RSS-Feed abonnieren
DOI: 10.1055/s-0035-1545865
Operation der Leistenhernie nach Desarda – Implementierung einer netzfreien Reparationsmethode an einer deutschen Universitätsklinik
Inguinal Hernia Repair According to Desarda – Implementation of a Mesh-Free Method in a German University HospitalPublikationsverlauf
Publikationsdatum:
12. August 2015 (online)
![](https://www.thieme-connect.de/media/zblchir/201504/lookinside/thumbnails/10-1055-s-0035-1545865_zbc1099-1.jpg)
Zusammenfassung
Die Operationstechniken zur Leistenhernienreparation weisen entsprechend der Statistik und den aktuellen Leitlinien eine deutliche Tendenz zum netzbasierten sowie laparoskopischen Vorgehen auf. Entgegen diesem Trend zeigen wir eine Operationsmethode zur netzfreien Reparation der Leistenhernie unter Verwendung von autologem Faszienmaterial zur Verstärkung der Leistenkanalhinterwand, wie sie von Desarda beschrieben wurde.
Abstract
Inguinal hernia repair shows a clear tendency towards mesh-based as well as laparoscopic approaches. This is widely reflected in data-based statistics and guidelines. In contrast we have initiated and hereby illustrate the surgical method according to Desarda using autologous fascia to repair inguinal hernia.
-
Literatur
- 1 Simons MP, Aufenacker T, Bay-Nielsen M et al. European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 2009; 13: 343-403
- 2 Desarda MP. Inguinal herniorrhaphy with an undetached strip of external oblique aponeurosis: a new approach used in 400 patients. Eur J Surg 2001; 167: 443-448
- 3 Desarda MP. Physiological repair of inguinal hernia: a new technique (study of 860 patients). Hernia 2006; 10: 143-146
- 4 Desarda MP, Ghosh MSA. Comparative study of open mesh repair and Desardaʼs no-mesh repair in a district hospital in India. East Cent Afr J Surg 2006; 11: 28-34
- 5 Desarda MP. No-mesh inguinal hernia repair with continuous absorbable sutures: a dream or reality? A study of 229 patients. Saudi J Gastroenterol 2008; 14: 122-127
- 6 Szopinski J, Kapala A, Prywinski S et al. Desarda technique for inguinal hernia treatment: first Polish experiences. Pol Przegl Chir 2005; 77: 159-168
- 7 Szczesny W, Szopinski J, Reslinski A et al. Early post-operative pain after Lichtenstein and Desarda hernioplasty. Chirurgia Polska 2010; 12: 67-75
- 8 Szopinski J, Dabrowiecki S, Pierscinski S et al. Desarda versus Lichtenstein technique for primary inguinal hernia treatment: 3-year results of a randomized clinical trial. World J Surg 2012; 36: 984-992
- 9 Manyilirah W, Kijjambu S, Upoki A et al. Comparison of non-mesh (Desarda) and mesh (Lichtenstein) methods for inguinal hernia repair among black African patients: a short-term double-blind RCT. Hernia 2012; 16: 133-144