Perioperatives Management bei laparoendoskopischer Hernienoperation

  • Henning Niebuhr
  • Bernd Stechemesser
  • Reinhard Bittner


Im vorliegenden Kapitel wird das perioperative Management für eine laparoendoskopische Hernienoperation beschrieben. Detailliert wird der Verlauf einer (laparoskopischen) Hernienbehandlung vom ersten Kontakt bis zur abschließenden postoperativen Sprechstunde erläutert. Ein Ablaufschema verdeutlicht den Verlauf. Die prä- und postoperative Diagnostik (klinische Untersuchung und DIUS-Ultraschalltechnik) werden vorgestellt und mit Ergebnisdaten belegt. Im Abschnitt „Behandlungsplan“ wird auf die Frage „ambulant oder kurzstationär“ eingegangen. Die perioperative Antibiotikatherapie und die Thromboembolieprophylaxe sind Themen eigener Abschnitte, ebenso die präoperative Haarentfernung und postoperative Schmerzbehandlung. Das nötige Entlassungsmanagement ebenso thematisiert.


  1. Aga E, et al (2015) Surgical site infections after abdominal surgery: incidence and risk factors. A prospective cohort study. Infect Dis (Lond) 47 (11): 761–7CrossRefPubMedGoogle Scholar
  2. Alabraba E, Psarelli E, Meakin K, Quinn M, Leung M, Hartley M, et al (2014) The role of ultrasound in the management of patients with occult groin hernias. Int J Surg 12 (9): 918–22CrossRefPubMedGoogle Scholar
  3. Alam A, Nice C, Uberoi R (2005) The accuracy of ultrasound in the diagnosis of clinically occult groin hernias in adults. Eur Radiol 15 (12): 2457–61CrossRefPubMedGoogle Scholar
  4. Anwar S, Scott P (2003) Current practice for anticoagulation prophylaxis in inguinal hernia surgery: a questionnaire survey. NZ Med J116 (1181): U583Google Scholar
  5. Aveline C, Le Hetet H, Le Roux A, Vautier P, Cognet F, Vinet E, et al (2011) Comparison between ultrasound-guided transversus abdominis plane and conventional ilioinguinal/iliohypogastric nerve blocks for day-case open inguinal hernia repair. Br J Anaesth 106 (3): 380–6CrossRefPubMedGoogle Scholar
  6. Encke A, Haas S, Kopp I, et al (2015) S3-Leitlinie Prophylaxe der venösen Thromboembolie. AWMF-Leitlinienregister Nr. 003/001Google Scholar
  7. Baca I, et al (1997) Prevention of thromboembolism in minimal invasive interventions and brief inpatient treatment. Results of a multicenter, prospective, randomized, controlled study with a low molecular weight heparin. Chirurg 68 (12): 1275–80Google Scholar
  8. Balthazar ER, Colt JD, Nichols RL (1982) Preoperative hair removal: a random prospective study of shaving versus clipping. South Med J 75 (7): 799–801CrossRefPubMedGoogle Scholar
  9. Bambrah RK, Pham DC, Rana F (2013) Argatroban in heparin-induced thrombocytopenia: rationale for use and place in therapy. Ther Adv Chronic Dis 4 (6): 302–4CrossRefPubMedPubMedCentralGoogle Scholar
  10. Bar-Dayan A, Natour M, Bar-Zakai B, Zmora O, Shabtai M, Ayalon A, Kuriansky J (2004) Preperitoneal bupivacaine attenuates pain following laparoscopic inguinal hernia repair. Surg Endosc 18 (7): 1079–81Google Scholar
  11. Barile A, Erriquez D, Cacchio A, De Paulis F, Di Cesare E, Masciocchi C (2000) Groin pain in athletes: role of magnetic resonance. Radiol Med 100 (4): 216–22Google Scholar
  12. Beaussier M, Weickmans H, Paugam C, et al (2005) A randomized, double-blind comparison between parecoxib sodium and propacetamol for parenteral postoperative analgesia after inguinal hernia repair in adult patients. Anesth Analg 100: 1309–1315CrossRefGoogle Scholar
  13. Bischoff JM, Koscielniak-Nielsen ZJ, Kehlet H, Werner MU (2012) Ultrasound-guided ilioinguinal/iliohypogastric nerve blocks for persistent inguinal postherniorrhaphy pain: a randomized, double-blind, placebo-controlled, crossover trial. Anesth Analg 114 (6): 1323–9CrossRefGoogle Scholar
