Die offene intraperitoneale Netzplastik zur Versorgung ventraler Bauchdeckendefekte - erste Ergebnisse bei der Implantation eines mit ePTFE beschichteten Polypropylenenetzes

Abstract

The tissue sparing intraabdominal positioning technique simplifies the necessary overlap using healthy tissue as a prerequisite for a sufficient hernia repair exploiting the intraabdominal pressure.

Improved Outcomes in the Management of High‐Risk Incisional Hernias Utilizing Biological Mesh and Soft‐Tissue Reconstruction: A Single Center Experience

“…Overall wound infection rates are 7-40 % following abdominal wall hernia repair [6][7][8][9][10][11][12], and the rate of postoperative surgical site events increases with the level of pre-operative wound contamination [13] (possibly due to persistent sub-clinical infection): 1.5-3 % in clean wounds, 3-4 % in clean-contaminated wounds, 8 % in contaminated wounds, and 40 % in dirty wounds [12]. Further, in the presence of pre-operative contamination, all postoperative complications are increased (including superficial, deep, and intra-abdominal infection; wound disruption; lower respiratory tract infection; sepsis; septic shock; and requirements for mechanical ventilation), with an approximate overall 3.6-fold and 5.1-fold increased risk of complications in clean-contaminated and contaminated cases, respectively [14].…”

Kosten- und Risikoanalyse der Hernienreparation

“…Diese minimal-invasive Methode ist vermeintlich technisch einfach durchführbar, sie gewährleistet eine beliebig große Überlap-pung mit der gesunden Bauchdecke und schont die Bauchdeckenmuskulatur und die versorgenden Nerven [14]. Des Weiteren ist die Wundkomplikationsrate im Vergleich zu anderen Techniken reduziert [26].…”