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Recurrent Hernia: Prevention and Treatment by Schumpelick V. (Editor), Fitzgibbons R.J. (Editor)

By Schumpelick V. (Editor), Fitzgibbons R.J. (Editor)

Recurrence is an important public ailment. So, this fourth Suvretta assembly, held in February 2006 is meant to pay attention to this challenge. Technical nuances of a few of the operations were mentioned to pursue consensus about the top ideas. equipment have been explored to enhance surgeons' schooling and check out the multifactorial etiologies to appreciate the biology of hernia recurrence larger.

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Sample text

3. 05). 4. 05) Many new training methods have been described and are being developed internationally. In the OLVG hospital in Amsterdam many of these methods have been implemented and are used in the attempt to improve the results of inguinal hernia surgery. Surgical training starts in the first year with theoretical training and skillslabs. Residents must have knowledge of the Dutch Guidelines [6, 7], learn the anatomy and observe training videos that were developed by Dr. Amid of the Lichtenstein Hernia Institute.

8%. 6%. It was concluded that changing of technique and better training with more supervision improved the results. 7) [9–12]. The results show an increase in operating time in the teaching hospital but comparable results for recurrence and other complications. In conclusion although it seems logical that residents perform less than attending surgeons, this is not proven in literature. It could be that general surgeons who do not perform dedicated hernia surgery have results comparable to residents.

Of these 11 recurrences, 4 occurred within the first 2 years, 3 between the second and fourth year and 4 between years 4 and 7. According to the increasing rate of recurrences, the rate of patients presenting no adverse symptoms dropped from 91% 3 months postoperatively to 81% 3 years postoperatively. These results were confirmed by Targarona [12] in 2004 in a study of mid-term analysis of safety and quality of life after the laparoscopic repair of para-esophageal hiatal hernia in 46 patients he had operated on.

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