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Aktuelle Aspekte der Hernienchirurgie

New aspects in hernia surgery

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Zusammenfassung

In den zurückliegenden 10 Jahren hat sich in Deutschland in einem sehr hohen Ausmaß die Mesh-augmentierte Hernienchirurgie im Erwachsenenalter etabliert.

Große Metaanalysen zeigen zweifelsohne den Erfolg von Fremdmaterial in der Behandlung von Leistenhernien beim Erwachsenem. Die Rezidivraten lassen sich deutlich unter 3% bei einem Nachbeobachtungsintervall von 3 Jahren bringen. Strittig ist aber nach wie vor die Operationsmethode durch videoassistierte Operationsmaßnahmen oder durch konventionellen Repair.

Bei der Narbenbruchchirurgie finden sich im Prinzip vergleichbare Verhältnisse, allerdings ist hier die minimal-invasive Chirurgie noch weniger klar in ihrer Bedeutung definiert, bietet aber womöglich strategisch entscheidende Vorteile.

Abstract

In the last 10 years in Germany we have seen a lot of hernia repairs using mesh.

Meta-analysis shows the advantages of using meshes in hernia surgery; recurrence rates in inguinal hernia surgery are less than 3% in studies. There is some discussion about minimally invasive surgery in Germany.

In incisional hernia surgery there is no discussion about using meshes. The role of minimally invasive surgery has not yet been defined.

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Authors and Affiliations

  1. Klinik für Allgemeine, Viszeral-, Thorax- und Gefäßchirurgie, Lukaskrankenhaus, Neuss

    B. J. Lammers & P. E. Goretzki

  2. Klinik für Urologie, Lukaskrankenhaus, Neuss

    T. Otto

  3. Klinik für Allgemeine, Viszeral-, Gefäß- und Thoraxchirurgie, Städtische Kliniken Lukaskrankenhaus, Preußenstraße 84, 41456, Neuss

    B. J. Lammers

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  1. B. J. Lammers
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  2. P. E. Goretzki
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  3. T. Otto
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Correspondence to B. J. Lammers.

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Lammers, B.J., Goretzki, P.E. & Otto, T. Aktuelle Aspekte der Hernienchirurgie. Urologe 44, 774–779 (2005). https://doi.org/10.1007/s00120-005-0845-1

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