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Leisten- und Schenkelhernienchirurgie

Offene Netzverfahren. Videobeitrag

Inguinal and femoral hernia surgery

Open mesh procedure. Video article

  • Videobeitrag: Aktuelle Operationstechniken
  • Published:
Der Chirurg Aims and scope Submit manuscript

Zusammenfassung

Es gibt verschiedene Verfahren zur Versorgung symptomatischer Leisten- und Schenkelhernien. Tendenziell gewinnen Minimaleingriffe (z. B. Plug und transinguinal präperitoneal [TIPP]) und endoskopische Verfahren (total extraperitoneal [TEP] und transabdominal präperitoneal [TAPP]) unter Patienten und Chirurgen an Beliebtheit. Am Beispiel dreier Patienten wird in diesem Beitrag gezeigt, dass die klassischen Verfahren nach Irwing L. Lichtenstein (1986) und Jean Rives (1965) unverzichtbar und komplementär zum Repertoire gehören: Die Operationstechniken werden an besonders komplexen Fallbeispielen dargestellt und die Ergebnisse aus der Literatur diskutiert. Anhand eines Operationsvideos, welches online zur Verfügung steht, werden die Operationstechniken detailliert dargestellt. Jeder Hernienchirurg sollte den Patienten differenziert beraten können, beide Verfahren beherrschen und bei gegebener Indikation auch durchführen.

Abstract

There are several techniques for repair of symptomatic inguinal and femoral hernias. There is an increased acceptance and tendency favoring minimally invasive procedures, such as plug or transinguinal preperitoneal mesh prosthesis (TIPP) and endoscopic procedures, such as totally extraperitoneal (TEP) and transabdominal preperitoneal (TAPP) repair. In the present review the classical techniques of Irving L. Lichtenstein (1986) and Jean Rives (1965), two indispensable procedures, are presented and the results from the literature are discussed. The videos show the repair of three interesting and complex cases. The surgical techniques are demonstrated in detail with the help of a video of the operation and which is available online. It is essential that each hernia surgeon should have proficiency in performing both procedures in order to be able to counsel patients and tailor the procedure according to the clinical findings.

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Authors and Affiliations

  1. Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Straße 6, 97080, Würzburg, Deutschland

    U. A. Dietz M.Sc., C.-T. Germer & A. Wiegering

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  1. U. A. Dietz M.Sc.
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  2. C.-T. Germer
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  3. A. Wiegering
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Correspondence to U. A. Dietz M.Sc..

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Interessenkonflikt

U. A. Dietz, C.-T. Germer und A. Wiegering geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

Caption Electronic Supplementary Material

104_2016_294_MOESM1_ESM.mp4

Video: Darstellung der klassischen Verfahren nach Irwing L. Lichtenstein und Jean Rives anhand von 3 Patienten mit Leisten- bzw. Schenkelhernien

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Dietz, U.A., Germer, CT. & Wiegering, A. Leisten- und Schenkelhernienchirurgie. Chirurg 87, 938–947 (2016). https://doi.org/10.1007/s00104-016-0294-y

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