Advances in Laparoscopy of the Abdominal Wall Hernia

Advances in Laparoscopy of the Abdominal Wall Hernia

Juan Manuel Suárez Grau Juan Antonio Bellido Luque Editors Advances in Laparoscopy of the Abdominal Wall Hernia

Editors Juan Manuel Suárez Grau Department of Surgery General Hospital of Riotinto Huelva Spain Abdominal and Laparoscpy Surgery Unit Sagrado Corazón Clinic Seville Spain Juan Antonio Bellido Luque General Hospital of Riotinto Huelva Spain Abdominal and Laparoscopic Surgery Unit Sagrado Corazón Clinic Seville Spain Research Center (IBfis) University Hospital Virgen del Rocío Seville Spain ISBN 978-1-4471-4699-5 ISBN 978-1-4471-4700-8 (ebook) DOI 10.1007/978-1-4471-4700-8 Springer London Heidelberg New York Dordrecht Library of Congress Control Number: 2013956608 Springer-Verlag London 2014 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. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. 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. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)

This book is dedicated to all the people who make the daily work of a surgeon possible. In particular, I thank my colleagues in Riotinto Hospital and Sagrado Corazón Clinic in Seville: I can always count on your support for all the ventures upon which we have embarked and upon which we will embark in the future. I am especially grateful to my professors, who awakened my interest, both in surgery and medical research. I would also like to thank all the surgeons who have helped me train in laparoscopic surgery. Most of all, I thank my family: Carolina, Claudia, and Sabina, who have had to endure the long hours of work that have made this book possible. In my doctoral thesis, I cited this quote from Goethe, and I would like to do so again: Whatever you can do or dream you can, begin it. Boldness has genius, power and magic in it. I would like also thank you to Liz Corra and her incessant work and supervision regarding every detail of this book.

Preface In the history of general surgery, there is a turning point, after the first cholecystectomy performed by P. Mouret in Lyon. This new approach Mouret employed helped avoid aggressive incisions that had long recoveries, and it improved aesthetic results. One of the most important factors is that, since then, this approach has become universally accepted by practitioners as well as the public. Hernia surgery has been the perfect candidate for short-stay centers and has been treated as a surgery that fills the small time gaps in an operating theater schedule between longer surgeries, without any hope of advancing beyond polypropylene meshes. Fortunately, this field of surgery has grown in the wake of improvements in materials, meshes, and sutures and in the wake of surgeons who specialize in the abdominal wall. PTFE was a breakthrough, addressing the problems of intra-abdominal adhesions of polypropylene mesh, allowing for the first incursions into the world of laparoscopic incisional hernia. The double crown technique has been accepted, and the fixation of the mesh has advanced slowly toward a path increasingly atraumatic and physiological (absorbable tackers, glues, etc.). Companies have experienced the possibility of expanding their products into the area of hernia surgery because of the large numbers of such surgeries. And today we can find multiple international, national, and regional associations specializing in the abdominal wall. Journals are now published that are specific to this pathology. The quantum leap to laparoscopy is more obvious every day, above all in incisional hernias in the midline abdominal wall. Inguinal hernia surgery is the current challenge. This type of surgery is in greater demand, and the number of surgeons who are interested in this technique is growing daily. Advances in trocars, mesh, and clips are accompanied by the training in laparoscopic surgery of residents and young surgeons. Surgical training is increasingly directed toward minimally invasive surgery and clearly contemplates the hernia pathology within the techniques to be developed in the future. Robotics surgery and single port laparoscopfic surgery are clear examples of this significant development. vii

viii Preface In this book, we have attempted to cover the techniques already established as well as the new advances in laparoscopic surgery of the abdominal wall. We intend herewith to create a useful guide for those surgeons who face hernias on a daily basis and who intend to further train themselves in this field. Seville, Spain Juan Manuel Suárez Grau, MD, PhD

Contents 1 A Brief Historical Review of Surgical Treatment of Hernia....... 1 Jose J. Diaz Jr. 2 Anatomy of the Abdominal Wall............................. 7 Cristina Méndez García, Salud García Ruiz, and Carmen Cepeda Franco 3 Classification of Ventral Hernias and Inguinal Hernias........... 23 Joaquín Luis García Moreno and Ignacio Durán Ferreras 4 Basic Concepts in Laparoscopic Hernia Repair................. 37 Juan Antonio Martín Cartes, Juan Marín Morales, and Juan Manuel Suárez Grau 5 Laparoscopic Inguinal Hernia Repair: TAPP................... 53 Juan Manuel Suárez Grau and Isaías Alarcón del Agua 6 Laparoscopic Inguinal Hernia Repair: TEP.................... 65 Juan Antonio Bellido Luque and Maria Sánchez Ramírez 7 Prostheses in Laparoscopic Inguinal Hernia Repair............. 89 Antonio Tejada Gómez and Araceli Bellido Luque 8 Prostheses Fixation During Laparoscopic Inguinal Hernia Repair..................................... 103 Salvador Morales Conde and María Socas Macías 9 Laparoscopic Ventral Hernia Repair.......................... 117 Juan Guadalajara Jurado and Julio Gómez Menchero 10 Prostheses in Laparoscopic Ventral Hernia Repair.............. 131 Juan Manuel Suárez Grau, Carolina Rubio Chaves, Fernando Docobo Durantez, and Manuel Bustos Jiménez ix