  14. Bittner R, Schwarz J (2012) Inguinal hernia repair: current surgical techniques. Langenbecks Arch Surg 397 (2): 271–82CrossRefPubMedGoogle Scholar
  15. Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, Fortelny RH, Klinge U, Kockerling F, Kuhry E, Kukleta J, Lomanto D, Misra MC, Montgomery A, Morales-Conde S, Reinpold W, Rosenberg J, Sauerland S, Schug-Pass C, Singh K, Timoney M, Weyhe D, Chowbey P (2011) Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc 25 (9): 2773–843CrossRefPubMedPubMedCentralGoogle Scholar
  16. Bittner R, Bingener-Casey J, Dietz U, Fabian M, Ferzli GS, Fortelny RH, Köckerling F, Kukleta J, Leblanc K, Lomanto D, Misra MC, Bansal VK, Morales-Conde S, Ramshaw B, Reinpold W, Rim S, Rohr M, Schrittwieser R, Simon T, Smietanski M, Stechemesser B, Timoney M, Chowbey P; International Endohernia Society (IEHS) (2014) Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias [International Endohernia Society (IEHS)] – part 1. Surg Endosc 28 (1): 2–29Google Scholar
  17. Bittner R, Sauerland S, Schmedt CG (2005) Comparison of endoscopic techniques vs Shouldice and other open nonmesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc 19: 605–15CrossRefPubMedGoogle Scholar
  18. Bittner R, Schmedt CG, Leibl BJ, Schwarz J (2011) Early postoperative and one year results of a randomized controlled trial comparing the impact of extralight titanized polypropylene mesh and traditional heavyweight polypropylene mesh on pain and seroma production in laparoscopic hernia repair (TAPP). World J Surg 35 (8): 1791–7CrossRefPubMedGoogle Scholar
  19. Bjork I, Lindahl U (1982) Mechanism of the anticoagulant action of heparin. Mol Cell Biochem 48 (3): 161–82Google Scholar
  20. Bradley M, Morgan D, Pentlow B, Roe A (2003) The groin hernia – an ultrasound diagnosis? Ann R Coll Surg Engl England 85 (3): 178–80CrossRefPubMedPubMedCentralGoogle Scholar
  21. Bradley M, Morgan J, Pentlow B, Roe A (2006) The positive predictive value of diagnostic ultrasound for occult herniae. Ann R Coll Surg Engl 88 (2): 165–167CrossRefPubMedGoogle Scholar
  22. Beitland S, et al (2015) Thromboprophylaxis with low molecular weight heparin versus unfractionated heparin in intensive care patients: a systematic review with meta-analysis and trial sequential analysis. Intensive Care Med 41 (7): 1209–19CrossRefPubMedGoogle Scholar
  23. Bringman S et al (2003) Tension-free inguinal hernia repair: TEP versus mesh-plug versus Lichtenstein: a prospective randomized controlled trial. Ann Surg 237: 142–7CrossRefPubMedPubMedCentralGoogle Scholar
  24. Callesen T (2003) Inguinal hernia repair: anaesthesia, pain and convalescence. Dan Med Bull 50: 203–18Google Scholar
  25. Chen L-C, Elliott RA, Ashcroft DM (2004) Systematic review of the analgesic efficacy and tolerability of COX-2 inhibitors in post-operative pain control. J Clin Pharm Ther 29 (3): 215–229CrossRefPubMedGoogle Scholar
  26. Cherian PT, Parnell AP (2008) The diagnosis and classification of inguinal and femoral hernia on multisection spiral CT. Clin Radiol England 63 (2): 184–92CrossRefPubMedGoogle Scholar
  27. Chuang YJ, et al (2001) Heparin enhances the specificity of antithrombin for thrombin and factor Xa independent of the reactive center loop sequence. Evidence for an exosite determinant of factor Xa specificity in heparin-activated antithrombin. J Biol Chem 276 (18): 14961–71CrossRefPubMedGoogle Scholar
  28. Chung RS, Rowland DY (1999) Meta-analyses of randomized controlled trials of Laparoscopic vs conventional inguinal hernia repairs. Surg Endosc 13: 689–94CrossRefPubMedGoogle Scholar
