Hernias and Surgery of the abdominal wall

356 Pages·1998·16.26 MB·English

by  J. P. H. Neidhardt (auth.)

Hernias and
Surgery of the Abdominal Wall
Springer
Paris
Berlin
Heidelberg
New York
Barcelona
Budapest
Hong Kong
London
Milan
Santa Clara
Singapore
Tokyo
Hernias and
Surgery of the abdominal wall
Edited by J. P. Chevrel
With the Collaboration of
P. Amid R. Bendavid M. Caix G. Champault J.L. Dumas J.B. Flament
Ph. Galinier A.E. Gilbert M.E Graham J. Hureau S. Juskiewenski
D. Marchac C. Meyer J.P.H. Neidhardt J.P. Palot J. Pradel-Raynal
J. Rives R. Stoppa J. Taboury G.E. Wantz
Preface by Lloyd M. Nyhus and by G. E. Wantz
with 451 illustrations
Springer
Professor J. P. Chevrel Translation:
Service de Chirurgie Generale et Digestive, Dr. Elliot Goldstein, A. Marston, MA DM MCh FRCS
Hopital Avicenne,
Universite Paris 13, 125 Route de Stalingrad, Revision:
F-93009 Bobigny A. Marston, MA DM MCh FRCS
France
Original French edition
Chirurgie des parois de l'abdomen
© Springer-Verlag Berlin Heidelberg New York Tokyo 1985
ISBN 978-3-642-48883-2 ISBN 978-3-642-48881-8 (eBook)
DOl 10.10°7/978-3-642-48881-8
Cataloguing-in-Publication Data applied for
Die Deutsche Bibliotek = CIP Einheitsaufnahme
Hernias and surgery of the abdominal wall / ed. by J. P. Chevre!' With the collab. of P. Amid ... Pref. by Lloyd M. Nyhus and
G. E. Wantz [Trans!. Elliot Goldstein]-2., rev. ed. -Berlin; Heidelberg; New York; Barcelona; Budapest; Hong Kong. Londres;
Milan; Paris; Santa Clara; Singapour; Tokyo: Springer, 1997
1. Aufl. u.d. T.: Surgery of the abdominal wall
Franz. Ausg. u.d.T.:Chirurgie des parois de I'abdomen
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© Springer-Verlag Berlin Heidelberg 1998
Softcover reprint of the hardcover 2nd edition 1998
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re free for general use.
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SPIN: 105 74 140 90/2918 -5 43210 Printed on acid-free paper
Foreword to the Second Edition
This book, written mostly by French surgeons and surgeon-anatomist is
about the abdominal wall. There is nothing comparable to it nor is there any
publication as comprehensive. It covers every aspect of the abdominal wall
from anatomy and hernias to tumors, burst abdomens, and abdominal recons
truction in children and adults. Among the striking features of the book is
unity even though it was written by multiple authors. The chapters do not
overlap and flow smoothly from one to another in English, beautifully trans
lated from French. For me reading it from cover to cover was a pleasure, yet
my chief use of this book is to reference a subject, as the thumbed pages of
my first edition attest. The second edition brings each chapter up to date and
includes numerous new illustrations.
The illustrations of anatomy and operative procedures need special com
ment for they are especially elucidating, uniquely French, and for me an edu
cational treat. Usually North American surgery treatises are illustrated by
medical artists who draws what they see using line or halftone techniques.
In this book, however, the illustrations are schematic and were initially pre
pared by the authors themselves. In France, not rarely, professors of surgery,
and almost all professors of anatomy illustrate their lectures and surgical
essays by drawing schematically on the blackboard or on paper. They are
skilled at this and I have watched them with envy. The illustrations in this
book are professional reproductions of the schematic drawings the authors
used to illustrate their chapters and are exactly like those they use to teach
anatomy and surgery to their students
As expected, considerable space is allocated to hernias of the abdominal wall.
French surgeons have been the world leaders on this subject. The first edi
tion of this book introduced to English speaking surgeons for the first time
Fruchaud's myopectineal orifice, the anatomic area where all groin hernias
originate, and the innovative and revolutionary surgical techniques for suc
cessfully repairing complex hernias of the groin and intimidating major inci
sional hernias. These techniques are now recognized worldwide as the pre
ferred procedures for these very difficult problems.
The book's origins stem from the founding members of Groupe de Recherche
et d'Etude de la Paroi Abdominale (GREPA). What started as a club of ten
congenial French surgeons, interested chiefly in the anterior abdominal wall
is now an international organization of surgeons of all disciplines who are
united in solving the problems of every aspect of the abdominal wall. This
book, conceived and edited by J.P. Chevrel, has, like GREPA, also grown and,
as such, epitomizes this organization. The book is invaluable and will be a
great help for medical students surgical residents and practicing surgeons.
George Wantz, M.D.
Clinical Professor of Surgery
The New York Hospital -Cornell Medical Centre, New York, NY
Foreword to the First Edition
The abdominal wall has always been of interest to surgeon-anatomists. It was
recognized as a barrier, and volumes have been written demonstrating how
to breach this wall. Similarly, great importance has been placed on the methods
of repairing the abdominal wall, whether that repair is necessitated by a pri
mary operative wound, a congenital failure, an acquired defect, or the ubi
quitous iatrogenic problem, the postoperative abdominal wall hernia.
French surgeons have a long tradition of excellence in the field of human
anatomy: the names of Pare, Bichat, Cloquet, and Fruchaud readily come to
mind. It is not surprising then, that this comprehensive text on the subject
of the abdominal wall and its defects emanates from France.
Although there are many interesting aspects to this presentation of abdo
