-
Article
Open AccessIs mesh pore size in polypropylene meshes associated with the outcome in Lichtenstein inguinal hernia repair: a registry-based analysis of 22,141 patients
Experimental data show that large-pored meshes reduce foreign body reaction, inflammation and scar bridging and thus improve mesh integration. However, clinical data on the effect of mesh porosity on the outco...
-
Article
Open AccessAssessment of myofascial medialization following intraoperative fascial traction (IFT) in a cadaveric model
Intraoperative fascial traction (IFT) for the treatment of large ventral hernias and loss of domain (LOD) hernias is a promising tool in abdominal wall surgery. However, little is known about the extent of gai...
-
Article
Long-term evaluation of the Hernia Compact course of the German Hernia School
Since 2011, the German Hernia Society has developed the German Hernia School (GHS) as a standardized hernia surgery training program for younger surgeons, consisting of the Hernia Compact basic module. It is a...
-
Article
Open AccessMesh vs. non-mesh repair of type I hiatal hernias: a propensity-score matching analysis of 6533 patients from the Herniamed registry
Surgical treatment of type I hiatal sliding hernias aims to control the gastroesophageal reflux symptoms and prevention of hernia recurrence. Usually, a cruroplasty is performed to narrow the hiatal orifice. H...
-
Article
Open transversus abdominis release in incisional hernia repair: technical limits and solutions
Incisional hernias with a defect width of more than10 cm are considered complex. The European Hernia Society guidelines recommend that such hernias should only be repaired by surgeons with experience of compon...
-
Article
Open AccessThree-year follow-up analysis of the short-stitch versus long-stitch technique for elective midline abdominal closure randomized-controlled (ESTOIH) trial
Clinical trials have shown reduced incisional hernia rates 1 year after elective median laparotomy closure using a short-stitch technique. With hernia development continuing beyond the first postoperative year...
-
Article
Laparoscopic total (Nissen) versus posterior (Toupet) fundoplication for gastroesophageal reflux disease: a propensity score-matched comparison of the perioperative and 1-year follow-up outcome
The debate continues as to whether laparoscopic total Nissen (LNF) versus partial posterior Toupet fundoplication (LTF) leads to better outcomes in the surgical treatment of axial hiatal hernia with gastroesop...
-
Article
Mini- or less-open sublay (E/MILOS) operation vs open sublay and laparoscopic IPOM repair for the treatment of incisional hernias: a registry-based propensity score matched analysis of the 5-year results
Open sublay and laparoscopic IPOM repair have specific disadvantages and risks. In recent years, this evidence led to a paradigm shift and induced the development of new minimally invasive techniques of sublay...
-
Article
Open AccessIncisional hernia repair following pancreatic surgery—open vs laparoscopic approach
For pancreatic procedures, transverse and midline or combined approaches are used. Having an increased morbidity after pancreatic surgery, these patients have an increased risk of develo** an incisional hern...
-
Article
Open AccessSTRONGHOLD first-year results of biomechanically calculated abdominal wall repair: a propensity score matching
Every year around 70,000 people in Germany suffer from an abdominal incisional hernia that requires surgical treatment. Five years after reconstruction about 25% reoccur. Incisional hernias are usually closed ...
-
Article
Open AccessOutcome of incisional hernia repair in patients 80 years and older: results from the Herniamed-Registry
More and more often complex abdominal surgeries are performed in the elderly. Together with the ageing population these patients are at risk for incisional hernias. We aimed on assessing outcomes following inc...
-
Article
Laparoscopic transversus abdominis release for complex ventral hernia repair: technique and initial findings
The open Rives–Stoppa retrorectus and transversus abdominis release (TAR) techniques are well established in open ventral and incisional hernia repair. The principles are currently being translated into minima...
-
Article
Open AccessDrain versus no drain in elective open incisional hernia operations: a registry-based analysis with 39,523 patients
Elective open incisional hernia operations are a frequently performed and complex procedure. Prophylactic drainage is widely practised to prevent local complications, but nevertheless the benefit of surgical d...
-
Article
Gender differences in epigastric hernia repair: a propensity score matching analysis of 15,925 patients from the Herniamed registry
In recent surgical literature, gender-specific differences in the outcome of hernia surgery has been analyzed. We already know that female patients are at higher risk to develop chronic postoperative pain afte...
-
Article
Open AccessWhat are the influencing factors on the outcome in lateral incisional hernia repair? A registry-based multivariable analysis
Incisional hernias following lateral abdominal wall incisions with an incidence of 1–4% are less common than following medial incisions at 14–19%. The proportion of lateral incisional hernias in the total coll...
-
Article
Open AccessLeistenhernienoperationen – immer ambulant?
Leistenhernienoperationen stellen mit ca. 300.000 Eingriffen jährlich in Deutschland, Österreich und der Schweiz (DACH-Region) die häufigste Operation überhaupt dar. Trotz des bekundeten politischen Willens un...
-
Article
Open AccessOutcome of inguinal hernia repair after previous radical prostatectomy: a registry-based analysis with 12,465 patients
Following radical prostatectomy, the rate of inguinal hernias is fourfold higher compared to controls. Laparo-endoscopic repair after previous radical prostatectomy is considered complex. Therefore, the guidel...
-
Article
What is the reality in outpatient vs inpatient groin hernia repair? An analysis from the Herniamed Registry
Groin hernia repair is performed increasingly more often as an outpatient procedure across the world. However, the rates are extremely different and vary between below 10% and above 90%. The outpatient procedu...
-
Article
Open AccessSlowly resorbable biosynthetic mesh: 2-year results in VHWG grade 3 hernia repair
Information on the long-term performance of biosynthetic meshes is scarce. This study analyses the performance of biosynthetic mesh (Phasix™) over 24 months.
-
Article
Perioperative outcome in groin hernia repair: what are the most important influencing factors?
Using registry analyses, a large number of influencing factors on the perioperative outcome of groin hernia repair has been identified. The interactions between several influencing factors and differences in t...