  29. CMS (Centers for Medicare and Medicaid Services) (2017) Your discharge planning checklist.
  30. Counsell C, Sandercock P (2001) Low-molecular-weight heparins or heparinoids versus standard unfractionated heparin for acute ischaemic stroke. Cochrane Database Syst Rev 4: CD000119.31Google Scholar
  31. Davies KE, Houghton K, Montgomery JE (2001) Obesity and day-case surgery. Anaesthesia 56 (11): 1112–1115CrossRefGoogle Scholar
  32. Depasquale R, Landes C, Doyle G (2009) Audit of ultrasound and decision to operate in groin pain of unknown aetiology with ultrasound technique explained. Clin Radiol 64: 608–614CrossRefPubMedGoogle Scholar
  33. Drew MK, Osmotherly PG, Chiarelli PE (2014) Imaging and clinical tests for the diagnosis of long-standing groin pain in athletes. A systematic review. Phys Ther Sport 15 (2): 124–9CrossRefPubMedGoogle Scholar
  34. Dueholm S, Forrest M, Hjortso E, Lemvigh E (1989) Pain relief following herniotomy: a double-blind randomized comparison between naproxen and placebo. Acta Anaesthesiol Scand 33: 391–394CrossRefPubMedGoogle Scholar
  35. Engbaek J, Bartholdy J, Hjortsø N-C (2006) Return hospital visits and morbidity within 60 days after day surgery: a retrospective study of 18,736 day surgical procedures. Acta Anaesthesiol Scand 50 (8): 911–919CrossRefPubMedGoogle Scholar
  36. Facharztklinik Hamburg (2013) Ermittlung des poststationären Hilfebedarfs. FO-21, Version: 03, Stand 08.05.2013Google Scholar
  37. Farquharson EL (1955) Early ambulation; with special reference to herniorrhapy as an outpatient procedure. Lancet 269: 517–519CrossRefGoogle Scholar
  38. Garner JP, Patel S, Glaves J, Ravi K (2006) Is herniography useful? Hernia France 10 (1): 66–9CrossRefPubMedGoogle Scholar
  39. Garvey JFW (2012) Computed tomography scan diagnosis of occult groin hernia. Hernia France 16 (3): 307–14CrossRefPubMedGoogle Scholar
  40. Geerts WH, et al (2004) Prevention of venous thromboembolism: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy. Chest 126 (3 Suppl): 338S-400SCrossRefPubMedGoogle Scholar
  41. Geuens G, Bellinck P, Mulkens T, Salgado R, de Gheldere C, Vanclooster P, et al (2011) Revisiting the role of herniography in the preoperative work-up of groin hernias? Acta Chir Belg 111 (6): 370–3CrossRefPubMedGoogle Scholar
  42. Go P, Rutten C, Grasveld-van Berkel M, van Montfort A (2002) Dagbehandeling in Nederland. Lemma, UtrechtGoogle Scholar
  43. Goulbourne IA, Ruckley CV (1979) Operations for hernia and varicose veins in a day-bed unit. Br Med J 2 (6192): 712–714CrossRefPubMedGoogle Scholar
  44. Grant T, Neuschler E, Hartz W 3rd (2011) Groin pain in women: use of sonography to detect occult hernias. J Ultrasound Med 30 (12): 1701–7CrossRefPubMedGoogle Scholar
  45. Grant AM (2002) Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data. Hernia 6: 2–10CrossRefPubMedGoogle Scholar
  46. Hakeem A, Shanmugam V (2013) Current trends in the diagnosis and management of post-herniorraphy chronic groin pain. World J Gastrointest Surg China (6): 73–81CrossRefPubMedPubMedCentralGoogle Scholar
  47. Handoll HH, et al (2002) Heparin, low molecular weight heparin and physical methods for preventing deep vein thrombosis and pulmonary embolism following surgery for hip fractures. Cochrane Database Syst Rev 4: Cd000305Google Scholar
