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Ursachen der Rezidiventstehung (Risikofaktor Chirurg/Patient)

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Hernienchirurgie

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Zusammenfassung

Rezidive stellen die wesentliche Komplikation der Hernienchirurgie dar. Der Wunsch nach einer Verringerung der Rezidivquote ist der Motor, der die Entwicklung der Hernienchirurgie vorangetrieben hat. Dies spiegelt sich in der Vielzahl verfügbarer Operationstechniken wider und hat die rasche Verbreitung der modernen Verfahren unter Verwendung alloplastischer Materialien ermöglicht. Die modernen Netzreparationsverfahren sind bei korrekter Implantationstechnik mit einer geringen Rezidivquote behaftet, tragen jedoch ihre eigene Problematik. So sind die Langzeitfolgen implantierter Kunststoffnetze nicht bekannt, und im Rahmen der aktuellen kontroversen Diskussion um die Verwendung von Netzen muss die Indikation in bestimmten Altersgruppen und Indikationsgebieten sorgfältig gestellt werden. Um dem Chirurgen die Entscheidung für eine bestimmte Operationstechnik zu ermöglichen, ist eine Kenntnis der Ursachen der Hernienrezidiventstehung sowie möglicher Risikofaktoren bedeutsam. Nur so kann die fundierte Beratung und Therapie des Patienten bezüglich der Verwendung eines konventionellen oder netzbasierten Verfahrens gewährleistet werden.

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Authors and Affiliations

  1. Chirurgische Klinik und Poliklinik, Charité — Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin

    Dr. med. K. Lehmann

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  1. Dr. med. K. Lehmann
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Editors and Affiliations

  1. Chirurgische Klinik und Poliklinik I, Abteilung für Allgemein-, Gefäß- und Thoraxchirurgie, Charité — Universitätsmedizin Berlin, Campus Benjamin Franklin, Hindenburgdamm 30, 12200, Berlin

    Jörg-Peter Ritz  & Heinz J. Buhr  & 

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© 2006 Springer Medizin Verlag Heidelberg

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Lehmann, K. (2006). Ursachen der Rezidiventstehung (Risikofaktor Chirurg/Patient). In: Ritz, JP., Buhr, H.J. (eds) Hernienchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-27726-9_4

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  • DOI: https://doi.org/10.1007/3-540-27726-9_4

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-27724-8

  • Online ISBN: 978-3-540-27726-2

  • eBook Packages: Medicine (German Language)

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