Recurrent Hernia Prevention and Treatment
Recurrence is a significant public health problem. So, this fourth Suvretta meeting, held in February 2006 is intended to concentrate on this problem. Technical nuances of the various operations have been discussed to pursue consensus concerning the best
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Volker Schumpelick Robert J. Fitzgibbons (Eds.)
Recurrent Hernia Prevention and Treatment With 144 Figures and 97 Tables
Prof. Dr. Volker Schumpelick (Ed.) Chirurgische Klinik Universitätsklinikum Aachen Pauwelsstraße 30 52074 Aachen Germany e-mail: [email protected]
Prof. Dr. Robert J. Fitzgibbons (Ed.) Department of Surgery Creighton University 601 North 30th Street Suite 3740 Omaha, NE 68131 USA e-mail: [email protected]
ISBN 978-3-540-37545-6 Springer Medizin Verlag Heidelberg
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SPIN 11820598
18/5135/BK – 5 4 3 2 1 0
V
Preface
The field of hernia surgery has changed markedly within the past decade. Today, every patient and every surgeon has the choice between various techniques and devices to repair inguinal, incisional or hiatal hernias. Lots of publications confirm, that most of them can be applied with success. The overall low recurrence rates published make it difficult to decide, which one is the best. Large randomised trials or meta-analysis only provide mean rates to be compared, limited by the heterogeneity of surgeons and patients. In contrast, the many personal series published focus on successful treatment and are characterized by almost absence of any recurrences. However, epidemiological data repeatedly miss the prove of a significant improvement of our results, if regarded on the level of populations. In Germany, despite marked changes of repair techniques and the use of meshes in more than 60% of the patients we still have to face a constant rate of recurrent inguinal hernias of more than 12%. This di
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