This open access book is a comprehensive and cutting-edge resource that provides a multidisciplinary, evidence-based approach to the management of complex abdominal wall defects. Offering a structured and practical guide to advanced surgical techniques, patient optimization, and emerging technologies, it is an essential reference for surgeons dealing with challenging cases.
Organized into four sections, the book begins with fundamental principles, covering the pathophysiology of abdominal wall defects, risk stratification, and the role of prehabilitation in optimizing surgical outcomes. It then explores state-of-the-art surgical techniques, including robotic, laparoscopic, and component separation methods, as well as the use of biologic, synthetic, and hybrid meshes. Complex clinical scenarios such as infected mesh, enterocutaneous fistulas, and hernia repair in high-risk patients are addressed in detail. The final section delves into innovative technologies, including regenerative medicine and enhanced recovery after surgery (ERAS), highlighting future directions in the field.
Designed for general and specialized surgeons, surgical trainees, and researchers interested in hernia repair and abdominal wall reconstruction, this book integrates practical surgical guidance with the latest scientific advancements. As part of the Springer Nature “Updates in Surgery” series, it ensures global accessibility, allowing a broad audience to benefit from the latest developments in complex abdominal wall surgery.
Table of Contents:
1. Introduction to Complex Abdominal Wall Surgery.- 2. Pathophysiology of Complex Abdominal Wall Defects and Systemic Implications.- 3. Preoperative Planning and Risk Stratification.- 4. Prehabilitation in Complex Abdominal Wall Surgery.- 5. Surgical Anatomy of the Abdominal Wall.- 6. Management of Large Incisional Hernias.- 7. Surgical Techniques for Complex Abdominal Hernias – Open Approach.- 8. Laparo-Endoscopic Approaches for Complex Abdominal Hernias.- 9. Robotic Approaches for Complex Abdominal Hernias.- 10. Use of Biologic, Synthetic, and Hybrid Meshes.- 11. Management of Parastomal Hernias.- 12. Management of Enterocutaneous and Abdominal Fistulas.- 13. Abdominal Wall Surgery in Obese and Bariatric Patients.- 14. Tissue Engineering and Regenerative Medicine in Abdominal Wall Reconstruction.- 15. Enhanced Recovery After Surgery (ERAS®) in Abdominal Wall Reconstruction.
About the Author :
Professor Diego Cuccurullo is currently Chief of the Unit of Laparoscopic, General, and Robotic Surgery, at the Monaldi Hospital, part of the Highly Specialized Hospital Azienda Ospedaliera dei Colli, in Naples, Italy. He is the President Elect of SICE (Italian Society of Endoscopic Surgery and New Technologies), and Past-President of ISHAWS (Italian Society of Hernia and Abdominal Wall Surgery, the Italian Chapter of European Hernia Society. Professor Cuccurullo is credited with over 120 publications, including articles, book chapters and textbooks. He has delivered over 500 lectures as invited speaker in national and international congresses/symposia, he has organized the first Italian Consensus Conference on the laparoscopic ventral hernia repair. Has taught and organized 35 editions of biannual courses on advanced laparoscopic surgery (laparoscopic full immersion surgical week). He is a teacher in the laparoscopic advanced surgery School of Italian Surgery Society, in the section of laparoscopic parietal wall surgery School of Italian Hospital Surgery Association. and in the Abdominal Wall Surgery School of Italian Hernia Society. He is Associate Editor of the Journal Hernia.