  48. Hawn MT, et al (2013) Timing of surgical antibiotic prophylaxis and the risk of surgical site infection. JAMA Surg 148 (7): 649–57CrossRefPubMedGoogle Scholar
  49. Heikkinen TJ, Haukipuro K, Hulkko A (1998) A cost and outcome comparison between laparoscopic and Lichtenstein hernia operations in a day-case unit. A randomized prospective study. Surg Endosc 12: 1199–203CrossRefPubMedGoogle Scholar
  50. Henriksen NA, Thorup J, Jorgensen LN (2012) Unsuspected femoral hernia in patients with a preoperative diagnosis of recurrent inguinal hernia. Hernia. France 16 (4): 381–5CrossRefPubMedGoogle Scholar
  51. Holzheimer RG (2004) Laparoscopic procedures as a risk factor of deep venous thrombosis, superficial ascending thrombophlebitis and pulmonary embolism – case report and review of the literature. Eur J Med Res 9 (9): 417–22Google Scholar
  52. Horan TC, et al (1992) CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Am J Infect Control 20 (5): 271–4CrossRefPubMedGoogle Scholar
  53. Hureibi K, McLatchie GR, Kidambi AV (2011) Is herniography useful and safe? Eur J Radiol 80 (2): e86–90CrossRefPubMedGoogle Scholar
  54. Jarrett PEM (2001) Day care surgery. Eur J Anaesthesiol 18 (S23): 32–35CrossRefGoogle Scholar
  55. Joshi GP, Rawal N, Kehlet H, et al (2012) Evidence-based management of postoperative pain in adults undergoing open inguinal hernia surgery. Br J Surg 99 (2): 168–185CrossRefPubMedGoogle Scholar
  56. Kahn SR, et al (2014) Compression stockings to prevent post-thrombotic syndrome: a randomised placebo-controlled trial. Lancet 383 (9920): 880–8Google Scholar
  57. Kim B, Robinson P, Modi H, Gupta H, Horgan K, Achuthan R (2015) Evaluation of the usage and influence of groin ultrasound in primary and secondary healthcare settings. Hernia 19: 367–371CrossRefPubMedGoogle Scholar
  58. Kitami M, Takase K, Tsuboi M, Rikimaru Y, Hakamatsuka T, Yamada T, et al (2009) Differentiation of femoral and inguinal hernias on the basis of anteroposterior relationship to the inguinal ligament on multidimensional computed tomography. J Comput Assist Tomogr 33 (5): 678–81CrossRefPubMedGoogle Scholar
  59. Kjønniksen I, Andersen BM, Søndenaa VG, Segadal L (2002) Preoperative hair removal-a systematic literature review. AORN J 75 (5): 928–38, 940CrossRefPubMedGoogle Scholar
  60. Knebel P, et al (2011) Evidence-based antibiotic prophylaxis in general and visceral surgery. Chirurg 82 (3): 227–34CrossRefGoogle Scholar
  61. Köckerling F, Bittner R, Jacob D, Schug-Pass C, Laurenz C, Adolf D, Keller T, Stechemesser B (2015) Do we need antibiotic prophylaxis in endoscopic inguinal hernia repair? Results of the Herniamed Registry. Surg Endosc 29 (12): 3741–9CrossRefPubMedPubMedCentralGoogle Scholar
  62. Köckerling F, Roessing C, Adolf D, Schug-Pass C, Jacob D (2015) Has endoscopic (TEP, TAPP) or open inguinal hernia repair a higher risk of bleeding in patients with coagulopathy or antithrombotic therapy? Data from the Herniamed Registry. Surg Endosc 30: 2073–2081CrossRefPubMedPubMedCentralGoogle Scholar
  63. König A, Bode H, Herold M (2014) Therapiekonzepte zur Schmerztherapie im BKB Abteilung für Anästhesie, 2. Revision 1.6.2014Google Scholar
  64. Korenkov M, Paul A, Troidl H (1999) Color duplex sonography: diagnostic tool in the differentiation of inguinal hernias. J Ultrasound Med 18 (8): 565–8CrossRefPubMedGoogle Scholar
