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Hernia repair is one of the commonest operations in general surgery. While straightforward open repair of inguinal hernia is a relatively simple operation, more complex hernias demand great surgical skill. The field of herniology has developed rapidly over the last few years. The last book published on the subject was the 3rd edition of this title, in 2003. Since then, not only have new surgical techniques been developed, but, importantly, new prosthetic biomaterials are being introduced rapidly and in ever increasing numbers.

Management of Abdominal Wall Hernias 4e presents an authoritative, comprehensive and fully updated account of the surgical techniques and the available prosthetic materials for performing a correct repair of simple to complex hernias. Both open and laparoscopic methods are included.

It is aimed at surgeons in the practice of clinical surgery, both the experts and the non-expert general surgeons with an interest in the repair of hernias and trainee surgeons.

General introduction and the History of Hernia Surgery.- Essential Anatomy of the Abdominal Wall.- Epidemiology and Etiology of Primary Groin Hernias.-<b>Etiology and Prevention of Incisional Hernias</b>.- Logistics and Specialised Hernia Units.- Prostheses and Products for Hernioplasty.- Biology of Prosthetics.- Anesthesia.- Complications of Hernia Repair.- <b>Outcomes assessment and registries</b>.- Part II. Groin Hernia.- Evaluation (changed from Diagnosis) of a Lump in the Groin in the Adult.- Open Anterior Repair in the Adult.- Open Preperitoneal Repair.- Laparoscopic Repair.- O<b>ther minimally invasive approaches.</b>- Femoral Hernias.- Sports Hernias and Athletic Pubalgia.- The massive inguino-scrotal hernia.- <b>Management of adverse events after inguinal hernia repair.</b>- <b>Chronic pain and neurectomy.</b>- Inguinal Hernias in Children.- Part IIV. Incisional and ventral hernia.- Open Repair.- Laparoscopic and Robotic Repair.- <b>Component Separation.</b>- Managing the open abdomen.- <b>Umbilical, Epigastric and Spigellian Hernias.</b>- Umbilical Hernia in Babies and Children.- Lumbar Hernia.- Parastomal Hernia – open repair.- Laparoscopic and Robotic Repair of Parastomal Hernias.-<b> Postpartum divarication.</b>- Hernias of the Pelvic Wall.- Management of Adverse Events.- <b>Management of Mesh Infections</b><br/>

