Meshes: Benefits and Risks
Published on 6. December 2012
XVIII, 479 pages
978-3-642-18720-9 (ISBN)
Description
The 3rd Suvretta meeting in January 2003 was intended to give an overview of the of meshes in hernia operations. After the first meeting in 1995 on Ingui current use nal Hernia and the second on Incisional Hernia in 1998, the current congress was focused on the benefits and risks of hernia meshes, the reason being that meshes have more and more become the standard in open as well as in laparoscopic hernia operations. During the past 10 years new indications for the use of mesh as well as new types of mesh have been developed. Considerable experience with meshes has been published in the literature, including controlled trials of different results, dif ferent techniques, and last but not least, case reports of complications. We there fore felt it was timely and appropriate to hold a state-of-the-art meeting on meshes used in hernia curative procedures. During 3 intense working days which included presentations, demonstrations, and extensive discussions, the current role and the future potential development of artificial mesh implants were discussed by both traditional and laparoscopic sur geons. The most renowned hernia specialists of the world came together to discuss the use of meshes relating to construction, material, technique, experimental stu dies and clinical results. Each participant was invited to give a special talk on his favorite subject for discussion among the attending specialists.
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Volker Schumpelick | Lloyd M. Nyhus
Meshes: Benefits and Risks
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08/2014
Springer
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10/2003
Springer
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Content
I The Problem: How to Treat a Hernia.- 1 Have We Defeated Hernia Recurrence in the Groin? An Epidemiological Approach.- 2 Risk Factors Predisposing for the Development of Incisional Hernias.- 3 Expenses and Profits: Economical Aspects of Hernia Surgery.- II Reasons for Recurrence: a Pathophysiological Approach.- 4 Recurrences: the Fault of the Surgeon.- 5 The Fault(s) of the Patient: Scar Reaction and Biological Recurrence.- 6 Collagen - the Crucial Cause?.- 7 Pharmacotherapy of the Wound - Prevention of Hernia?.- III The World of Mesh.- 8 Textile Variations and Characteristics of the Plastic Meshes.- 9 Polypropylene: the Standard of Mesh Materials.- 10 Polyester Mesh - a French Solution?.- 11 ePTFE: Worth the Price?.- 12 PVDF: a New Alternative?.- 13 The World of Mesh.- IV Anatomic Basics.- 14 The Abdominal Wall - Where to Place the Mesh?.- V Mesh Biology.- 15 Pathophysiology and Pathology of the Foreign-Body Reaction to Mesh Implants.- 16 Long-term Inertness of Meshes.- 17 How to Construct a Mesh? Impact of Structure, Filament and Pore Size for Tissue Ingrowth.- VI Mesh-Related Complications: Exception or the Rule?-Impact of Technique and Material.- 18 Mesh Related Problems - How to Objectify.- 19 Shrinkage: Fake or Fact?.- 20 The Catastroph: Mesh Infection and Migration with Fistula Formation - Life Long Risk?.- 21 Prevention of Adhesion - Just an Illusion?.- 22 Does the Mesh Damage the Spermatic Cord?.- 23 Complaints - Usual Complications of Meshes?.- 24 Foreign-Body Carcinogenesis of Surgical Meshes.- VII Indications for Mesh Repair Today.- 25 Mesh Repair in the Groin: for Every Hernia at all Ages?.- 26 Mesh Repair in the Abdominal Wall: Are There Mesh-Free alternatives?.- 27 Mesh-Reinforced Repair of Diaphragmatic Hernia.- 28 Parastomal Hernia: Prevention and Treatment.- 29 Indications for Mesh Repair: Mesh Repair for Laparostomy - an Underestimated Procedure.- 30 The Use of Prosthetic Mesh for the Pediatric Hernia Repair.- 31 Meshes in Reconstructive Plastic Surgery.- VIII Actual Guidelines for Mesh Repair: Why to Prefer a Certain Technique?.- Open Technique in the Groin.- 32 Can the Lichtenstein Tension-Free Repair Wipe Out Hernia Recurrence?.- 33 Vypro II in Lichtenstein Repair: Risk or Benefit?.- 34 TIPP, an additional, alternative or a dispensable technique?.- 35 Prolence Hernia System: Quick and Effective Repair for Inguinal Hernia.- 36 The Preperitoneal Prosthetic Approach for the Repair of Recurrent Inguinal Hernia: Is There Still a Place for the Wantz Technique?.- 37 GPRVS: radical but too invasive.?.- 38 The »Grid-Iron« repair of groin hernia, a standard procedure?.- Laparoscopic Techniques in the Groin.- 39 TEP: for super specialists, not for the general surgeon?.- 40 Transperitoneal Laparoscopic Inguinal Hernia Repair (TAPP) - an Inferior Method?.- Incisional Hernia.- 41 Incisional Hernia Prevention.- 42 Laparoscopic Ventral and Incisional Hernia Repair: The Texas Endosurgery Institute Experience.- 43 Explantation of Meshes as a Routine in Future?.- IX The Ideal Mesh - What Should it Look Like?.- 44 The Ideal Mesh - How Should it Look Like? A Surgical Approach - Open Abdominal Wall.- 45 The Ideal Mesh for Abdominal Wall Repair - for Laparoscopic Procedures.- X Recommendations of the Experts.- 46 Dutch Guidelines for Inguinal Hernia.- XI Conclusion.- 47 Panel Discussion: Hernia Therapy in the Groin and for Incisional Hernia.- Appendix: Questionnaire.