  65. Kraft BM, Kolb H, Kuckuk B, Haaga S, Leibl BJ, Kraft K, et al (2003) Diagnosis and classification of inguinal hernias. Surg Endosc Germany 17 (12): 2021–4CrossRefPubMedGoogle Scholar
  66. Kuhry E, et al (2007) Open or endoscopic total extraperitoneal inguinal hernia repair? A systematic review. Surg Endosc 21: 161–6CrossRefPubMedGoogle Scholar
  67. Kulstad E, Pittman L, Konicki PJ (2003) Ultrasound in the diagnosis of incarcerated hernia. Internet J Emergency Med 1 (1). doi: 10.5580/2229
  68. Lau H, Patil NG, Yuen WK (2006) Day-case endoscopic totally extraperitoneal inguinal hernioplasty versus open Lichtenstein hernioplasty for unilateral primary inguinal hernia in males: a randomized trial. Surg Endosc 20 (1): 76–81CrossRefPubMedGoogle Scholar
  69. LeBlanc KE, LeBlanc LL, LeBlanc KA (2013) Inguinal hernias: diagnosis and management. Am Fam Physician 87 (12): 844–8Google Scholar
  70. Lechner M, Fortelny R, Ofner D, Mayer F (2014) Suspected inguinal hernias in pregnancy-handle with care! Hernia 18 (3): 375–9CrossRefPubMedGoogle Scholar
  71. Light D, Ratnasingham K, Banerjee A, Cadwallader R, Uzzaman MM, Gopinath B (2011) The role of ultrasound scan in the diagnosis of occult inguinal hernias. Int J Surg 9 (2): 169–172, 201CrossRefPubMedGoogle Scholar
  72. Lilly MC, Arregui ME (2002) Ultrasound of the inguinal floor for evaluation of hernias. Surg Endosc Germany 16 (4): 659–62CrossRefPubMedGoogle Scholar
  73. Linkins LA, et al (2012) Treatment and prevention of heparin-induced thrombocytopenia: Antithrombotic therapy and prevention of thrombosis, 9th ed: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines. Chest 141 (2 Suppl): e495S-530SGoogle Scholar
  74. Lorenzini C, Sofia L, Pergolizzi FP, Trovato M (2008) The value of diagnostic ultrasound for detecting occult inguinal hernia in patients with groin pain. Chir Ital 60 (6): 813–7Google Scholar
  75. Madura JA, Madura JA 2nd, Copper CM, Worth RM (2005) Inguinal neurectomy for inguinal nerve entrapment: an experience with 100 patients. Am J Surg 189 (3): 283–7CrossRefPubMedGoogle Scholar
  76. Majholm B, Engbæk J, Bartholdy J, et al (2012) Is day surgery safe? A Danish multicentre study of morbidity after 57,709 day surgery procedures. Acta Anaesthesiol Scand 56 (3): 323–331CrossRefPubMedGoogle Scholar
  77. Marien T, Taouli B, Telegrafi S, Babb J, Lepor H (2010) Optimizing the detection of subclinical inguinal hernias in men undergoing open radical retropubic prostatectomy. BJU Int 106 (10): 1468–72CrossRefPubMedGoogle Scholar
  78. Mattila K, Vironen J, Eklund A, Kontinen VK, Hynynen M (2011) Randomized clinical trial comparing ambulatory and inpatient care after inguinal hernia repair in patients aged 65 years or older. Am J Surg 201: 179–185CrossRefPubMedGoogle Scholar
  79. McCormack K, Scott NW, Go PM, Ross S, Grant AM (2003) Laparoscopic techniques versus open techniques for inguinal hernia repair. Cochrane Database Syst Rev (1): CD001785Google Scholar
  80. McCormack K, Wake B, Perez J, Fraser C, Cook J, McIntosh E, Vale L, Grant A (2005) Laparoscopic surgery for inguinal hernia repair: systematic review of effectiveness and economic evaluation. Health Technol Assess 9: 1-ivGoogle Scholar
