Incisional Hernia

Prof. Dr. med. Dr. h.c. Volker Schumpelick, ist Direktor der Chirurgischen Klinik des Universitätsklinikums der RWTH Aachen.

I Anatomy of the Abdominal Wall.- 1 Descriptive Anatomy.- 2 Functional Anatomy.- 3 Surgical Anatomy.- II Wound Healing.- 4 Fascial Metabolic Defects.- 5 Growth Factors and Hernia.- III Abdominal Wall Defects.- 6 Primary Hernia.- 7 Nonhernial Defects.- 8 Acute Wound Failure.- 9 Natural History and Patient-Related Factors.- 10 Diagnosis of Abdominal Wall Defects.- IV Principles of Repair.- 11 Preparation of Patients for Hernia Surgery.- 12 Augmentation with Autologous Material.- 13 Biomaterials - Classification,Technical and Experimental Aspects.- 14 Biocompatibility of Biomaterials - Clinical and Mechanical Aspects.- 15 Biomaterials - Experimental Aspects.- 16 Biocompatibility of Biomaterials - Histological Aspects.- 17 Biomaterials - Principles of Implantation.- V Closure of Laparotomy.- 18 Long- Versus Short-Term Absorbable Sutures.- 19 Absorbable Versus Nonabsorbable Suture for Laparotomy Closure.- 20 Experience with Continuous Absorbable Suture for Laparotomy Closure.- 21 Continuous Closure of Laparotomy Incisions: Aspects of Suture Technique.- 22 Closure of the Abdomen in Acute Wound Failure.- VI Repair of Primary Hernia.- 23 Surgery of Umbilical, Epigastric and Spigelian Hernia.- VII Repair of Incisional Hernia.- Mesh-Free Techniques.- 24 Indication and Limitations of Suture Closure - Significance of Relaxing Incisions.- 25 Significance of Fascia Doubling in the Management of Incisional Hernia.- Mesh Techniques.- 26 Polypropylene Mesh Repair of Incisional Hernia: Marlex and Prolene Mesh.- 27 Prosthetic Incisional Hernioplasty: Indications and Results.- 28 Intermediate Follow-Up Results of Sublay Polypropylene Repair in Primary and Recurrent Incisional Hernias.- 29 Polyester Mesh for Incisional Hernia Repair.- 30 Polytetrafluoroethylene Repair ofIncisional Hernia: Development and Results.- 31 Plastic Reconstruction of Abdominal Wall Defects.- VIII Recurrent Inguinal Hernia.- Suture Repair.- 32 Experience of the Shouldice Clinic in Recurrent Inguinal Hernia Repair.- 33 Shouldice Repair for Recurrent Inguinal Hernia - A Ten-Year Follow-Up.- 34 Suture Repair of Recurrent Inguinal Hernia - A Review of the Literature.- 35 Causes and Treatment of Recurrent Inguinal Hernias.- 36 European Experience with the Lichtenstein Repair for Recurrent Inguinal Hernia.- 37 Transinguinal Preperitoneal Prosthesis Placement Under Local Anesthesia - Management and Follow-Up of 100 Patients.- 38 Experience with the Mesh Umbrella Repair of Recurrent Inguinal Hernia.- 39 Prosthetic Repair of Recurrent Groin Hernias.- 40 Indications and Results of Open Preperitoneal Mesh Repair for Recurrent Groin Hernia.- Laparoscopic and Endoscopic Techniques.- 41 Laparoscopic Treatment of Recurrent Hernias.- 42 Endoscopic Repair: Totally Endoscopic Preperitoneal Prosthesis in Recurrent Inguinal Hernia.- IX Pitfalls,Complications and Quality Control.- 43 Complications of the Suture Repair of Incisional Hernia.- 44 Pitfalls and Complications in Open Recurrent Hernia Repair.- 45 Complications of the Laparoscopic-Endoscopic Approach in Recurrent Inguinal Hernia Repair.- 46 Quality Control in Hernia Surgery: The Swedish Experience.- X Conclusion.- 47 Pannel Discussion.- Appendix: Questionnaire.