All general surgeons, and especially hernia surgeons, will benefit from this book. The volume describes all important diagnostic and therapeutic procedures and evaluates the appropriate use of each procedure for each particular case. Pitfalls and unresolved issues are discussed in depth, and experts of international standing weigh in on each topic.

I Anatomy of the Abdominal Wall.- 1 Descriptive Anatomy.- 2 Functional Anatomy.- 3 Surgical Anatomy.- II Wound Healing.- 4 Fascial Metabolic Defects.- 5 Growth Factors and Hernia.- III Abdominal Wall Defects.- 6 Primary Hernia.- 7 Nonhernial Defects.- 8 Acute Wound Failure.- 9 Natural History and Patient-Related Factors.- 10 Diagnosis of Abdominal Wall Defects.- IV Principles of Repair.- 11 Preparation of Patients for Hernia Surgery.- 12 Augmentation with Autologous Material.- 13 Biomaterials — Classification,Technical and Experimental Aspects.- 14 Biocompatibility of Biomaterials — Clinical and Mechanical Aspects.- 15 Biomaterials — Experimental Aspects.- 16 Biocompatibility of Biomaterials — Histological Aspects.- 17 Biomaterials — Principles of Implantation.- V Closure of Laparotomy.- 18 Long- Versus Short-Term Absorbable Sutures.- 19 Absorbable Versus Nonabsorbable Suture for Laparotomy Closure.- 20 Experience with Continuous Absorbable Suture for Laparotomy Closure.- 21 Continuous Closure of Laparotomy Incisions: Aspects of Suture Technique.- 22 Closure of the Abdomen in Acute Wound Failure.- VI Repair of Primary Hernia.- 23 Surgery of Umbilical, Epigastric and Spigelian Hernia.- VII Repair of Incisional Hernia.- Mesh-Free Techniques.- 24 Indication and Limitations of Suture Closure — Significance of Relaxing Incisions.- 25 Significance of Fascia Doubling in the Management of Incisional Hernia.- Mesh Techniques.- 26 Polypropylene Mesh Repair of Incisional Hernia: Marlex and Prolene Mesh.- 27 Prosthetic Incisional Hernioplasty: Indications and Results.- 28 Intermediate Follow-Up Results of Sublay Polypropylene Repair in Primary and Recurrent Incisional Hernias.- 29 Polyester Mesh for Incisional Hernia Repair.- 30 Polytetrafluoroethylene Repair ofIncisional Hernia: Development and Results.- 31 Plastic Reconstruction of Abdominal Wall Defects.- VIII Recurrent Inguinal Hernia.- Suture Repair.- 32 Experience of the Shouldice Clinic in Recurrent Inguinal Hernia Repair.- 33 Shouldice Repair for Recurrent Inguinal Hernia — A Ten-Year Follow-Up.- 34 Suture Repair of Recurrent Inguinal Hernia — A Review of the Literature.- 35 Causes and Treatment of Recurrent Inguinal Hernias.- 36 European Experience with the Lichtenstein Repair for Recurrent Inguinal Hernia.- 37 Transinguinal Preperitoneal Prosthesis Placement Under Local Anesthesia — Management and Follow-Up of 100 Patients.- 38 Experience with the Mesh Umbrella Repair of Recurrent Inguinal Hernia.- 39 Prosthetic Repair of Recurrent Groin Hernias.- 40 Indications and Results of Open Preperitoneal Mesh Repair for Recurrent Groin Hernia.- Laparoscopic and Endoscopic Techniques.- 41 Laparoscopic Treatment of Recurrent Hernias.- 42 Endoscopic Repair: Totally Endoscopic Preperitoneal Prosthesis in Recurrent Inguinal Hernia.- IX Pitfalls,Complications and Quality Control.- 43 Complications of the Suture Repair of Incisional Hernia.- 44 Pitfalls and Complications in Open Recurrent Hernia Repair.- 45 Complications of the Laparoscopic-Endoscopic Approach in Recurrent Inguinal Hernia Repair.- 46 Quality Control in Hernia Surgery: The Swedish Experience.- X Conclusion.- 47 Pannel Discussion.- Appendix: Questionnaire.

Update on repair of incisional hernia by experts of international standing Current diagnostic and therapeutic procedures Guidelines for the appropriate use of each procedure Modern laparoscopic methods use meshes for stabilizing the abdominal wall (more than 1 million are implanted worldwide) Discusses pitfalls and benefits of mesh techniques Complete and critical evaluation of currently used meshes

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