  81. Medina M, et al (1997) Risk factors of surgical wound infection in patients undergoing herniorrhaphy. Eur J Surg 163 (3): 191–8Google Scholar
  82. Michelsen MWF (1982) Comparison of outpatient and inpatient operations for inguinal hernia (1971 to 1978) (author’s transl). [Article in German]. Zentralbl Chir 107 (2): 94–102Google Scholar
  83. Miller J, Cho J, Michael MJ, Saouaf R, Towfigh S (2014) Role of imaging in the diagnosis of occult hernias. JAMA Surg 149 (10): 1077–80CrossRefPubMedGoogle Scholar
  84. Moro ML, Carrieri MP, Tozzi AE, Lana S, Greco D (1996) Risk factors for surgical wound infections in clean surgery: a multicenter study. Italian PRINOS Study Group. Ann Ital Chir 67 (1): 13–9Google Scholar
  85. Murphy KP, O’Connor OJ, Maher MM (2014) Adult abdominal hernias. AJR Am J Roentgenol 202 (6): W506–11CrossRefPubMedGoogle Scholar
  86. Ong CKS, Seymour RA, Lirk P, Merry AF (2010) Combining paracetamol (acetaminophen) with nonsteroidal antiinflammatory drugs: A qualitative systematic review of analgesic efficacy for acute postoperative pain. Anesth Analg 110 (4): 1170–1179Google Scholar
  87. Orchard JW, Read JW, Neophyton J, Garlick D (1998) Groin pain associated with ultrasound finding of inguinal canal posterior wall deficiency in Australian Rules footballers. Br J Sports Med 32 (2): 134–9CrossRefPubMedPubMedCentralGoogle Scholar
  88. Orlando G, et al (2015) One-shot versus multidose perioperative antibiotic prophylaxis after kidney transplantation: a randomized, controlled clinical trial. Surgery 157 (1): 104–10CrossRefPubMedGoogle Scholar
  89. Pawlak M, Niebuhr H, Bury K (2015) Dynamic inguinal ultrasound: a diagnostic tool for hernia surgeons. Letter to the editor. Hernia 19 (6): 1033–1034CrossRefPubMedGoogle Scholar
  90. Pilkington SA, Rees M, Jones O, Green I (2004) Ultrasound diagnosis of round ligament varicosities mimicking inguinal hernias in pregnancy. Ann R Coll Surg Engl 86 (5): 400–1CrossRefPubMedPubMedCentralGoogle Scholar
  91. Pineault R, Contandriopoulos AP, Valois M, Bastian ML, Lance JM (1985) Randomized clinical trial of one-day surgery. Patient satisfaction, clinical outcomes, and costs. Med Care 23 (2): 171–182CrossRefPubMedGoogle Scholar
  92. Poelman MM, van den Heuvel B, Deelder JD, Abis GS, Beudeker N, Bittner RR, Campanelli G, van Dam D, Dwars BJ, Eker HH, Fingerhut A, Khatkov I, Koeckerling F, Kukleta JF, Miserez M, Montgomery A, Munoz Brands RM, Morales Conde S, Muysoms FE, Soltes M, Tromp W, Yavuz Y, Bonjer HJ (2013) EAES Consensus Development Conference on endoscopic repair of groin hernias. Surg Endosc 27: 3505–19CrossRefPubMedGoogle Scholar
  93. Prabhu A, Chung F (2001) Anaesthetic strategies towards developments in day care surgery. Eur J Anaesthesiol Suppl 23: 36–42CrossRefGoogle Scholar
  94. Prescott RJ, Cutherbertson C, Fenwick N, Garraway WM, Ruckley CV (1978) Economic aspects of day care after operations for hernia or varicose veins. J Epidemiol Community Heal 32 (3): 222–225CrossRefGoogle Scholar
  95. Primatesta P, Goldacre MJ (1996) Inguinal hernia repair: incidence of elective and emergency surgery, readmission and mortality. International J Epidemiol 25 (4): 835–839CrossRefPubMedGoogle Scholar
