Hernia Repair Sequelae

1. Risk for Infection

   1. Infection Control in a Hernia Clinic: 24-Year Results of Aseptic and Antiseptic Measure Implementation in 4,620 “Clean Cases” Based on Up-To-Date Microbiological Research

      • M. Deysine

      Pages 135-141

   2. Components Separation Technique: Pros and Cons

      • B. M. van der Kolk, T. S. de Vries Reilingh, O. Buyne, R. P. Bleichrodt

      Pages 143-151

2. Risk for Pain

   1. Front Matter

      Pages 153-154

      PDF

   2. Self-Assessment of Discomfort and Pain after Inguinal Hernia Repair: A Reflection of Both Individual Pain Propensity and Surgical Strategy

      • S. Smeds, L. Löfström, O. Eriksson, A. Kald

      Pages 155-162

   3. Chronic Pain After Inguinal Hernia Repair

      • H. Kehlet, E. K. Aasvang

      Pages 163-167

   4. What Do We Know About the Pathophysiology and Pathology of Neuropathic Pain?

      • P. L. Jansen, K. Bas, D. Kämmer

      Pages 169-175

   5. Surgical Trauma of Nerves-Causes of Neuropathic Pain, Classification, and Options in Surgical Therapy

      • G. Penkert

      Pages 177-183

   6. Risks for Pain-Neuropathic Pain: How Should We Handle the Nerves?

      • D. Kaemmer, R. Rosch, M. Stumpf, J. Otto, K. Junge, U. Klinge et al.

      Pages 185-189

   7. What To Consider as Clinicians About Chronic Postoperative Pain and Inguinal Herniorrhaphy

      • D. Hegarty

      Pages 191-197

   8. Risk Factors for Chronic Pain After Groin Hernia Surgery

      • P. Nordin

      Pages 199-206

   9. Ischemic Inflammatory Response Syndrome as an Alternative Explanation for Postherniorrhaphy Pain

      • M. Stanton-Hicks

      Pages 207-211

   10. Postoperative CRPS in Inguinal Hernia Patients

       • U. Klinge, A. Fiebeler, M. K. Tur

       Pages 213-219

   11. Chronic Pain After Open Mesh Repair of Incisional Hernia

       • M. Kurzer, A. Kark, S. T. Hussain

       Pages 221-225

   12. Clinical Results After Open Mesh Repair

       • V. Schumpelick, M. Binnebösel, J. Conze

       Pages 227-232

   13. Acute and Chronic Pain After Laparoscopic Incisional Hernia Repair

       • D. Berger, M. Bientzle

       Pages 233-237

   14. Effect of Nerve Identification on the Rate of Postoperative Chronic Pain Following Inguinal Hernia Surgery

       • S. Alfieri, D. Di Miceli, R. Menghi, G. Quero, C. Cina, G. B. Doglietto

       Pages 239-243

   15. Discomfort 5 Years After Laparoscopic and Shouldice Inguinal Hernia Repair: A Report from the SMIL Study Group

       • A. Montgomery

       Pages 245-250

   16. Recurrence or Complication: The Lesser of Two Evils? A Review of Patient-Reported Outcomes from the VA Hernia Trial

       • L. Neumayer

       Pages 251-255

   17. Chronic Pain After Inguinal Hernia Repair: The Choice of Prosthesis Outweighs That of Technique

       • G. G. Champault

       Pages 257-264

   18. The Effect of Polypropylene Mesh on the Ilioinguinal Nerve in Open Mesh Repair of Groin Hernia

       • S. D. Demirer, I. Kepenekci, O. Evirgen, O. Birsen, A. Tuzuner, S. Karahuseyinoglu et al.

       Pages 265-273

Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae as for example pain, infertility, infection, adhesion and dislocation of the protheses. That can happen many years later and now, where the general principle of hernia repair is well understood all over the world, these sequelae are noticed more and more. To define them, to evaluate the absolute and relative risk of these sequelaes and to describe the ways of their prevention, diagnosis and treatment, the 5^th Suvretta meeting had focussed on this subject. We discussed if there’s a principle risk by technique, material or both. The results of these discussions and the future handling and evaluation of this problem was the aim of this meeting. Even the best method can be made better by optimization of its single components.

Even the best hernia repair can result in postoperative difficulties for the patient caused by repair sequelae such as pain, infertility, infection, adhesion and dislocation of the prostheses. This can happen many years later, and now that the general principle of hernia repair is broadly understood all over the world, these sequelae are being noticed more and more. The 5^th Suvretta meeting was held in order to define these sequelae, to evaluate the absolute and relative risks they pose, and to discuss the methods of their prevention, diagnosis and treatment. We discussed whether the principal risk was related to technique, material or both. This discussion and the future approach to and evaluation of this problem were the aims of the meeting, working on the premise that even the best method can be made better by optimizing its individual components.

• Hernia Repair
• Sequelae
• abdominal wall
• diagnosis
• erosion
• evaluation
• fertility
• hernia
• implant
• incontinence
• migration
• pain
• surgery
• trauma
• treatment

From the reviews: “Expert surgeons from Europe, America, and Asia discussed long-term problems and controversial issues in abdominal wall reconstruction studies and discussions from this meeting are published in this book. … It is valuable not only to specialists in hernia surgery, but also to all surgeons and surgical trainees performing inguinal and ventral hernia repairs. … This is an in-depth review of the contemporary data on potential complications of abdominal wall hernia repair. It is a fairly unique collection of contemporary studies in this field of surgery.” (Evgeny V. Arshava, Doody’s Review Service, May, 2010)

• Chirurgische Klinik, Universitätsklinikum Aachen, Aachen, Germany

  Volker Schumpelick

• Department of Surgery, Creighton University, Omaha, USA

  Robert J. Fitzgibbons

Policies and ethics