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Chronische postoperative Schmerzen nach Leistenhernienoperation

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Book cover Laparo-endoskopische Hernienchirurgie

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Zusammenfassung

Der chronische postoperative Schmerz ist die häufigste Komplikation nach Leistenbruchoperationen. Gemäß aktueller Leitlinien treten chronische Schmerzen mit 18 % nach offenen Leistenbruchoperation deutlich häufiger auf als nach laparoendoskopischem Eingriff (6%). Weitere signifikante Risikofaktoren für chronische Schmerzen sind starke präoperative Leistenschmerzen, Alter unter 50 Jahren, weibliches Geschlecht, Rezidivleistenbruchoperation und starke frühpostoperative Schmerzen. Eine starke Beeinträchtigung im täglichen Leben tritt in 0,5–6 % der Fälle auf. Zur Prävention chronischer Leistenschmerzen sind präzise Kenntnisse der Leistennervenanatomie bei jeder Operation unverzichtbar. Die Diagnostik und Therapie erfolgen interdisziplinär. Bei relevanten, die Lebensqualität beeinträchtigenden chronischen postoperativen Leistenschmerzen, die sich mit konservativen und interventionellen Therapiemaßnahmen nicht beherrschen lassen, kann eine Operation indiziert sein. Revisionsoperationen zur Schmerzkontrolle und insbesondere die Entfernung von Kunststoffimplantaten sollten spezialisierten Hernienchirurgen vorbehalten sein.

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Author information

Authors and Affiliations

  1. Abteilung für Chirurgie, Wilhelmsburger Krankenhaus Groß-Sand, Groß-Sand 3, 21107, Hamburg, Deutschland

    Dr. med. Wolfgang Reinpold

  2. Lichtenstein Amid Hernia Clinic at UCLA, Section of Minimally Invasive Surgery, UCLA Division of General Surgery, 200 UCLA Medical Plaza, Suite 214, Los Angeles, California, 90095, USA

    MD David C. Chen

  3. Wilhelmsburger Krankenhaus Groß-Sand, Abteilung für Chirurgie, Groß-Sand 3, 21107, Hamburg, Deutschland

    Dr. med. Cigdem Berger

Authors
  1. Dr. med. Wolfgang Reinpold
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  2. MD David C. Chen
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  3. Dr. med. Cigdem Berger
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Editor information

Editors and Affiliations

  1. Stuttgart, Deutschland

    Reinhard Bittner

  2. Vivantes Klinikum Spandau, Berlin, Deutschland

    Ferdinand Köckerling

  3. Creighton University School of Medicine, Omaha, NE, USA

    Robert J. Fitzgibbons

  4. Our Lady of the Lake Physician Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

  5. Creighton University School of Medicine, Omaha, NE, USA

    Sumeet Mittal

  6. Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Reinpold, W., Chen, D.C., Berger, C. (2018). Chronische postoperative Schmerzen nach Leistenhernienoperation. In: Bittner, R., Köckerling, F., Fitzgibbons, R.J., LeBlanc, K.A., Mittal, S., Chowbey, P. (eds) Laparo-endoskopische Hernienchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56090-7_17

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  • DOI: https://doi.org/10.1007/978-3-662-56090-7_17

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-56089-1

  • Online ISBN: 978-3-662-56090-7

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