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Inguinal Hernia: Pathophysiology and Genesis of the Disease

Authors:

  • Highlights the inguinal region physiopathology based on histological evidences

  • Provides for an evidence-based rationalization of the surgical treatment

  • Offers an original interpretation of frequent but misidentified intraoperative anatomical appearances

  • 208 Accesses

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eBook USD 129.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-95224-2
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Hardcover Book USD 169.99
Price excludes VAT (USA)

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About this book

This book aims at filling a gap in relation to the pathophysiology of the inguinal region and the genesis of groin protrusions. While inguinal hernia is a widespread disease and hernia repair accounts for the most frequently performed surgical procedure, these two aspects have been unsatisfactorily investigated, so that to date there is no shared hypothesis on how visceral protrusion through inguinal barrier occur. Exact knowledge on the pathogenesis is fundamental for adequately managing a disease, otherwise all curative approaches would  not be  evidence-based, but merely empirically identified  and with uncertain outcomes carried out. Moreover, in absence of pathogenetic certainty, formulating guidelines simply results in an unjustified methodology harbinger of polemics and controversies. Previous studies concerning the pathogenesis of inguinal protrusions were mainly focused on the detection of biochemical changes, mostly related to collagen chains, metalloproteinase and similar elements. Nevertheless, despite decades of researches, a sure relationship between these ultrastructural modifications and visceral protrusion has not been proven. On the contrary, over the years very few investigations dealt with evidencing eventual modifications in the tissue structures of the herniated groin. An extensive research finalized to ascertain in patients and in cadavers structural changes of the tissue elements composing the groin was therefore carried out by the author and his researchers team. The findings of these studies resulted to be very useful for definitely evidencing the etiology of inguinal hernia disease. Overall, the proposed book scrutinizes and widens all emerging aspects related to pathogenesis, histology, physiology, surgical and functional anatomy of the inguinal area affected by hernia protrusion. It intends to be a reference guide to surgeons willing to better understand the structural modifications occurring in patients affected by this disease with the aim of improving treatment results.

Keywords

  • Chronic degenerative damage
  • Septum inguinalis
  • Pathogenesis of inguinal protrusions
  • Histology of inguinal protrusions
  • Orthostatic visceral impact

Authors and Affiliations

  • Former Professor of Abdominal Wall and Hernia Surgery, Postgraduate School of General Surgery, University of Cagliari, Cagliari, Italy

    Giuseppe Amato

About the author

Prof. Giuseppe Amato graduated at the Faculty of Medicine of the University Palermo (Italy), He was a resident of  the Surgical Clinic until 1978 and then moved to Germany, where worked at the Surgical Clinic of the Academic Hospital University Frankfurt in Hanau, and then at the Thoracic and Cardiovascular Clinic of the Göttingen University. In 1984 he obtained his  specialization in General Surgery at the Aerztekammer Münster. Since 1987 he has been senior surgical consultant in various  medical institutions in Palermo and Rome (Italy) and from 2016 to l 2020 he was Consultant Professor of Abdominal Wall and Hernia Surgery at the Postgraduate School of General Surgery of the University of Cagliari. Since 2016 he has been consultant professor at the University of Palermo. Prof. Amato has carried out experimental and research studies in physiopathology and surgery of the abdominal wall leading to the development of new therapeutic strategies and devices. Among these, he conceived ProFlor, the first 3D dynamic responsive device for inguinal hernia repair and developed the related surgical technique. Thanks to its intrinsic dynamic behavior, ProFlor achieves a fully different, regenerative, biological response compared to conventional hernia meshes. He also developed an updated concept of implants for fixation free treatment of ventral and incisional hernias: the tentacle mesh. This device, aside a fixation free deployment, grants a wider overlap of the abdominal wall allowing for sharply reduced length of procedure and postoperative complications.

Prof. Amato  is a member of many scientific societies, among which the  American College of Surgeons, the European Hernia Society, the Italian Society of Surgery and the Italian Society of Endoscopic Surgery and New Technologies. Prof. Amato serves as editorial board member and reviewer of renowned scientific journals and is often invited as speaker in medical congresses in Europe, USA and Asia.

Bibliographic Information

  • Book Title: Inguinal Hernia: Pathophysiology and Genesis of the Disease

  • Authors: Giuseppe Amato

  • DOI: https://doi.org/10.1007/978-3-030-95224-2

  • Publisher: Springer Cham

  • eBook Packages: Medicine, Medicine (R0)

  • Copyright Information: The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG 2022

  • Hardcover ISBN: 978-3-030-95223-5

  • eBook ISBN: 978-3-030-95224-2

  • Edition Number: 1

  • Number of Pages: XV, 88

  • Number of Illustrations: 4 b/w illustrations, 64 illustrations in colour

  • Topics: General Surgery, Emergency Medicine

Buying options

eBook USD 129.00
Price excludes VAT (USA)
  • ISBN: 978-3-030-95224-2
  • Instant PDF download
  • Readable on all devices
  • Own it forever
  • Exclusive offer for individuals only
  • Tax calculation will be finalised during checkout
Hardcover Book USD 169.99
Price excludes VAT (USA)