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Zentralbl Chir 2024; 149(06): 512-515
DOI: 10.1055/a-2447-9171
Übersicht

Perioperatives Management in der Hernienchirurgie

Perioperative Management in Hernia Surgery
Marcus Overhaus
1   Klinik für Allgemein- und Viszeralchirurgie, Koloproktologie, Helios Klinikum Bonn/Rhein-Sieg, Bonn, Deutschland (Ringgold ID: RIN155843)
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Zusammenfassung

Die Hernienchirurgie hat sich in den letzten Jahren durch die Implementierung neuerer minimalinvasiver und robotischer Operationstechniken weiterentwickelt, die Bauchdeckenrekonstruktion bei Bauchdeckenhernien hat durch eine peri- und intraoperative Strategieerweiterung an Komplexität zugenommen. Das perioperative Management wird auch in diesem Bereich bestimmt durch ERAS-Pfade (ERAS: Enhanced Recovery After Surgery) zur Verbesserung des peri- und postoperativen Outcomes nach Hernienchirurgie. In dieser Arbeit soll der Einfluss einzelner Faktoren im multimodalen ERAS-Konzept auf die ambulante und stationäre Hernienreparation und Bauchdeckenrekonstruktion mithilfe aktueller Studien beurteilt werden.

Abstract

Hernia surgery has evolved in recent years through the implementation of newer minimally invasive and robotic surgical techniques. Moreover, abdominal wall reconstruction for abdominal wall hernias has increased in complexity, due to a peri- and intraoperative strategy for expansion. Perioperative management in this area is also determined by Enhanced Recovery After Surgery (ERAS) pathways to improve peri- and postoperative outcomes after hernia surgery. This article aims to assess the influence of individual factors in the multimodal ERAS concept on outpatient and inpatient hernia repair and abdominal wall reconstruction, on the basis of current studies.

Schlüsselwörter

Bauchdeckenhernien - perioperatives Management - robotische Chirurgie - Enhanced Recovery after Surgery

Keywords

abdominal wall hernia - enhanced recovery after surgery - robotic surgery - perioperative management


Publication History

Received: 12 August 2024

Accepted after revision: 22 October 2024

Article published online:
22 November 2024

© 2024. Thieme. All rights reserved.

Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany

 

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