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Ursachen der Rezidiventstehung (Risikofaktor Chirurg/Patient)

  • K. Lehmann

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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Copyright information

© Springer Medizin Verlag Heidelberg 2006

Authors and Affiliations

  • K. Lehmann
    • 1
  1. 1.Chirurgische Klinik und PoliklinikCharité — Universitätsmedizin Berlin, Campus Benjamin FranklinBerlin

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