x Contents 11 Fixation of Prostheses in Laparoscopic Ventral Hernia Repair...................................... 147 Beatriz Marenco de la Cuadra, Javier Valdes Hernandez, and Juan Manuel Suárez Grau 12 Laparoscopic Approach in Other Hernias: Subcostal, Xiphoid, Lumbar, Suprapubic, Parastomal, and Spigelian........ 159 Javier Valdes Hernandez and Enrique Navarrete de Carcer 13 Emergency Laparoscopic Surgery of the Abdominal Wall........ 183 Juan Antonio Bellido Luque and Juan Manuel Suárez Grau 14 Current Advances and New Frontiers in Laparoscopic Hernia Repair.............................. 191 Juan Manuel Suárez Grau and Juan Antonio Bellido Luque Index........................................................ 205

Contributors Isaías Alarcón del Agua, MD, PhD University Hospital Virgen del Rocío, Clinic Quirón Sagrado Corazón, Seville, Spain Araceli Bellido Luque, MD, PhD Department of General and Abdominal Surgery, Hospital Quiron Sagrado Corazón, Seville, Spain Juan Antonio Bellido Luque, MD General Hospital of Riotinto, Huelva, Spain Abdominal and Laparoscopic Surgery Unit, Sagrado Corazón Clinic, Seville, Spain Manuel Bustos Jiménez, MD Department of General and Abdominal Surgery, University Hospital Virgen del Rocío, Seville, Spain Carmen Cepeda Franco, MD Department of General Surgery, Hospital Universitario Virgen del Rocío, Seville, Spain Jose J. Diaz Jr., MD, CNS, FACS, FCCM Department of Surgery, Program in Trauma, R. Adams Cowley Shock Trauma Center, University of Maryland School of Medicine, Baltimore, MD, USA Fernando Docobo Durantez, MD, PhD, FACS, EBSQ Department of General and Abdominal Surgery, University Hospital Virgen del Rocío, Seville, Spain Ignacio Durán Ferreras, MD, PhD Department of General Surgery, General Hospital of Riotinto, Minas de Riotinto, Spain Department of Anatomy, Medicine Faculty of the University of Seville, Clinic Quiron Sagrado Corazon of Seville, Seville, Spain Joaquín Luis García Moreno, MD Department of General Surgery, General Hospital of Riotinto, Minas de Riotinto, Spain Salud García Ruiz, MD Department of General and Abdominal Surgery, Poliklinika Guipuzkoa, San Sebastián, Spain xi

xii Contributors Julio Gómez Menchero, MD Department of General Surgery, General Hospital of Riotinto, Minas de Riotinto, Huelva, Spain Juan Guadalajara Jurado, MD Department of General Surgery, General Hospital of Riotinto, Minas de Riotinto, Huelva, Spain Beatriz Marenco de la Cuadra, MD Department of General and Abdominal Surgery, University Hospital Virgen Macarena, Seville, Spain Juan Marín Morales, MD Ambulatory Surgery Unit, Division of Surgery, Hospital El Tomillar, Hospital Universitario Valme, Seville, Spain Juan Antonio Martín Cartes, MD, PhD Division of Surgery, University Hospital Virgen del Rocío, Seville, Spain Cristina Méndez García, MD Department of General Surgery, Hospitales Universitarios Virgen del Rocío, Sevilla, Spain Hospital de Jerez, Cádiz, Spain Salvador Morales Conde, MD Department of Surgery, Unit of Innovation in Minimally Invasive Surgery, University of Sevilla, Seville, Spain Department of General Surgery, University Hospital Virgen del Rocío, Seville, Spain Enrique Navarrete de Carcer, MD Department of General and Abdominal Surgery, University Hospital Virgen Macarena, Tomares, Spain Carolina Rubio Chaves, NUR Department of General and Abdominal Surgery, University Hospital Virgen del Rocío, Seville, Spain Maria Sánchez Ramírez, MD Department of Surgery, Hospital Universitario Puerta del Mar, Cadiz, Spain Hospital Quirón Sagrado Corazón, Seville, Spain María Socas Macías, MD Department of General Surgery, University Hospital Universitario Virgen del Rocío, Seville, Spain Juan Manuel Suárez Grau, MD, PhD Department of Surgery, General Hospital of Riotinto, Huelva, Spain Abdominal and Laparoscopic Surgery Unit, Sagrado Corazón Clinic, Seville, Spain Research Center (IBfis), University Hospital Virgen del Rocío, Seville, Spain Antonio Tejada Gómez, MD Department of Surgery, University Hospital Infanta Elena, Huelva, Spain Javier Valdes Hernandez, MD Department of General and Abdominal Surgery, Colorrectal Surgery Unit, University Hospital Virgen Macarena, Seville, Spain