Within a few years the surgical approach to abdominal wall hernias has focused on mesh-based treatment options. This dramatic change has set the stage for the third Suvretta meeting. All aspects of the mesh world have been discussed in detail by more than 50 international experts during an intense week resulting in an assessment of success and failures. After posing the question, whether meshes have defeated recurrences in the groin, epidemiological clinical data on recurrences were presented and show that this problem still exists. In particular, novel molecular biology-based research results stress the pathophysiological importance of a defective scarring process in these patients with inherent conclusions for future therapies. Regarding the variety existing meshes, there are already more than 100 different mesh devices, a comprehensive review of their chemical and textile properties was presented, with emphasis on their impact on biological responses. However, more than 90% of the participants articulated the need for improved mesh prosthesis, because their characteristic inflammatory and fibrotic foreign body reaction cause minor and major complications, e.g. pain, infections, adhesions, damage of the spermatic cord. The differentiated use of meshes in various procedures was discussed, including groin, incisional, parastomal, diaphragmal and hiatal hernias as well as their use in extended abdominal wall defects or in paediatric or plastic surgery. In summary this book summarizes the most up-to-date knowledge about meshes and hopefully serve as manual for both practical surgeons and scientists involved in the growing world of mesh.

Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae as for example pain, infertility, infection, adhesion and dislocation of the protheses. That can happen many years later and now, where the general principle of hernia repair is well understood all over the world, these sequelae are noticed more and more. To define them, to evaluate the absolute and relative risk of these sequelaes and to describe the ways of their prevention, diagnosis and treatment, the 5th Suvretta meeting had focussed on this subject. We discussed if there’s a principle risk by technique, material or both. The results of these discussions and the future handling and evaluation of this problem was the aim of this meeting. Even the best method can be made better by optimization of its single components. Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae such as pain, infertility, infection, adhesion and dislocation of the prostheses. This can happen many years later, and now that the general principle of hernia repair is broadly understood all over the world, these sequelae are being noticed more and more. The 5th Suvretta meeting was held in order to define these sequelae, to evaluate the absolute and relative risks they pose, and to discuss the methods of their prevention, diagnosis and treatment. We discussed whether the principal risk was related to technique, material or both. This discussion and the future approach to and evaluation of this problem were the aims of the meeting, working on the premise that even the best method can be made better by optimizing its individual components.

Hernia repair is one of the commonest operations in general surgery. Open or laparoscopic repair of a primary inguinal hernia is a relatively straightforward operation, but more complex abdominal wall hernias demand greater surgical skill and knowledge. The editors have assembled the world's top herniologists to describe and illustrate numerous surgical techniques in detail. The field of herniology has developed rapidly over the last few years. Since the previous edition of this book, published in 2003, new surgical techniques have been developed and many new prosthetic and biologic materials have been introduced. Management of Abdominal Hernias 4e presents an authoritative, comprehensive and fully updated account of the surgical techniques and the available prosthetic materials for performing repair of abdominal wall hernias. Both open and laparoscopic methods are included. It is aimed at general and specialist surgeons in the practice of clinical surgery, as well as trainee surgeons.

Featuring contributions by an international team of the world’s experts in urology and gynecology, this fourth edition reinforces its status as the classic comprehensive resource on female urology and urogynecology and an essential clinical reference in the field.

*Offers a comprehensive guide to surgical aspects *Covers important and common topics such as pelvic organ prolapse and robotic surgery and newer topics such as transgender surgery *Presents a practical and manageable level of detail

This book provides a comprehensive guide to the surgical skills required during general surgery. General Concepts are covered with descriptions of basic terminology, the logic behind specific approaches, limitations of specific skills, technical and practical considerations, and safety of using specific approaches and skills. More advanced topics including gastro-intestinal anastomosis, exploring a patient after a major trauma, and managing crisis situations are also discussed, as well as current controversies and future directions within general surgery. Fundamentals of General Surgery is relevant to trainees in general surgery and its subspecialties, and aims to give them an easy to access resource that contains real life examples, iconography, and recommended further reading.

