Foreword

Research in surgical education has demonstrated the superiority of interactive and experiential educational approaches over traditional didactic educational methods. This has resulted in the development and use of a spectrum of new and innovative educational programs and products that involve multimedia and simulation. The Internet offers a special platform for delivery of these educational programs and also enhances access.

The ACS Multimedia Atlas of Surgery series has been developed by the American College of Surgeons (ACS) Division of Education with Horacio J. Asbun, MD, FACS, as Editor-in-Chief. This multimedia program is especially designed to address the cognitive elements of surgical procedures. Each procedure is presented in a step-wise fashion, and the technical steps are described through text, narration, illustrations, and videos. The format of the program permits the learner to progress through the entire procedure or to focus on a specific step. Expert commentaries highlight special nuances, error-prone situations, and actions that should be taken to prevent errors. The emphasis on the delivery of surgical care of the highest quality and on specific elements to promote patient safety is especially noteworthy. The chapters are authored by internationally renowned experts in the field. The program has proven to be of immense value to practicing surgeons, surgery residents, and members of the surgical team.

Please note that the statements and content expressed in this volume, including the descriptions of surgical techniques, illustrations, and video clips, reflect the opinions of the authors and the consensus of the editors, but not necessarily the opinions or official position of the American College of Surgeons. Certain limitations of the ACS Multimedia Atlas of Surgery are worthy of note. The Atlas is a learning tool and is not recommended for formal, summative evaluation. Although the items and the critiques have been thoroughly reviewed by the authors and editors, the content does not necessarily reflect all relevant material or points of view.

We are delighted to present the ACS Multimedia Atlas of Surgery, which covers hernia surgery. Editors of this volume are Horacio J. Asbun, MD, FACS, and David A. Geller, MD, FACS. I would like to extend to them my profound gratitude for their outstanding leadership, commitment, and willingness to share their expertise with others. I am also grateful to Olivier Petinaux, Senior Manager of Distance Education and E-Learning in the ACS Division of Education, for his exceptional support of this superb educational program.

Ajit K. Sachdeva, MD, FRCSC, FACS
Director, Division of Education
American College of Surgeons

Table of Contents

1. Laparoscopic and Open Hernia Anatomy
Michael S. Kavic, MD, FACS; Suzanne M. Kavic, MD; Stephen M. Kavic, MD, FACS

2. The Operation of Edoardo Bassini for the Radical Cure of Inguinal Hernia
Enrico Nicolo, MD, FACS, FICS

3. Inguinal Hernia: Lichtenstein Tension-free Repair
Parviz K. Amid, MD, FACS; David C. Chen, MD, FACS

4. Inguinal Hernia: Plug Mesh Repair
Keith W. Millikan, MD, FACS

5. Inguinal Hernia: Shouldice Repair
Michael A. J. Alexander, MBBS, FRCSC, FACS

6. Inguinal Hernia: Minimally Invasive, Open, Preperitoneal Repair (Kugel Technique)
Phillip Shadduck, MD, FACS; Robert Kugel, MD, FACS

7. Laparoscopic Inguinal Hernia Repair: Transabdominal Preperitoneal Approach
Ajita S. Prabhu, MD; Kent W. Kercher, MD, FACS

8. Laparoscopic Transabdominal Preperitoneal Hernia Repair in Females
Steven D. Schwaitzberg, MD, FACS

9. Laparoscopic Transabdominal Preperitoneal Approach for Recurrent Inguinal Hernia
Gregory Dakin, MD, FACS; Alfons Pomp, MD, FACS

10. Laparoscopic Inguinal Hernia Repair: Totally Extraperitoneal Approach
Edward L. Felix, MD, FACS

11. Mesh Patch Technique of Umbilical Hernia Repair
John G. Schuler, MD, FACS

12. Open Retrorectus Hernia Repair with Mesh
Hasan H. Eker, MD, PhD; Peter Klitsie, MD; Hans Jeekel, MD, PhD

13. Minimally Invasive Functional Abdominal Wall Reconstruction
Michael J. Rosen, MD, FACS

14. Open Ventral Hernia Repair with Component Separation
Tagore M. Grandhi, MBBS, FRCS; J. Scott Roth, MD, FACS

15. Ventral Hernia Repair in the Compromised Surgical Field
William P. Riordan Jr., MD, FACS; Jose J. Diaz Jr., MD, CNS, FACS, FCCM

16. Laparoscopic Incisional Hernia Repair
Bruce Ramshaw, MD, FACS

17. Ventral Hernia Repair: The Scroll Technique
Alan A. Saber, MBBCh, FACS; Tarek H. El-Ghazaly, MD

18. Laparoscopic Incisional Hernia Repair with Mesh and Closure of the Defect
Chinnusamy Palanivelu, MBBS, FACS

19. Massive Ventral Incisional Hernia Repair for Complex Herniae with Component Separation and Mesh "Sandwich" Technique
Michael Parker, MD; Eric Mariotti, MD; Galen Perdikis, MD; Horacio J. Asbun, MD, FACS

20. Complications of Mesh Materials for the Repair of Hernias
Bruce Ramshaw, MD, FACS

21. Laparoscopic Lumbar Hernia Repair
Michel Gagner, MD, FACS

22. Open Parastomal Hernia Repair
Paul Sugarbaker, MD, FACS

23. Laparoscopic Parastomal Hernia Repair
Kristi L. Harold, MD, FACS

24. Laparoscopic Management of Spigelian Hernia
Matthew Coates, MBBS; Christopher L. Solis, MD; Ahmed Mahmoud, MD, FACS; Irving C. Hudlin, MD

25. Laparoscopic Preperitoneal Repair of Spigelian Hernia Utilizing Mesh
Patrick R. Reardon, MD, FACS

26. Laparoscopic Totally Extraperitoneal Repair of Obturator Hernia
Marco A. Maricevich, MD; David R. Farley, MD, FACS

27. Laparoscopic Transabdominal Preperitoneal Repair of Obturator and Femoral Hernias
Jillian M. Lloyd, MD, MPH; Horacio J. Asbun, MD, FACS

28. Inguinal Hernias Encountered Lateral to the Internal Ring During Laparoscopic Inguinal Hernia Repair
David Renton, MD, MSPH; Jeff Eakin, MD

Appendix Anatomy Quiz for Laparoscopic Inguinal Hernia Repair