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Advances in Abdominal Wall Hernia Repair

Surgical Clinics of North America
Volume 88, Issue 1, Pages 1-222 (February 2008)
Advances in Abdominal Wall Hernia Repair
Edited by K.M.F. Itani, M. Hawn
In the field of general surgery, hernia surgery remains the most common
surgical procedure performed, with inguinal hernias leading the pack. While
surgeons spent the early part of the twentieth century improving the technique
of primary repair, the latter half was focused on developing techniques
of mesh repair, minimizing incisions, and maximizing comfort. As
in the majority of studies in general surgery, most hernia reports were observational,
retrospective, single center or single surgeon studies. It has not
been until the last 10 years that well planned, prospective randomized trials
have started to emerge, providing higher level evidence for the practice of
hernia surgery. Despite these clinical trials, there is still no final consensus
on timing of treatment, technique to be used, material, and mesh position.





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