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Laparo-endoscopic Hernia Surgery pp 171–182Cite as

Complex Inguinal Hernias

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Abstract

Complex hernias can be defined as those with multiple recurrences, infected mesh, strangulation, previous surgeries, and large size. The approach to these hernias involves a great deal of preoperative preparation and decision-making that is carried through the operation and post-op period. The laparoscopic approach in these cases is feasible and with good outcomes provided that the surgeon adheres to the three M’s: mastery of the anatomy, meticulous dissection, and modus operandi. A practical approach to the laparoscopic complex hernia repairs is presented along with the available evidence to support it.

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Author information

Authors and Affiliations

  1. Department of Surgery, Mount Sinai Beth Israel, New York, NY, USA

    Mazen Iskandar

  2. Department of Surgery, NYU Lutheran Medical Center, Brooklyn, NY, USA

    George Ferzli

Authors
  1. Mazen Iskandar
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  2. George Ferzli
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Corresponding author

Correspondence to Mazen Iskandar .

Editor information

Editors and Affiliations

  1. Em.Director of Surgical Department, Marienhospital Stuttgart, Stuttgart, Germany

    Reinhard Bittner

  2. Academic Teaching Hospital of Charitè Medical School, Vivantes Hospital, Department of Surgery and Center for Minimally Invasive Surgery, Berlin, Germany

    Ferdinand Köckerling

  3. Department of General Surgery, Creighton University School of Medicine, Omaha, Nebraska, USA

    Robert J. Fitzgibbons, Jr.

  4. Louisiana State University School of Medicine, Department of Surgery, Our Lady of the Lake Physician Group, Department of Surgery, Baton Rouge, Louisiana, USA

    Karl A. LeBlanc

  5. Norton Thoracic Institute, Dignity Health, Creighton University School of Medicine (Phoenix campus), Phoenix, Arizona, USA

    Sumeet K. Mittal

  6. Minimal Access, Metabolic and Bariatric Surgery, Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Iskandar, M., Ferzli, G. (2018). Complex Inguinal Hernias. In: Bittner, R., Köckerling, F., Fitzgibbons, Jr., R., LeBlanc, K., Mittal, S., Chowbey, P. (eds) Laparo-endoscopic Hernia Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-55493-7_14

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  • DOI: https://doi.org/10.1007/978-3-662-55493-7_14

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-55491-3

  • Online ISBN: 978-3-662-55493-7

  • eBook Packages: MedicineMedicine (R0)

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