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Open Repair

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Management of Abdominal Hernias

Abstract

Large and complex incisional hernias are best managed by specialists. The European Hernia Society classification reproduced in this chapter will guide the general surgeon to the hernias that can be managed by the generalist, adopting techniques described below.

Incisional hernias with loss of domain require a detailed management plan to achieve maximum success with minimal complications. The planning begins well before “knife to skin” and may include several tatics as pre-operative pneumoperitoneum and Botox injections. Active measures must be taken preoperatively to achieve weight loss, treat skin ulceration, and optimize the therapy of associated diabetic, cardiovascular, or pulmonary problems.

A detailed and illustrated account is given for the sublay and the onlay techniques of incisional hernia repair, with an evidence-based discussion of the merits of each method.

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Author information

Authors and Affiliations

  1. Celebration Center for Surgery, Celebration, FL, USA

    Flavio Malcher

  2. Universidade Federal do Rio Grande do Sul and Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil

    Leandro Totti Cavazzola

  3. Peninsula College of Medicine and Dentistry (Emeritus), Plymouth, UK

    Andrew Kingsnorth

Authors
  1. Flavio Malcher
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  2. Leandro Totti Cavazzola
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  3. Andrew Kingsnorth
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Corresponding author

Correspondence to Andrew Kingsnorth .

Editor information

Editors and Affiliations

  1. Surgeons Group of Baton Rouge of Our Lady of the Lake Physician Group, Baton Rouge, Louisiana, USA

    Karl A. LeBlanc

  2. Peninsula College of Medicine and Dentistry (Emeritus), Plymouth, United Kingdom

    Andrew Kingsnorth

  3. North Devon District Hospital, Barnstaple, United Kingdom

    David L. Sanders

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Malcher, F., Cavazzola, L.T., Kingsnorth, A. (2018). Open Repair. In: LeBlanc, K., Kingsnorth, A., Sanders, D. (eds) Management of Abdominal Hernias. Springer, Cham. https://doi.org/10.1007/978-3-319-63251-3_25

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  • DOI: https://doi.org/10.1007/978-3-319-63251-3_25

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  • Online ISBN: 978-3-319-63251-3

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