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Technical Pitfalls Favouring Incisional Hernia

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Recurrent Hernia

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Abstract

Postoperative abdominal incision failure remains as much a problem and topic of controversy today as it did nearly a century ago. The predominance of the surgical literature on incisional hernia describes and evaluates various repair techniques; less is written on predisposition and prevention. In the latter subset of the literature, emphasis has been placed upon patient-associated risk factors in the pathogenesis of incisional failure. Over the past several decades, however, the idea that surgeon-associated (i.e., technical) risk factors may be important in the etiology of incisional hernia has been gaining more acceptance [2]. The postulation that the surgeon could be the most important risk factor for this complication, however, is a more radical concept. This brief review will emphasize the role of surgeon-related factors in the development of incisional hernia.

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Authors and Affiliations

  1. University Hospital Virgen Macarena, Avda Dr. Fedriani sn, 41009, Sevilla, Spain

    M. A. Carlson

  2. Surgery 112, VA Medical Center, University of Nebraska Medical Center, 4101 Woolworth Ave, Omaha, NE, 68105, USA

    S. Morales-Conde

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  1. M. A. Carlson
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Editors and Affiliations

  1. Chirurgische Klinik, Universitätsklinikum Aachen, Pauwelsstraße 30, 52074, Aachen, Germany

    Volker Schumpelick

  2. Department of Surgery, Creighton University, 601 North 30th Street Suite 3740, Omaha, NE, 68131, USA

    Robert J. Fitzgibbons

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Carlson, M.A., Morales-Conde, S. (2007). Technical Pitfalls Favouring Incisional Hernia. In: Schumpelick, V., Fitzgibbons, R.J. (eds) Recurrent Hernia. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-68988-1_17

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