The fifth edition of this well-received book contains all the latest information on surgical techniques in abdominal hernia surgery and has been updated to reflect progress in robotic hernia surgery and minimally invasive approaches, as well as new materials used such as fully resorbable synthetic meshes. With chapters on management of complications and laparoscopic repair, among others, the book also contains newly-added accounts of the Milos technique, laparoscopic primary closure of defects and mesh. For each of the surgical techniques described the reader will find information on pre- and post-operative management, instructions on theatre set-up and patient positioning, an account of the incision and access, as well as detailed operative steps and closure, and finally tips and pitfalls. From financial aspects to operative techniques and materials, this book provides a very comprehensive account of abdominal hernia management. Richly illustrated to demonstrate the surgical procedures in detail this book is written by a team of world leaders in herniology. This is an indispensable guide to herniologists and hernia surgeons, worldwide.

The tradition of Suvretta meetings has always been to talk about failures and mistakes in order to learn for the future. This book, the result of the meeting in 2006, elaborates precise recommendations, to help the surgeon avoid mistakes and to treat recurrences after different types of non-mesh or mesh-repain in inguinal, incisional and hiatal hernia.

The fully updated edition of this text provides a state-of-the-art surgical review of female pelvic surgery, and will serve as a valuable resource for clinicians and surgeons dealing with, and interested in the treatment of pelvic floor disorders. The book reviews the basic indications for treatment and details the many surgical approaches to the management of all pelvic floor disorders, including stress urinary incontinence, transvaginal prolapse, transabdominal sacrocolpopexy, robotic/laparoscopic sacrocolpopexy, vaginal and vulvar cysts, and interstitial cystitis/bladder pain syndrome. In addition to step-by-step descriptions, the text is augmented with illustrations and photographs of surgical techniques demonstrating the major repairs described in each section. Written by experts in their fields, the second edition of Female Pelvic Surgery provides a concise and comprehensive review of all surgical approaches to female pelvic surgery.

Edited and authored by some of the most respected figures in the field, Urogynecology and Reconstructive Pelvic Surgery presents definitive, state-of-the-art guidance on every aspect of Female Pelvic Medicine and Reconstructive Surgery (FPMRS), equipping you to make the best clinical decisions and optimize outcomes. Its easily accessible format is uniquely organized to reflect a physician's decision-making process -- from basic concepts through to clinical and urodynamic evaluation, management, and treatment. This practical, clinically oriented text is an ideal resource for OB/GYNs and Urologists as well as subspecialists in FPMRS, providing the latest information on procedures and available research regarding the evaluation and treatment of the growing number of patients presenting with these types of conditions. Glean all essential, up-to-date, need-to-know information with a new section on surgical complications and their management; important new discussions on the psychosocial issues associated with treating patients with female pelvic floor disorders; and a new focus on female sexual function and dysfunction. Prevent and plan for complications prior to a procedure thanks to a step-by-step approach to each procedure, complete with personal techniques and tips from leading experts. Put concepts into practice. Case presentations from leading experts in FPMRS allow the reader to apply the information presented to everyday clinical situations. Effectively detect, prevent and treat common female pelvic floor disorders including stress incontinence, overactive bladder, pelvic organ prolapse, defecation disorders, painful bladder and irritative voiding disorders, and urinary tract infection. Get a true-to-life view of each procedure through full-color, crisp illustrations that illuminate every detail and nuance. Stay current the latest advancements and developments with sweeping updates and 9 NEW chapters: Congenital Anomalies of the Female Genital and Urinary Tracts l Physiology of the Pelvic Muscles, Vagina and Ano-Rectum l Female Sexual Function and Dysfunction l Multichannel-Urodynamics: Indications, Techniques and Interpretation with Case Studies l Video and Ambulatory Urodynamics: Indications, Techniques and Interpretation with Case Studies l Hysteropexy l Avoiding and Managing Lower Urinary Tract Injuries During Pelvic Surgery l Managing Mesh and other Vaginal Complications after Surgeries for Incontinence and Prolapse l and Surgical Management of Detrusor Compliance Abnormalities. Master urodynamic testing with step-by-step instructions on basic evaluation as well as the evaluation of complex cases with videourodynamics. Know what to do and expect with algorithmic approaches to common complaints, evidence-based assessments of appropriate therapies, and clear full-color surgical illustrations as well as evidence-based assessments of appropriate therapies.