46. Zum Stand der Hernienchirurgie in Deutschland ?Ergebnisse einer Umfrage an 250 deutschen chirurgischen Abteilungen

Rötzscher, V. M.

doi:10.1007/bf01275871

Cited by 5 publications

(2 citation statements)

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“…Currently, surgeons are faced with the uncertainty of choosing among a variety of recommended methods for inguinal hernia operation. In a 1982 survey, the Bassini repair was the most standardly used method in Germany (23). Nearly 50 years after its first description in 1944 (32), the Shouldice repair is now the standard method in Germany (19, 34).…”

Section: Introductionmentioning

confidence: 99%

10 Years' Controlled Results of Suture Repair

et al. 2003

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Summary: Background: Over a period of 10 years, we prospectively evaluated the Shouldice technique for primary inguinal hernia repair with regard to recurrence rates and hernia type‐related risk profiles.  Methods: 196 unselected patients with 237 primary inguinal hernias were prospectively examined 1, 5 and 10 years after hernia repair was performed by 36 different surgeons (71 % senior surgeons) using the standardized Shouldice technique. Follow‐up included primarily physical examination and comprised 91.1 %, 85.6 % and 73 % of the patients after 1, 5 and 10 years.  Results: Early and late complications of inguinal hernia repair occurred in 11.4 %. Eighty‐eight per cent were not limited in their daily life activities 10 years after the operation. Recurrent hernia was found in 1.3 % after 5 years and 2.95 % (7 out of 237) after 10 years. The rate of recurrence tended to be higher after direct (4.8 %) and combined hernias (4.2 %) than after indirect hernia (1.6 %). Almost all recurrences were found in stage III hernias.  Conclusions: Ten years after Shouldice repair, 97 % of the patients are free of recurrence. These results indicate that there is no need to abandon the Shouldice technique with local anaesthesia as the standard procedure for primary inguinal hernia repair.

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Section: Introductionmentioning

confidence: 99%

10 Years' Controlled Results of Suture Repair

et al. 2003

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“…0,4% der Gesamtbev61kerung [17]. Einer Umfrage zufolge wurden 1983 90% aller Leistenhernien in der von Bassani 1890 [3] beschriebenen Technik versorgt [16]. In den letzten Jahren hat sich die Reparation nach Shouldice [18] aufgrund der geringeren Rezidivquote vermehrt durchgesetzt.…”

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Ein konzept zur senkung postoperativer schmerzen nach leistenhernienoperation

Röder

Weigel

Isemer

1994

Langenbecks Arch Chir

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In Germany approximately 150,000 inguinal hernias are surgically corrected every year. In addition to developing an optimum operation technique it is also the responsibility of a surgeon to treat pain during and after surgery. In a prospective random double-blind study, the pain after herniotomy performed with intraoperative anesthesia of the ilioinguinal and iliohypogastric nerves with a long-acting local anesthetic combined with a vasoconstrictor was compared by means of scores on a scale from 1 to 10 with pain in a control group. The results suggest that the intraoperative anesthesia reduces pain after surgery both on the day of the operation and afterwards, when the effect of the local anesthetic has decreased. An optimum pain therapy therefore has to start during surgery. Use of a local anesthetic is especially suitable. Side effects of systemic analgesics are avoided, and perioperative risks of ambulant hernia surgery can be reduced.

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Randomized trial of modified Bassini versus Shouldice inguinal hernia repair

Paul

Troidl

Williams

et al. 1994

Journal of British Surgery

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Between 1986 and 1992, 265 men of mean age 51 (range 16-75) years with a primary inguinal hernia were randomized to undergo surgery by staff surgeon or surgical resident and further randomized to receive a modified Bassini operation (transversalis fascia not divided but included in the repair) or Shouldice procedure. The follow-up rate was 92.1 per cent with a mean follow-up of 3.3 years. Recurrence developed in 12 of 125 patients with a Bassini procedure and two of 119 after a Shouldice repair (9.6 versus 1.7 per cent, P = 0.006). The recurrence rate was no different for staff surgeons and trainees (5.9 versus 5.6 per cent, P not significant). Multivariate analysis identified the presence of a direct hernia (P = 0.003) as the additional main factor for the development of recurrence.

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46. Zum Stand der Hernienchirurgie in Deutschland ?Ergebnisse einer Umfrage an 250 deutschen chirurgischen Abteilungen

Cited by 5 publications

References 0 publications

10 Years' Controlled Results of Suture Repair

10 Years' Controlled Results of Suture Repair

Ein konzept zur senkung postoperativer schmerzen nach leistenhernienoperation

Randomized trial of modified Bassini versus Shouldice inguinal hernia repair

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