Hemorrhoid Management Andreas M. Kaiser Hemorrhoids are a pathologic engorgement of the hemorrhoidal plexus. The latter are part of the normal anatomy of the anal canal and form soft cushions…

Pilonidal Cystectomy Whether pilonidal cysts are congenital or acquired lesions remains a topic of debate. The frequent appearance of an epithelialized tract in the midline, leading to a cyst that…

Superficial Groin Dissection Laura A. Adam Neal Wilkinson Avariety of terms are used to describe lymphadenectomy of the inguinal and ilioinguinal regions. In this chapter, we will use the terms…

Sentinel Node Biopsy for Melanoma of the Trunk; Wide Local Excision Scott K. Sherman James R. Howe The lymphatic drainage patterns from lesions located on the trunk are less predictable…

Pediatric Inguinal Hernia Raphael C. Sun Graeme J. Pitcher Inguinal hernias in infants and young children represent pure indirect hernias. Correction involves high ligation of the sac. The floor of…

Hydrocelectomy, Orchiectomy Hydroceles are collections of fluid between the parietal and visceral layers of the tunica vaginalis. Communicating hydroceles, in which this space communicates with the peritoneal cavity, are often…

Laparoscopic Inguinal Hernia Repair Laparoscopic inguinal hernia repair takes a totally different approach from open repair. It is most nearly analogous to a preperitoneal open repair, sometimes termed the Nyhus…

Repair of Inguinal and Femoral Hernias The muscular and aponeurotic layers of the abdominal wall form a strong continuous barrier that supports and contains the intra-abdominal viscera. This continuous barrier…