  96. Quinlan DJ, Eriksson BI (2013) Novel oral anticoagulants for thromboprophylaxis after orthopaedic surgery. Best Pract Res Clin Haematol 26 (2): 171–82CrossRefPubMedGoogle Scholar
  97. Ramyil VM, Ognonna BC, Iya D (1999) Patient acceptance of outpatient treatment for inguinal hernia in Jos, Nigeria. Cent Afr J Med 45 (9): 244–246Google Scholar
  98. Rath NK, et al (2013) The use of rivaroxaban for chemical thromboprophylaxis following total knee replacement. Knee 20 (6): 397–400CrossRefPubMedGoogle Scholar
  99. Robinson P, Hensor E, Lansdown MJ, Ambrose NS, Chapman AH (2006) Inguinofemoral hernia: accuracy of sonography in patients with indeterminate clinical features. AJR Am J Roentgenol 187 (5): 1168–78CrossRefPubMedGoogle Scholar
  100. Robinson A, Light D, Kasim A, Nice C (2013) A systematic review and meta-analysis oft he role of radiology in the diagnosis of occult inguinal hernia. Surg Endosc 27 (1): 11–18CrossRefPubMedGoogle Scholar
  101. Rosenberg J, Bisgaard T, Kehlet H, Wara P, Asmussen T, Juul P, et al (2011) Danish Hernia Database recommendations for the management of inguinal and femoral hernia in adults. Dan Med Bull 58 (2): C4243Google Scholar
  102. Sanchez-Manuel FJ, Lozano-Garcia J, Seco-Gil JL (2012) Antibiotic prophylaxis for hernia repair. Cochrane Database Syst Rev 2: CD003769Google Scholar
  103. Sanjay P, Jones P, Woodward A (2006) Inguinal hernia repair: are ASA grades 3 and 4 patients suitable for day case hernia repair? Hernia 10 (4): 299–302CrossRefPubMedGoogle Scholar
  104. Schmedt CG, Sauerland S, Bittner R (2005) Comparison of endoscopic procedures vs Lichtenstein and other open mesh techniques for inguinal hernia repair: a meta- analysis of randomized controlled trials. Surg Endosc 19: 188–99CrossRefPubMedGoogle Scholar
  105. Schulz SL, et al (2005) Graduated compression stockings for the prevention of venous thromboembolism in surgical patients in the age of low molecular weight heparins. J Thromb Haemost 3 (10): 2363–5CrossRefPubMedGoogle Scholar
  106. Schurr MJ, Faucher LD (2009) A prospective, randomized, comparative trial of a COX-2 selective nonsteroidal anti-inflammatory drug versus placebo in inguinal herniorrhaphy patients. Hernia 13: 491–497CrossRefPubMedGoogle Scholar
  107. Scott NW, et al (2002) Open mesh versus non-mesh for repair of femoral and inguinal hernia. Cochrane Database Syst Rev CD002197Google Scholar
  108. Shepperd S, Lannin NA, Clemson LM, McCluskey A, Cameron ID, Barras SL (2013) Discharge planning from hospital to home. Cochrane Database Syst Rev 1: CD000313Google Scholar
  109. Shirasaka W, Toriyama S, Tsujikawa S, Yamashita T, Tani Y, Ikeshita K (2015) Use of flurbiprofen before emergence from anesthesia relieves pain during immediate postoperative period after laparoscopic inguinal hernia repair. Masui 64 (1): 60–4Google Scholar
  110. Shpitz B, Kuriansky J, Werener M, Osadchi A, Tiomkin V, Bugayev N, et al (2004) Early postoperative evaluation of groins after laparoscopic total extraperitoneal repair of inguinal hernias. J Laparoendosc Adv Surg Tech A 14 (6): 353–7CrossRefGoogle Scholar
  111. Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13 (4): 343–403CrossRefPubMedPubMedCentralGoogle Scholar
  112. Tanner J, Moncaster K, Woodings D (2007) Preoperative hair removal: a systematic review. J Perioper Pract 17 (3): 118–21, 124–32CrossRefPubMedGoogle Scholar
