Chirurgie der Leistenhernie

Jähne, J.

doi:10.1007/pl00002599

Cited by 8 publications

(4 citation statements)

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“…Trends und Medizinökonomie Der Leistenbruch ist eine der häufigs ten chirurgischen Erkrankungen; allein in Deutschland geht man von jährlich etwa 150.000-200.000 Ope rationen aus [14,19]. Als Operations verfahren werden neben den offenen Techniken nach Shouldice, Bassini, Lichtenstein u. a. auch sog.…”

Section: Optimierung Des Perioperativen Manage Ments Am Beispiel Der unclassified

Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

et al. 2008

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This study demonstrates that the length of stay after laparoscopic hernia repair can be reduced by one day by relatively simple means without affecting patient satisfaction or the complication rate. Most important is the introduction of clear-cut criteria that allow an early decision-making for discharge home. Moreover, many patients complain of constipation after laparoscopic surgery, and this may prolong the length of stay. This problem can be solved completely by the standardized use of sodium picosulfate, administered on the evening after surgery.

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Section: Optimierung Des Perioperativen Manage Ments Am Beispiel Der unclassified

Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

et al. 2008

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“…Zu einer regelhaften Antibiose, wie teilweise gefordert [26], sehen wir daher keinen Grund. Eine Thrombose oder Major-Komplikationen wie Blasen-oder Darmverletzungen, wie sie bei endoskopischen Techniken selbst bei erfahrensten Operateuren auftreten [6,14,18,19,23], haben wir nicht beobachtet. Serome haben wir nur wenige gesehen (0,6%).…”

Section: Postoperative Komplikationenunclassified

Ambulante Hernioplastik nach Lichtenstein

Dieterich

Eichhorn

2004

Chirurg

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“…In Germany alone about 200,000 cases are operated annually. [1] The minimally invasive approach has been proven to be an efficient and safe method providing excellent operative outcomes. [2,3] Nevertheless, postoperative seroma formation remains a relatively frequent sequela after totally extraperitoneal hernia (TEP) repair in the early postoperative period [4] with prevalence that reaches 37.9% in the first week after discharge.…”

Section: Introductionmentioning

confidence: 99%

Routine closed-suction drainage reduces seromas following totally extraperitoneal (TEP) inguinal hernia repair: A meta-analysis

Prassas,

Zaczek,

David

et al. 2024

Medicine

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Background: The value of prophylactic closed-suction drainage in totally extraperitoneal inguinal hernia repair (TEP) is still a matter of controversy. We conducted a meta-analysis of studies examining postoperative seroma rates in patients with or without routine placement of closed-suction drainage tubes. Methods: A systematic literature search was conducted for trials comparing the outcome of TEP with or without routine drainage placement. Data regarding postoperative outcomes were extracted and compared by meta-analysis. The odds ratio and standardized mean differences with 95% confidence intervals were calculated. Results: Four studies were identified, involving a total of 1626 cases (Drain: n = 1251, no Drain: n = 375). There was a statistically significant difference noted between the 2 groups regarding postoperative seroma formation favoring the Drain group (odds ratio = 0.12; 95% confidence intervals [0.05, 0.29]; P < .001; 4 studies; I 2 = 72%). For the remaining secondary endpoints postoperative urinary retention, recurrence, mesh infection and in-hospital length of stay no statistically significant difference was noted between the 2 study groups. Conclusion: Current evidence suggests that patients who underwent TEP with routine closed-suction drain placement developed significantly fewer seromas without any additional morbidity or prolongation of in-hospital stay.

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Chirurgie der Leistenhernie

Cited by 8 publications

References 0 publications

Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

Optimierung des perioperativen Managements am Beispiel der laparoskopischen Leistenbruchoperation

Ambulante Hernioplastik nach Lichtenstein

Routine closed-suction drainage reduces seromas following totally extraperitoneal (TEP) inguinal hernia repair: A meta-analysis

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