[Incisional hernia. Causes and principles of repair].
Up to 11% of all coeliotomies result in incisional hernias, their repair is followed by recurrences in up to 46%. To control the incidence of these complications transverse and oblique incisions with a skin incision of sufficient length should be prefered. At the first operation the abdominal wall should be closed by a single continuous suture with an absorbable material. Non-absorbable materials should be used for hernia repair. The doubling of the facial structures gives no advantage. Alloplastic materials are restricted to problem hernias.
Kupczyk-Joeris
D
D
Chirurgische Klinik, Medizinischen Fakultät, Rheinisch-Westfälischen Technischen Hochschule Aachen.
Treutner
K H
KH
Töns
C
C
Schumpelick
V
V
D000009:Abdominal Muscles / Q000601:surgery; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002921:Cicatrix; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D012008:Recurrence; D013536:Suture Techniques
Die Narbenhernie. Ursachen und Reparationsprinzipien.