By L. M. Nyhus (auth.), Prof. Dr. med. Dr. h.c. Volker Schumpelick, Dr. med. Lloyd M. Nyhus (eds.)
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Additional resources for Meshes: Benefits and Risks
7. Mikkelsen T, BaY·N"ielsen M, Kehlet H. Risk of femoral hernia after inguinal herniorrhaphy. l9:486-488. 8. Nilsson E, Haapaniemi S. Hernia registers and specialization. Surg Clin North Am 1998;78: 1141-1155. Discussion Schumpelick: Congratulations on this excellent data base in your country. How did you standardize the various operation techniques? Kehlet: By discussing them. Of course, we could not go out to control if everybody is following it, but we agree on every step in the procedure. It took 1'/2 hour of intense discussion until we agreed.
37 Preoperative anemia was found to be a significant risk factor in this study as well as in some other publications [20,30). Bearing in mind that tissue perfusion is a prerequisite for undisturbed wound healing , the intra- and postoperative hypoxia in the incisional region due to anemia may serve as an explanation. Additionally, it may be assumed that the condition leading to anemia (bleeding, malignant disease) contribute further risk factors for IH formation. A rising body mass index was also found to be a significant risk factor.
Changing the path of inguinal hernia surgery decreased the recurrence rate 10-fold. A report from a county hospital. Eur J Surg 20ll3; 168: 593-597. Discussion Kingsnorth: I just want to remark that our techniques have to be simple and reproduceable. 3 Sweden - Agneta Montgomery 23 cannot be reproduced by the average surgeon at the average hospital with the same good results. The laparoscopic techniques are very good techniques in the hand of the right surgeon, but if you try to generalize them, it does not work very well.
Meshes: Benefits and Risks by L. M. Nyhus (auth.), Prof. Dr. med. Dr. h.c. Volker Schumpelick, Dr. med. Lloyd M. Nyhus (eds.)