<p><b>Karl Andrew LeBlanc, MD, MBA, FACS, FASMBS, </b>Abdominal wall, bariatric and general surgeon, Baton Rouge, LA, USA, 1984-present.  Attended the Louisiana State School of Medicine in Shreveport, LA, and USA from 1974-1978, followed by a General Surgical Residency from 1978-1983.  From 1983-1984, he returned to his hometown of Breaux Bridge, LA, USA but saw the need to pursue his career in a larger city.  He remains active in the private practice of general surgery, specializing in herniology and bariatric surgery.  He is Professor of Surgery at the Louisiana State School of Medicine Department of Surgery and Associate Medical Director of Surgery of the Our Lady of the Lake Physician Group.</p><p>Born in a rural area of southern Louisiana known for its “Cajun” heritage, he pursued his undergraduate education in nearby Lafayette, LA at the University of Southwestern Louisiana.  Even at that early age, he was interested in the medical field.  During his surgical residency, the interest in hernia was sparked and this has been with him ever since then.  During this residency, he was able to become familiar with laparoscopic surgery and used it for diagnostic purposes.  Once the laparoscopic era of general surgery began, he rapidly engaged in the advancement of this wonderful tool.  His research led to his performance of the world’s first laparoscopic incisional hernia repair in 1991.He is a founding member of the Americas Hernia Society and has served as its President.  He sits on the Editorial Board of the journals Hernia and the Journal of the Society of Laparoendoscopic Surgery and a peer reviewer for numerous national and international journals.  He has lectured internationally on numerous topics.  He has edited or co-edited five surgical texts, some of which has been translated into Turkish and Chinese.  He has authored over numerous articles and/or book chapter contributions.  Research continues to be an area of interest and he serves a principal investigator of several projects at this time.</p><p><b>David L. Sanders BSc(Hons), MBChB, FRCS, MD, PGDipMedEd. </b>David Sanders received his undergraduate degree from the University of Edinburgh in 2003.  He received postgraduate training in the South West of England and a trauma fellowship in South Africa. His doctorate thesis was on the influence of mesh and fixation techniques on infection in abdominal wall hernia repair. In 2016 he was appointed  consultant upper GI surgeon and and specialist in abdominal wall reconstruction at North Devon Hospital, Barnstaple, Devon, UK.<br/></p><p>David specializes in surgery of the gallbladder, anti reflux, hiatal surgery and hernia surgery. He is an internationally recognized expert in the field of abdominal wall reconstruction with over 50 publications in the field of hernia surgery and several book chapters. He has given numerous invited lectures on the topic both nationally and internationally. David is on the board of the British Hernia Society, Chaired the National Institute for Clinical Excellence approved commissioning guidance for groin hernia, was involved in developing the RightCare patient decision aid for inguinal hernias and is on the European working group that developed the Abdominal Wall Closure Guidelines and the International Hernia Guidelines. David is the editor of the Bulletin of the Royal College of Surgeons of England.<br/></p><p><b>Andrew Kingsnorth JP, BSc (Hons), MB BS, MS, FRCS, FACS, </b><i>General, pancreatic and abdominal wall surgeon, Derriford Hospital, Plymouth, UK and Professor of Surgery  Peninsula College of Medicine, 1996-2013. Qualified at the Royal Free Hospital School of Medicine in London in 1973 and undertook postgraduate training in Norwich, Oxford, Harvard, Edinburgh and Cape Town. Appointed consultant surgeon, senior lecturer and subsequently reader in surgery at the University of Liverpool (1987-1996) before moving to Plymouth.</i></p> Born into the austerity of post-War Britain, Andrew was brought up in rural Kent and educated at Sevenoaks School where he acquired a lifelong interest in voluntary service and internationalism. He has been Arris & Gale Lecturer (1983) and Hunterian Professor (2007) at the Royal College of Surgeons of England. He is Past-President of the Pancreatic Society of Great Britain and Ireland, Founding President of the British Hernia Society, Past-President of the European Hernia Society and President of the Section of Surgery of the Royal Society of Medicine.<br/><p></p> <p>In 1993 he chaired the Royal College of Surgeons of England working party that introduced the first national <i>Guidelines for the Management of Adult Inguinal Hernia</i>. In 1998 he established the Plymouth Hernia Service, the first specialist hernia unit in a public hospital, and pioneered the Lichtenstein operation in the UK. In 2007, he was the first surgeon outside India to use low-cost mosquito net mesh for hernia repair in low-resource countries. With Dr Ravindranath Tongaonkar (q.v.) and David Sanders (q.v.) he has carried out clinical and laboratory research to support the global use of mosquito net mesh hernioplasty. Andrew has championed the Chevrel (q.v.) prefascial, onlay incisional hernia repair with a series of over 500 cases.<br/></p> Between 2001 and 2014, Andrew participated in over 30 humanitarian surgical missions to Eastern and Central Europe, Central Asia, The Far East, SE Asia, Africa and South America. In 2005 he established a Hernia charity which is now the largest and most active such organisation in the world. In 2010, <i>The Times of London</i> in a survey of top doctors, noted that Andrew was “regarded as the UK’s expert on hernias”.<p></p> <p>Andrew retired from academic and clinical practice in 2013, but continues to lecture occasionally and acts as Director of Hernia International.<br/></p><p><br/></p>

<p>The fifth edition of this well-received book contains all the latest information on surgical techniques in abdominal hernia surgery and has been updated to reflect progress in robotic hernia surgery and minimally invasive approaches, as well as new materials used such as fully resorbable synthetic meshes. With chapters on management of complications and laparoscopic repair, among others, the book also contains newly-added accounts of the Milos technique, laparoscopic primary closure of defects and mesh.</p><p>For each of the surgical techniques described the reader will find information on pre- and post-operative management, instructions on theatre set-up and patient positioning, an account of the incision and access, as well as detailed operative steps and closure, and finally tips and pitfalls. From financial aspects to operative techniques and materials, this book provides a very comprehensive account of abdominal hernia management.</p><p> </p><p>Richly illustrated to demonstrate the surgical procedures in detail this book is written by a team of world leaders in herniology. This is an indispensable guide to herniologists and hernia surgeons, worldwide.</p>

<p>Provides an up to date account of the surgical techniques and the available prosthetic materials for repair of simple to complex hernias</p><p>Contains a standardized operative template for all operative descriptions</p><p>Contains full color illustrations</p><p>Includes the most comprehensive listing and description of the meshes of the world far beyond any other text</p>

<p>Provides an up to date account of the surgical techniques and the available prosthetic materials for repair of simple to complex hernias</p><p>Contains a standardized operative template for all operative descriptions</p><p> </p><p>Contains full color illustrations</p><p>Includes the most comprehensive listing and description of the meshes of the world far beyond any other text</p>