  113. Tanner J, Norrie P, Melen K (2011) Preoperative hair removal to reduce surgical site infection. Cochrane Database Syst Rev 11: CD004122Google Scholar
  114. Tolver MA, Rosenberg J, Bisgaard T (2012) Early pain after laparoscopic inguinal hernia repair. A qualitative systematic review. Acta Anaesthesiol Scand 56 (5): 549–57CrossRefPubMedGoogle Scholar
  115. Tong YS, Wu CC, Bai CH, Lee HC, Liang HH, Kuo LJ, Wei PL, Tam KW (2014) Effect of extraperitoneal bupivacaine analgesia in laparoscopic inguinal hernia repair: a meta-analysis of randomized controlled trials. Hernia 18 (2): 177–83CrossRefPubMedGoogle Scholar
  116. Treasure T, Hill J (2010) NICE guidance on reducing the risk of venous thromboembolism in patients admitted to hospital. J R Soc Med 103 (6): 210–2CrossRefPubMedPubMedCentralGoogle Scholar
  117. Turaga K, Wright A, Lee R, et al (2008) A randomized trial of the peri-operative use of COX-2 inhibitors in Lichtenstein herniorrhaphy. Hernia 12: 515–519CrossRefPubMedGoogle Scholar
  118. Tzovaras G, Symeonidis D, Koukoulis G, Baloyiannis I, Georgopoulou S, Pratsas C, Zacharoulis D (2012) Long-term results after laparoscopic transabdominal preperitoneal (TAPP) inguinal hernia repair under spinal anesthesia. Hernia 16 (6): 641–5CrossRefPubMedGoogle Scholar
  119. van den Berg JC, de Valois JC, Go PM, Rosenbusch G (1999) Detection of groin hernia with physical examination, ultrasound, and MRI compared with laparoscopic findings. Invest Radiol 34 (12): 739–43Google Scholar
  120. Wacha H, Hoyme U, Isenmann R, Kujath P, Lebert C, Naber K, Salzberger B (2010) Perioperative Antibiotika-Prohylaxe. Empfehlungen einer Expertenkommission der Paul-Ehrlich-Gesellschaft für Chemotherapie e. V. Chemotherapie Journal 19 (3): 70–84Google Scholar
  121. Warkentin TE, et al (2008) A spontaneous prothrombotic disorder resembling heparin-induced thrombocytopenia. Am J Med 121 (7): 632–6CrossRefPubMedGoogle Scholar
  122. Weber WP, et al (2008) The timing of surgical antimicrobial prophylaxis. Ann Surg 247 (6): 918–26CrossRefPubMedGoogle Scholar
  123. Whalen HR, Kidd GA, O’Dwyer PJ (2001) Easily Missed? Femoral hernias BMJ 343: d7668Google Scholar
  124. Wheeler M, Oderda GM, Ashburn MA, Lipman AG (2002) Adverse events associated with postoperative opioid analgesia: A systematic review. J Pain 3 (3): 159–180CrossRefPubMedGoogle Scholar
  125. Wilke T, et al (2008) Oral anticoagulation after major hip or knee replacement surgery: a process-driven managerial pharmacoeconomic analysis in German hospitals. Orthopäde 37 (5): 448–56Google Scholar
  126. Young J, Gilbert AI, Graham MF (2007) The use of ultrasound in the diagnosis of abdominal wall hernias. Hernia France 11 (4): 347–51CrossRefPubMedGoogle Scholar
  127. European Centre for Disease Prevention and Control (2013) Systematic review and evidence based guidance on perioperative antibiotic prophylaxis. Stockholm: ECDC; 2013Google Scholar

Copyright information

© Springer-Verlag GmbH Deutschland 2018

Authors and Affiliations

  • Henning Niebuhr
    • 1
  • Bernd Stechemesser
    • 2
  • Reinhard Bittner
    • 3
  1. 1.Hanse-Hernienzentrum HamburgAlte Holstentraße 16HamburgDeutschland
  2. 2.Hernienzentrum KölnZeppelinstraße 1KölnDeutschland
  3. 3.StuttgartDeutschland

Personalised recommendations