Skip to main content

Hernien

  • Chapter
  • First Online:
Facharztwissen Viszeralchirurgie

Zusammenfassung

Mehr als 300.000 Hernien werden jedes Jahr in Deutschland operiert; dieses Krankheitsbild ist daher eines der meist operierten. Trotz der hohen Anzahl dieser Operationen bleiben Komplikationen sowie postoperative Schmerzen, Infektionen und Rezidive weiter eine Herausforderung. Ein Grund dafür sind die Unterschiede in der Hernien-Anatomie, des Bruchinhaltes und des jeweiligen aktuellen klinischen Erscheinungsbildes. Eine besondere Situation stellt die inkarzerierte Hernie dar, die zu schwerwiegenden Komplikationen führen kann. Die jeweilige Diagnostik sowie die führenden Techniken, sowohl laparoskopisch als auch offen, werden in diesem Kapitel dargestellt.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 129.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Literatur

Literatur zu den Abschn. 13.1, 13.2, 13.3 und 13.4

Weiterführende Literatur

    Literatur zu den Abschn. 13.1, 13.2, 13.3 und 13.4

    • Bakker WJ, Aufenacker TJ, Boschman JS, Burgmans JPJ (2020) Lightweight mesh is recommended in open inguinal (Lichtenstein) hernia repair: a systematic review and meta-analysis. Surgery 167:581–589

      Article  Google Scholar 

    • Bernardi K, Olavarria OA, Holihan JL, Kao LS, Ko TC, Roth JS, Tsuda S, Vaziri K, Liang MK (2019) Primary fascial closure during laparoscopic ventral hernia repair improves patient quality of life: a multicenter, blinded randomized controlled trial. Ann Surg 271:434–439

      Article  Google Scholar 

    • Blonk L, Civil YA, Kaufmann R, Ket JCF, van der Velde S (2019) A systematic review on surgical treatment of primary epigastric hernias. Hernia 23:847–857

      Article  CAS  Google Scholar 

    • Bökkerink WJV, Koning GG, Malagic D, van Hout L, van Laarhoven CJHM, Vriens PWHE (2019) Long-term results from a randomized comparison of open transinguinal preperitoneal hernia repair and the Lichtenstein method (TULIP trial). Br J Surg 106:856–861

      Article  Google Scholar 

    • Bullen NL, Massey LH, Antoniou SA, Smart NJ, Fortelny RH (2019) Open versus laparoscopic mesh repair of primary unilateral uncomplicated inguinal hernia: a systematic review with meta-analysis and trial sequential analysis. Hernia 23:461–472

      Article  CAS  Google Scholar 

    • Caro-Tarrago A, Olona C, Millán M, Olona M, Espina B, Jorba R (2019) Long-term results of a prospective randomized trial of midline laparotomy closure with onlay mesh. Hernia 23:335–340

      Article  CAS  Google Scholar 

    • Gavriilidis P, Davies RJ, Wheeler J, de’Angelis N, Di Saverio S (2019) Total extraperitoneal endoscopic hernioplasty (TEP) versus Lichtenstein hernioplasty: a systematic review by updated traditional and cumulative meta-analysis of randomised-controlled trials. Hernia 23:1093–1103

      Article  CAS  Google Scholar 

    • Gutlic N, Gutlic A, Petersson U, Rogmark P, Montgomery A (2019) Randomized clinical trial comparing total extraperitoneal with Lichtenstein inguinal hernia repair (TEPLICH trial). Br J Surg 106:845–855

      Article  CAS  Google Scholar 

    • van den Hil LCL, van Steensel S, Schreinemacher MHF, Bouvy ND (2019) Prophylactic mesh placement to avoid incisional hernias after stoma reversal: a systematic review and meta-analysis. Hernia 23:733–741

      Article  Google Scholar 

    • Kohler A, Lavanchy JL, Lenoir U, Kurmann A, Candinas D, Beldi G (2019) Effectiveness of prophylactic intraperitoneal mesh implantation for prevention of incisional hernia in patients undergoing open abdominal surgery: a randomized clinical trial. JAMA Surg 154:109–115

      Article  Google Scholar 

    • Lockhart K, Dunn D, Teo S, Ng JY, Dhillon M, Teo E, van Driel ML (2018) Mesh versus non-mesh for inguinal and femoral hernia repair. Cochrane Database Syst Rev 9:CD011517

      PubMed  Google Scholar 

    • Obermaier R, Pfeffer F, Hopt UT (Hrsg) (2009) Hernienchirurgie. Elsevier Urban & Fischer, München

      Google Scholar 

    • Patterson TJ, Beck J, Currie PJ, Spence RAJ, Spence G (2019) Meta-analysis of patient-reported outcomes after laparoscopic versus open inguinal hernia repair. Br J Surg 106:824–836

      Article  CAS  Google Scholar 

    • Sheen AJ, Montgomery A, Simon T, Ilves I, Paajanen H (2019) Randomized clinical trial of open suture repair versus totally extraperitoneal repair for treatment of sportsman’s hernia. Br J Surg 106:837–844

      Article  CAS  Google Scholar 

    • Shrestha D, Shrestha A, Shrestha B (2019) Open mesh versus suture repair of umbilical hernia: Meta-analysis of randomized controlled trials. Int J Surg 62:62–66

      Article  Google Scholar 

    Literatur zu Abschn. 13.6

    • Berger D (2010) Laparoskopische Reparation der parastomalen Hernie. Chirurg 81:988–992

      Article  CAS  Google Scholar 

    • Jones HG, Rees M, Aboumarzouk OM, Brown J, Cragg J, Billings P, Carter B, Chandran P (2018) Prosthetic mesh placement for the prevention of parastomal herniation. Cochrane Database Syst Rev 7:CD008905

      PubMed  Google Scholar 

    • Reinforcement of Closure of Stoma Site (ROCSS), Collaborative and West Midlands Research Collaborative (2020) Prophylactic biological mesh reinforcement versus standard closure of stoma site (ROCSS): a multicentre, randomised controlled trial. Lancet 395:417–426

      Article  Google Scholar 

    • Rosch R, Conze J, Junge K, Neumann U (2010) Konventionelle Reparation der parastomalen Hernie. Chirurg 81:982–987

      Article  CAS  Google Scholar 

    Download references

    Author information

    Authors and Affiliations

    Authors

    Corresponding author

    Correspondence to Jens Otto .

    Editor information

    Editors and Affiliations

    Rights and permissions

    Reprints and permissions

    Copyright information

    © 2021 Springer-Verlag GmbH Deutschland, ein Teil von Springer Nature

    About this chapter

    Check for updates. Verify currency and authenticity via CrossMark

    Cite this chapter

    Otto, J., Lindenau, T., Junge, K. (2021). Hernien. In: Billmann, F., Keck, T. (eds) Facharztwissen Viszeralchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-61520-1_13

    Download citation

    • DOI: https://doi.org/10.1007/978-3-662-61520-1_13

    • Published:

    • Publisher Name: Springer, Berlin, Heidelberg

    • Print ISBN: 978-3-662-61519-5

    • Online ISBN: 978-3-662-61520-1

    • eBook Packages: Medicine (German Language)

    Publish with us

    Policies and ethics