on Testicular Function of a Mesh Bioprosthesis Used for Inguinal Hernia Repair

      • H. Aydede

      Pages 57-63

   10. Reoperation Following Lichtenstein Repair: What Do Vas and Nerves Look Like?

       • U. Muschaweck

       Pages 65-70

   11. Damage to the Spermatic Cord from Groin Herniorrhaphy: A Review

       • R. C. Read

       Pages 71-75

3. Risk for Infection

   1. Front Matter

      Pages 77-77

      PDF

   2. Mesh Infection Following Hernia Repair: A Frequent Problem?

      • B. J. Lammers, A. Baer, T. Sauer, P. Pohl, P. E. Goretzki

      Pages 79-85

   3. Patient Factors as a Major Determinant of Wound Outcome and Infection After Surgery

      • H. W. Hopf

      Pages 87-95

   4. Mesh-Related Infections After Hernia Repair

      • M. E. Falagas, G. C. Makris

      Pages 97-102

   5. Human Acellular Dermal Matrix for Ventral Hernia Repair in the Compromised Surgical Field

      • J. J. Diaz Jr.

      Pages 103-111

   6. Fate of the Inguinal Hernia Following Removal of Infected Prosthetic Mesh

      • A. S. Fawole, R. P. C. Chaparala, N. S. Ambrose

      Pages 113-117

   7. Mesh Infection-Therapeutic Options

      • E. Schippers

      Pages 119-124

   8. Does Antibiotic Prophylaxis Prevent the Occurrence of Wound Infection After Groin Hernia Surgery?

      • T. J. Aufenacker

      Pages 125-134

Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae as for example pain, infertility, infection, adhesion and dislocation of the protheses. That can happen many years later and now, where the general principle of hernia repair is well understood all over the world, these sequelae are noticed more and more. To define them, to evaluate the absolute and relative risk of these sequelaes and to describe the ways of their prevention, diagnosis and treatment, the 5^th Suvretta meeting had focussed on this subject. We discussed if there’s a principle risk by technique, material or both. The results of these discussions and the future handling and evaluation of this problem was the aim of this meeting. Even the best method can be made better by optimization of its single components.

Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae such as pain, infertility, infection, adhesion and dislocation of the prostheses. This can happen many years later, and now that the general principle of hernia repair is broadly understood all over the world, these sequelae are being noticed more and more. The 5^th Suvretta meeting was held in order to define these sequelae, to evaluate the absolute and relative risks they pose, and to discuss the methods of their prevention, diagnosis and treatment. We discussed whether the principal risk was related to technique, material or both. This discussion and the future approach to and evaluation of this problem were the aims of the meeting, working on the premise that even the best method can be made better by optimizing its individual components.

• Hernia Repair
• Sequelae
• abdominal wall
• diagnosis
• erosion
• evaluation
• fertility
• hernia
• implant
• incontinence
• migration
• pain
• surgery
• trauma
• treatment

From the reviews: “Expert surgeons from Europe, America, and Asia discussed long-term problems and controversial issues in abdominal wall reconstruction studies and discussions from this meeting are published in this book. … It is valuable not only to specialists in hernia surgery, but also to all surgeons and surgical trainees performing inguinal and ventral hernia repairs. … This is an in-depth review of the contemporary data on potential complications of abdominal wall hernia repair. It is a fairly unique collection of contemporary studies in this field of surgery.” (Evgeny V. Arshava, Doody’s Review Service, May, 2010)

• Chirurgische Klinik, Universitätsklinikum Aachen, Aachen, Germany

  Volker Schumpelick

• Department of Surgery, Creighton University, Omaha, USA

  Robert J. Fitzgibbons

Policies and ethics