minal wall problems, I find the review of prosthetic material and its use to
be most unique. The synthetic meshes available today may well revolutio
nize our various approaches for repair of hernial defects. Considerable
experience has evolved in the use of these prosthetic materials, particular
ly in the United Kingdom and Europe. I have been a proponent of prosthe
tic mesh for the cure of recurrent groin hernia during the past decade.
According to the results reported in this book, the use of a prosthetic mate
rial in selected patients needing primary hernia repair seems indicated.
I would be remiss if the organization GREPA were not highlighted. It is
common today to form clubs dedicated to the study of single organ sys
tems, such as the pancreas or the esophagus. GREPA is a group dedicated
to the study of problems relating to the abdominal wall and is another
exemple of how concentrated attention given to a single subject can signi
ficantly advance our knowledge. Editor Chevrel and his colleagues can be
proud of what has been accomplished by GREPA and the superb documen
tation of its efforts in this monograph.
Lloyd M. Nyhus
M. D., Dr. h. C., Warren H. Cole Professor and Head, Department of Surgery
University of Illinois
College of Medicine at Chicago, USA
Introduction to the First Edition
It has now been 8 years since the working group known as GREPA was for
med (Groupe de Recherche et d'Etude de la Paroi Abdominale -Group for
Research and Study of the Abdominal Wall). Its founding surgeons were ini
tially united by a common desire to promote the study of the abdominal wall.
Very quickly strong bonds of friendship developed among the founding mem
bers of GREPA.
Many talented surgeons were already distinguished for their work on the
abdominal wall. However, it was our belief at that time that an up-to-date
analysis of new techniques, modern prosthetic materials and certain little
known surgical approaches would lead to improved results in surgery of the
abdominal wall.
A few members of GREPA, who had previously done considerable work in
the field of abdominal wall surgery, agreed to collate the fruits of their vast
experience in this book. I am greatly indebted to them for their contribu
tion; they have brought a certain distinction to this sometimes difficult and
often underestimated field of surgery.
This book is divided into two parts.
The first part begins with the classical surgical anatomy of the abdominal
wall and its weak points. This section is followed by a study of the electro
myography and his to enzymology of the muscles, with special emphasis on
recent findings. Part One concludes with the diagnostic features of ultra
sonography and computerized tomography of the abdominal wall.
The second part of this book is devoted to the study of the abdominal wall
according to the following outline:
-Surgical approaches
-Pre-and postoperative care
-Postoperative complications
-Closed trauma of the abdominal wall
-Defects of the abdominal wall: pathological, iatrogenic
-Hernias
-Pathology of the umbilicus
-Plasty of the abdominal wall
-Abdominal wall in infants and children
Each of the contributing authors has been asked to give the essential fruits
of his experience. No attempt has been made to produce an encyclopedia of
the abdominal wall or treatise of surgical technique. The modest aim of this
book is to present a series of traditional and modern, or even still little known
solutions to the pathological conditions involving the abdominal wall. It is
X Introduction to the First Edition
hoped that these solutions will be of benefit to the experienced surgeon as
well as the young surgical resident.
On behalf of the contributing authors, I would like to express our sincere
gratitude to Doctor G6tze who sponsored this book for publication by
Springer-Verlag. We also thank Mrs. A. Travadel who designed the illustra
tions.
This book is dedicated to my four daughters.
Paris, October 1986 J. P. Chevrel
List of Co-authors
Par viz K. Amid, MD
Lichtenstein Hernia Institute Inc.
9201 Sunset Boulevard, Suite 505, Los Angeles, CA 90069, USA
Robert Bendavid, MD
Shouldice Hospital
7750 Bayview Avenue, Box 370, Thornhill, Ontario L3T 4A3, Canada
Pr Michel Caix
Le Picq, F-8751O Perilhac
Pr Gerard Champault
Service de Chirurgie Digestive, H6pital Jean Verdier,
Avenue du 14 Juillet, F-93140 Bondy
Pr Jean-Paul Chevrel
Service de Chirurgie Generale et Digestive, H6pital Avicenne,
125, route de Stalingrad, F-93009 Bobigny
Pr Jean-Bernard Flament
Service de Chirurgie Digestive, H6pital Robert Debre
Avenue du General Koenig, F-51092 Reims Cedex
Arthur I. Gilbert, MD, FACS
Hernia Institute of Florida
6250 Sunset Drive Nr 200, Miami, Florida 33143, USA
M. F. Graham, MD
Hernia Institute of Florida
6250 Sunset Drive Nr 200, Miami, Florida 33143, USA
Dr Jean-Luc Dumas
Departement de Radiologie
H6pital Avicenne,
125, route de Stalingrad, F-93009 Bobigny
Pr Jacques Hureau
85, Avenue Emile Thiebaut, F-78no Le Vesinet
Pr Serge Juskiewenski
Service de Chirurgie Infantile et Neonatale, CHU Purpan,
Place du Dr. Baylac, F-31059 Toulouse Cedex
Pr Daniel Marchac
130, rue de la Pompe, F-75016 Paris
Pr Jean-Pierre Hanno Neidhardt
Service des Urgences Chirurgicales, Centre Hospitalier Lyon Sud,
Chemin du Grand Revoyet, F-69310 Pierre Benite
XII List of Co-authors
Pr Jean-Pierre Palot
Service de Chirurgie Digestive, Hopital Robert Debre
Avenue du General Koenig, F-51092 Reims Cedex
Dr Jeanine Pradel-Raynal
59, Boulevard Lannes, F-75116 Paris
Pr Jean Rives
3 rue Dufrenoy, F-75016 Paris
Pr Rene Stoppa
77bis, rue Laurendeau, F-80090 Amiens
Dr Jacques Taboury
Service de Radiologie, Hopital Saint Antoine
184 rue du faubourg Saint Antoine, F-75571 Paris Cedex 12
George E. Wantz, MD
517 E. 71 Street, New York, NY 10021, USA