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Description
(Author portrait)
Prof. Dr. med. Dr. h.c. Volker Schumpelick, ist Direktor der Chirurgischen Klinik des Universitätsklinikums der RWTH Aachen.
Contents
Recurrence as an Important Endpoint.- Present State of Failure Rates (Clinical Studies and Epidemiological Database, Short- and Long-Term).- Recurrence as a Problem of the Trainee.- Failures in Hernia Surgery Done by Experts.- Biological Reasons to Fail.- Pervasive Co-Morbidity and Abdominal Herniation: an Outline.- Non-Surgical Risk Factors for Recurrence of Hernia.- The Instable Scar.- Biomaterials: Disturbing Factors in Cell Cross-Talk and Gene Regulation.- Hiatal Hernia.- Technical Pitfalls and Factors that Promote Recurrence (Small Defects) Following Surgical Treatment of Hiatal Hernia.- Anatomical Limitations of Surgical Techniques.- Prevention by Selection?.- Redo-Operations Open/Laparoscopically: Change of Technique or Make it Better?.- The Failed Laparoscopic Hiatal Hernia Repair: "Making it Better" at Redo Operation.- Change of Technique: With or Without Mesh?.- Some Laparoscopic Hiatal Hernia Repairs Fail - Impact of Mesh and Mesh Material in Crural Repair.- Abdominal Wall Closure.- Finding the Best Abdominal Closure - An Evidence-Based Overview of the Literature.- Closure of Transverse Incisions.- Biological Reasons for an Incisional Hernia.- Technical Pitfalls Favouring Incisional Hernia.- Bioprostheses: Are They the Future of Incisional/Acquired Hernia Repair?.- Incisional Hernia.- Whom to Operate?.- How to Create a Recurrence After Incisional Hernia Repair.- Anatomical Limitations - Where Are the Layers?.- Biomechanical Data - "Hernia Mechanics": Hernia Size, Overlap and Mesh Fixation.- How to Treat the Recurrent Incisional Hernia.- Open Repair.- Laparoscopical Repair.- Primary Inguinal Hernia.- How to Create a Recurrence.- How to Treat Recurrent Inguinal Hernia.- Treatment of Recurrent Inguinal Hernia.- Recurrence and Infection: Correlation and Measures to Decrease the Incidence of Both.- Inguinal Hernia Recurrence and Pain.- Recurrence and Mesh Material.- Mesh Explantation in the Groin.- The Mesh and the Spermatic Cord.- Principle Actions for Re-Recurrences.- Treatment of the Other Hernia.- Laparoscopic Repair of Recurrent Childhood Inguinal Hernias After Open Herniotomy.- The Femoral Hernia - the Bete Noire of Hernias!.- The Umbilical Hernia.- Parastomal Hernia: Prevention and Treatment.- Central Mesh Rupture - Myth or Real Concern?.- What Can We Do to Improve Our Results?.- Improved Teaching and Technique.- Analyzing Reasons and Re-Operation for the Inguinal Hernias Recurring After Mesh-Plug Procedure.- Standard Procedures for Standard Patients?.- Tailored Approach for Non-Standard Patients.- Identification of the Patients at Risk (for Recurrent Hernia Disease).- The Biological Treatment of the Hernia Disease.- Pharmacological Treatment of the Hernia Disease.- Concluding Recommendations to Prevent the Recurrence.- Questionnaire (39 Participants).
