Step by Step Manual of Laparoscopic Surgery: Laparoscopic Hernia Surgery (Volume 4) JS Rajkumar, Neha Shah
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1Step by Step Manual of Laparoscopic Surgery: LAPAROSCOPIC HERNIA SURGERY2
3Step by Step Manual of Laparoscopic Surgery: LAPAROSCOPIC HERNIA SURGERY Vol. 4
Series Editors JS Rajkumar MS FICS Dip. NB (Surg) FRCS (Eng) FRCS (Edin) FRCS (Glasgow) FRCS (Ireland) FIMSA FAIS FRSM (London) FAGE (Gastro) FACG (USA) FICA (USA) FIAGES Dip. MIS (France) AMMC FMAS Director Lifeline Institute of Minimal Access Surgery Advanced lap, Bariatric and Onco-lap Surgeon No. 47/3 New Avadi Road, Kilpauk Chennai, Tamil Nadu, India Neha Shah MS FIAGES FMAS FMIS FAIS FALS Senior Consultant Department of GI and Bariatric Surgery Apollo Nova Specialty Hospitals Chennai, Tamil Nadu, India Foreword CMK Reddy
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Medical knowledge and practice change constantly. This book is designed to provide accurate, authoritative information about the subject matter in question. However, readers are advised to check the most current information available on procedures included and check information from the manufacturer of each product to be administered, to verify the recommended dose, formula, method and duration of administration, adverse effects and contraindications. It is the responsibility of the practitioner to take all appropriate safety precautions. Neither the publisher nor the author(s)/editor(s) assume any liability for any injury and/or damage to persons or property arising from or related to use of material in this book.
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Step by Step Manual of Laparoscopic Surgery: Laparoscopic Hernia Surgery (Vol. 4)
First Edition: 2016
9789351528920
Printed at:5
Dedication
We would like to dedicate this series of volumes to our parents, who breathed life into us, nurtured our spirits with confidence and most importantly, taught us values to live by.6
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Foreword
With rapid advances taking place in every branch of medicine, writing an updated book on any subject is no easy job. With the highly academic background and profound skill in advanced laparoscopic surgery, Prof JS Rajkumar and Dr Neha Shah have ventured to produce step-by-step manuals for various laparoscopic procedures, as excellent reference books for the young endoscopic surgeons as well as those already in practice in the area of minimally invasive surgery.
The first volume of their work is about laparoscopic hernia repair. Each inguinal hernia is so different, our teachers used to say, if one could do a hernia operation confidently, he could do any operation safely. Though open surgery for inguinal hernia is relatively simple, laparoscopic surgery requires lot of experience and reorientation of inguinal anatomy from inside, much more so for recurrent or complicated ones. During the long learning curve, mistakes can occur from the hands of beginners and those working in low volume centres, this book explains those in clear detail, with adequate illustrations, with a primary aim of preventing surgical errors. It is also very important to assimilate the technological advances in laparoscopic instruments, energy sources, meshes and suture material, so that they could find application in appropriate places and situations, for optimal outcome.
It is always difficult to decide how much to say in a situation, while writing a foreword, but with the vast experience of the authors as surgeons and teachers, I am impressed that they could filter the actual required information just appropriate for a junior surgeon. I congratulate the authors for the effort they put in to make this a practical reference book in various common as well as advanced laparoscopic procedures in surgical practice.
Prof CMK Reddy DSc (Hon) FRCS (Glas) FRCS (Ire)
Emeritus Professor of Surgery, TN Dr MGR Medical University Former Hon Professor of Surgery, Stanley Medical College
President, TN Medical Practitioners’ Association and Indian Chapter, Royal College of Surgeons in Ireland
Examiner to MBBS, MS, MCh (Vasc)
National Board, FRCS and MRCS
Recipient of Dr BC Roy National Award as Eminent Medical Teacher, General and Vascular Surgeon
Chennai, Tamil Nadu, India8
9Preface
This series of operative laparoscopy books has been modeled on the immortal Rob and Smith operative surgery line diagram volumes for open surgery. Although there are huge tonnes of laparoscopic surgical books there has been no equivalent to the above mentioned book in minimal invasive surgery. Having operated through laparoscopy for the past 20 years, and being involved in teaching for at least 15 years, we felt that we could attempt to bridge the gap between the theory and the art of minimal access surgery.
Toward this end we felt that a book containing line diagrams and detailing the minutiae of the surgical procedures would help the novice laparoscopist choose his surgical steps with studied confidence. This series is essentially one that provides the complete bandwidth of procedures, starting from diagnostic laparoscopy and going all the way to laparoscopic oncology and bariatric surgery.
We have divided the subject matter into 14 volumes, that will hopefully cover almost all the available operative surgery spectrum of laparoscopy. You are holding one such volume in your hand.
A final word of advice to our dear readers, you need not buy all the volumes at one go. We would like you to progress in 2 or 3 areas at one time depending on your chosen field of advancement. If you are doing gallbladders already, perhaps you could advance to antireflux surgery or hernioplasty, rather than a single incision colectomy! As you gain experience and exposure you can purchase the next few volumes.
We wish you all the enjoyment and excitement that we have experienced in our learning curves and we hope your curve is much shorter than ours!!!
JS Rajkumar
Neha Shah10
11Acknowledgments
We would like to thank the following people who have contributed significantly towards making of this book.
Dr Chitrakala Rajkumar, Dr Dilip Chandar, Dr Poornima, Dr Nataraja Sethupathy, Dr Anirudh Rajkumar, Sarvanan, Menaka, Shalini, Meena Kesan, and Akila for helping with the typing of the manuscript.
We thank every single patient who enriched our surgical experience and made us what we are today. And last but not least, we pay our humble respects to the doyens of surgery—the giants upon whose shoulders we dwarves stood and looked at the world. Prof S Vittal, Prof CMK Reddy, and Prof MG Muthukumaraswamy, to mention a few in a golden list.
We would also like to thank Mr Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Ms Chetna Malhotra Vohra (Associate Director), Mr Umar Rashid (Development Editor) and Production team of Jaypee Brothers Medical Publishers (P) Ltd., New Delhi, India.