Laparoscopic and Robotic Incisional Hernia Repair: Current Considerations

The field of hernia repair, in general, has evolved over the last 25 years. The changes that have followed the introduction of this technique have continued and have even increased in the last few years. There is a need to inform the practicing general surgeon about these advances. This text will seek to present the most up to date and important considerations to date.

  The book will open with a brief history and evolution of the technology surrounding the repair of incisional and ventral hernias laparoscopically and include the introduction of the robotic technology. Prosthetic biomaterials are an integral part of the successful repair of hernias and a comprehensive presentation of these products will be presented. Preoperative preparation of the patient has now been recognized as a method to improve outcomes in these patients and will be addressed.

Technical aspects of the repair of these hernias will then follow in an orderly fashion to include the general considerations of the methodology. The “best practices” of these methods will be presented with appropriate figures and illustrations. The management of difficult situations as well as expected outcomes will be discussed.

  It is the intent of this text that any surgeon interested in the use of the minimally invasive techniques to repair the incisional and ventral hernias of the abdominal wall will have this resource presenting current opinions and methods. The “thought leaders” in these methods will be the authors of these chapters.

This title differs from the Springer related title Novitsky, Hernia Surgery. The Novinsky is more comprehensive at 530 pages. It contains many more illustrations and video. The LeBlanc focuses on Laparoscopic and Robotic Hernia surgery with an estimated page count of 300-350. The LeBlanc presents current opinions of the thought leaders. Therefore, the subtitle: Current Considerations.

Table of Contents:

Overview of Past, Present and Future of Incisional Hernia Repair.

 Preoperative Considerations Prior to Minimally Invasive Ventral Incisional Hernia Repair.

Preoperative Optimization and Enhanced Recovery after Surgery Protocols in Ventral Hernia Repair.

Overview of Laparoscopic/Robotic Technical Aspects.

Implants Used for Hernioplasty.

Laparoscopic Closure of Fascial Defect.

Intraoperative Considerations for Laparoscopy

 Intraoperative Considerations for Robotic Repair (Includes Management of Difficult Issues).

Endoscopic and Laparoscopic Techniques of Minimally Invasive Components Separation for Abdominal Wall Reconstruction.

Robotic Component Separation

 Lumbar Hernia Repair.

Parastomal Hernia Repair.

Postoperative Management (Routine and Complex Situations).

Management of Adverse Events During Laparoscopic and Robotic Hernia Repair.