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  1. Article

    Open Access

    A word of caution: never use tacks for mesh fixation to the diaphragm!

    The mesh fixation technique used in repair of hiatal hernias and subxiphoid ventral and incisional hernias must meet strenuous requirements. In the literature, there are reports of life-threatening complicatio...

    F. Köckerling, C. Schug-Pass, R. Bittner in Surgical Endoscopy (2018)

  2. Article

    Open Access

    Seroma following transabdominal preperitoneal patch plasty (TAPP): incidence, risk factors, and preventive measures

    The reported range of seroma formation in the literature after TEP repair is between 0.5 and 12.2% and for TAPP between 3.0 and 8.0%. Significant clinical factors associated with seroma formation include old a...

    F. Köckerling, R. Bittner, D. Adolf, R. Fortelny, H. Niebuhr in Surgical Endoscopy (2018)

  3. Article

    Open Access

    What are the influencing factors for chronic pain following TAPP inguinal hernia repair: an analysis of 20,004 patients from the Herniamed Registry

    In inguinal hernia repair, chronic pain must be expected in 10–12% of cases. Around one-quarter of patients (2–4%) experience severe pain requiring treatment. The risk factors for chronic pain reported in the ...

    H. Niebuhr, F. Wegner, M. Hukauf, M. Lechner, R. Fortelny, R. Bittner in Surgical Endoscopy (2018)

  4. Article

    Open Access

    TEP or TAPP for recurrent inguinal hernia repair—register-based comparison of the outcome

    The guidelines of the international hernia societies recommend laparo-endoscopic inguinal hernia repair for recurrent hernias after open primary repair. To date, no randomized trials have been conducted to com...

    F. Köckerling, R. Bittner, A. Kuthe, M. Hukauf, F. Mayer, R. Fortelny in Surgical Endoscopy (2017)

  5. Article

    Open Access

    Laparo-endoscopic versus open recurrent inguinal hernia repair: should we follow the guidelines?

    On the basis of six meta-analyses, the guidelines of the European Hernia Society (EHS) recommend laparo-endoscopic recurrent repair following previous open inguinal hernia operation and, likewise, open repair ...

    F. Köckerling, R. Bittner, A. Kuthe, B. Stechemesser, R. Lorenz in Surgical Endoscopy (2017)

  6. Article

    Open Access

    Does surgeon volume matter in the outcome of endoscopic inguinal hernia repair?

    For open and endoscopic inguinal hernia surgery, it has been demonstrated that low-volume surgeons with fewer than 25 and 30 procedures, respectively, per year are associated with significantly more recurrence...

    F. Köckerling, R. Bittner, B. Kraft, M. Hukauf, A. Kuthe in Surgical Endoscopy (2017)

  7. Article

    Open Access

    TEP versus Lichtenstein: Which technique is better for the repair of primary unilateral inguinal hernias in men?

    In the update of the guidelines of the European Hernia Society, open Lichtenstein and endoscopic techniques continue to be recommended as the surgical technique of choice for repair of unilateral primary ingu...

    F. Köckerling, B. Stechemesser, M. Hukauf, A. Kuthe, C. Schug-Pass in Surgical Endoscopy (2016)

  8. Article

    Open Access

    Has endoscopic (TEP, TAPP) or open inguinal hernia repair a higher risk of bleeding in patients with coagulopathy or antithrombotic therapy? Data from the Herniamed Registry

    Inguinal hernia operations in the presence of antithrombotic therapy, based on antiplatelet or anticoagulant drugs, or existing coagulopathy are associated with a markedly higher risk for onset of postoperati...

    F. Köckerling, C. Roessing, D. Adolf, C. Schug-Pass, D. Jacob in Surgical Endoscopy (2016)

  9. Article

    Open Access

    Endoscopic repair of primary versus recurrent male unilateral inguinal hernias: Are there differences in the outcome?

    To date, there are no prospective randomized studies that compare the outcome of endoscopic repair of primary versus recurrent inguinal hernias. It is therefore now attempted to answer that key question on th...

    F. Köckerling, D. Jacob, W. Wiegank, M. Hukauf, C. Schug-Pass in Surgical Endoscopy (2016)

  10. Article

    Open Access

    Do we need antibiotic prophylaxis in endoscopic inguinal hernia repair? Results of the Herniamed Registry

    The use of antibiotic prophylaxis in inguinal hernia repair is a controversial issue. Accepted randomized controlled trials or registry data with specific analysis of endoscopic repaired patients do not exist.

    F. Köckerling, R. Bittner, D. Jacob, C. Schug-Pass, C. Laurenz in Surgical Endoscopy (2015)

  11. No Access

    Article

    Fixation of mesh to the peritoneum using a fibrin glue: investigations with a biomechanical model and an experimental laparoscopic porcine model

    In recent years, the use of fibrin glue has become an established practice in several areas of surgical treatment. For example, fibrin glue is used increasingly as an alternative method for mesh fixation in he...

    C. Schug-Pass, H. Lippert, F. Köckerling in Surgical Endoscopy (2009)