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Vergleich der laparoendoskopischen mit den offenen, anterioren Techniken

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Laparo-endoskopische Hernienchirurgie

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Zusammenfassung

Im Lauf des vorigen Jahrhunderts wurden viele neue Techniken entwickelt, um eine Leistenhernie zu versorgen. Netzbasierte Techniken haben wegen einer niedrigeren Rezidivrate im Vergleich zu Nahttechniken mehr und mehr an Bedeutung gewonnen und werden als Goldstandard angesehen. Das zugrunde liegende Prinzip der netzbasierten Reparation ist die Verstärkung der Hinterwand des Leistenkanals. Derzeit ist Polypropylen in Netzform das meistverbreitete Material, um dies zu erreichen. Das Material kann von vorne mit einem offenen Zugang wie bei der Lichtenstein-Operation oder von hinten wie bei den laparoendoskopischen Techniken platziert werden. Reine Nahtverfahren wie die Shouldice-Technik werden vor allem in bestimmten spezialisierten Zentren weiterhin angewendet. In diesem Kapitel werden die Ergebnisse der offenen Techniken der Leistenhernienreparation kritisch denjenigen der laparoendoskopischen Techniken gegenübergestellt.

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Author information

Authors and Affiliations

  1. Surgery, VU University Medical Center, De Boelelaan 1117, 1081 HV, Amsterdam, Niederlande

    MD Baukje Van Den Heuvel

  2. Department of Surgery, Creighton University School of Medicine, 601 North 30th Street, Suite 3700, Omaha, NE, 68131, USA

    MD, Professor Robert J. Fitzgibbons Jr.

  3. Supperstr. 19, 70565, Stuttgart, Deutschland

    Professor, Dr. med. Dr. h.c. mult. Reinhard Bittner

  4. Abteilung für Allgemeinchirurgie, LKH Hochsteiermark, Standort Bruck an der Mur, Tragösserstr. 1 und 1a, 8600, Bruck an der Mur, Österreich

    MD, Professor Rudolf Schrittwieser

Authors
  1. MD Baukje Van Den Heuvel
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  2. MD, Professor Robert J. Fitzgibbons Jr.
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  3. Professor, Dr. med. Dr. h.c. mult. Reinhard Bittner
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  4. MD, Professor Rudolf Schrittwieser
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Editor information

Editors and Affiliations

  1. Stuttgart, Deutschland

    Reinhard Bittner

  2. Vivantes Klinikum Spandau, Berlin, Deutschland

    Ferdinand Köckerling

  3. Creighton University School of Medicine, Omaha, NE, USA

    Robert J. Fitzgibbons

  4. Our Lady of the Lake Physician Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

  5. Creighton University School of Medicine, Omaha, NE, USA

    Sumeet Mittal

  6. Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Van Den Heuvel, B., Fitzgibbons Jr., R.J., Bittner, R., Schrittwieser, R. (2018). Vergleich der laparoendoskopischen mit den offenen, anterioren Techniken. In: Bittner, R., Köckerling, F., Fitzgibbons, R.J., LeBlanc, K.A., Mittal, S., Chowbey, P. (eds) Laparo-endoskopische Hernienchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56090-7_20

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  • DOI: https://doi.org/10.1007/978-3-662-56090-7_20

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56089-1

  • Online ISBN: 978-3-662-56090-7

  • eBook Packages: Medicine (German Language)

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