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Volker Schumpelick
Robert J. Fitzgibbons (Eds.)
Recurrent Hernia
Prevention and Treatment
Volker Schumpelick
Robert J. Fitzgibbons (Eds.)
Recurrent Hernia
Prevention and Treatment
With 144 Figures and 97 Tables
ISBN 978-3-540-37545-6 Springer Medizin Verlag Heidelberg
Bibliographic information Deutsche Bibliothek
The Deutsche Bibliothek lists this publication in Deutsche Nationalbibliographie; detailed bibliographic data is
available in the internet at <http://dnb.ddb.de>.
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permission for use must always be obtained from Springer-Verlag. Violations are liable to prosecution under the
German Copyright Law.
Springer Medizin Verlag
springer.com
© Springer-Verlag Berlin Heidelberg 2007
The use of general descriptive names, registered names, trademarks, etc. in this publications does not imply, even in
the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations
and therefore free for general use.
Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application
contained in this book. In every individual case the user must check such information by consulting the relevant
literature.
Cover: deblik, Berlin
Typesetting: Hilger VerlagsService, Heidelberg
Printing and Binding: Stürtz AG, Würzburg
Printed on acid-free paper SPIN 11820598 18/5135/BK – 5 4 3 2 1 0
Prof. Dr. Volker Schumpelick (Ed.)
Chirurgische Klinik
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: vschumpelick@ukaachen.de
Prof. Dr. Robert J. Fitzgibbons (Ed.)
Department of Surgery
Creighton University
601 North 30th Street
Suite 3740
Omaha, NE 68131
USA
e-mail: fitzjr@creighton.edu
V
The field of hernia surgery has changed markedly within the past decade. Today, every patient and
every surgeon has the choice between various techniques and devices to repair inguinal, incisional
or hiatal hernias. Lots of publications confirm, that most of them can be applied with success. The
overall low recurrence rates published make it difficult to decide, which one is the best. Large ran-
domised trials or meta-analysis only provide mean rates to be compared, limited by the hetero-
geneity of surgeons and patients. In contrast, the many personal series published focus on successful
treatment and are characterized by almost absence of any recurrences. However, epidemiological
data repeatedly miss the prove of a significant improvement of our results, if regarded on the level
of populations. In Germany, despite marked changes of repair techniques and the use of meshes in
more than 60% of the patients we still have to face a constant rate of recurrent inguinal hernias of
more than 12%. This discrepancy rises questions about the true reproducibility of clinical trials and
the cause for recurrence, e.g. improper techniques too difficult to teach, lack of technical skill or
biological failure of wound healing?
To compare the good results of various techniques is a traditional, sometimes boring attitude
of hernia congresses. The tradition of Suvretta meetings has always been to talk about failures and
mistakes in order to learn for the future. After the first meeting in 1995 on “inguinal hernia”, the
second on “incisional hernia” in 1998 and the third on “meshes” in 2003 this meeting in 2006 on
“recurrent hernia” is the fourth in a 11-year-tradition. – The intention of this expert workshop is to
elaborate precise recommendations, to help the surgeons to avoid mistakes and to treat recurrences
after different types of non-mesh or mesh-repair in inguinal, incisional and hiatal hernia.
V. Schumpelick
Preface
VII
Amid, P. K.
Lichtenstein Hernia Institute
Suite 207
5901 West Olympic Boulevard
Los Angeles, CA 90036
USA
e-mail: pamid@onemain.com
Arlt, G.
Chirurgische Klinik
Park-Klinik Weißensee
Schönstraße 80
13086 Berlin
Germany
e-mail: arlt@park-klinik.com
Bay-Nielsen, E.
Department of Surgical Gastroenterology
Hvidovre Hospital
Kettegaard Alle 30
2650 Hvidovre
Denmark
e-mail: morten.bay.nielsen@hh.hosp.dk
Bellón, J. M.
Department of Morphological Sciences
and Surgery
Faculty of Medicine
University of Alcalá
Crta. Madrid-Barcelone Km 33, 500
28871-Alcalá de Henares
Madrid
Spain
e-mail: juanm.bellon@uah.es
Bendavid, R.
614-120 Shelborne Avenue
Toronto, Ontario
M6B2M7
Canada
e-mail: rbendavid@sympatico.ca
Berger, D.
Klinik für Viszeral-, Gefäß- und Kinderchirurgie
Stadtklinik
Balger Straße 50
76532 Baden-Baden
Germany
e-mail: D. Berger@stadtklinik-Baden.de
Bittner, R.
Klinik für Allgemein- und Visceralchirurgie
Marienhospital Stuttgart
Böheimstraße 37
70199 Stuttgart
Germany
e-mail: reinhardbittner@vinzenz.de
Carlson, M. A.
University of Nebraska Medical Center
Surgery 112, VA Medical Center
4101 Woolworth Ave
Omaha, NE 68105
USA
e-mail: macarlso@unmc.edu
Ceydeli, A.
2608 Berkshire Road
Augusta, GA 30909
USA
e-mail: adilc@excite.com
Chan, C.K.
Shouldice Hospital
7750 Bayview Avenue
Thornhill, Ontario L3T 4A3
Canada
e-mail: ggordon@shouldice.com
Chan, K.L.
Division of Paediatric Surgery
Department of Surgery
University of Hong Kong Medical Centre
Queen Mary Hospital
Hong Kong SAR
China
e-mail: klchan@hkucc.hku.hk
List of First Authors
VIII List of First Authors
Chung, Lucia
University of Glasgow
Department of Surgery
Western Infirmary
Glasgow G11 6NT
United Kingdom
Chowbey, P.
Department of Minimal Access Surgery
Sir Ganga Ram Hospital
Ayushman 13, DS Market
R-Block, New Rajinder Nagar
New Dehli 11006
India
e-mail: chowbey1@vsnl.com
Conze, J.
Chirurgische Klinik
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: jconze@ukaachen.de
de Vries Reilingh, T.
Department of Surgery
University Medical Center Nijmegen
PO Box 9101
6500 HB Nijmegen
Netherlands
e-mail: t.deVriesReilingh@chir.umcn.nl
Deysine, M.
S.U.NY. at stony brook
American Hernia Society
2000 N. Village Avenue
Rockville Centre, NY 11570
USA
e-mail: maxdey@optonline.net
Dutta, S.
Department of Surgery
Stanford University
780 Welch Road
Suite 206
Stanford, CA 94305
USA
e-mail: sdutta1@stanford.edu
Elieson, M. J.
Harris Methodist HEB Hospital
1600 Hospital Parkway
Bedford, Tx 76022
USA
Ferzli, G. S.
Department of Surgery
Staten Island University Hospital
65 Cromwell Avenue
Staten Island, NY 10304
USA
e-mail: info@drferzli.com
Fitzgibbons, R. J.
Department of Surgery
Creighton University
601 North 30th Street
Suite 3740
Omaha, NE 68131
USA
e-mail: fitzjr@creighton.edu
Franz, M.G.
Division of Gastrointestinal Surgery
University of Michigan Health System
2922H Taubman Center
1500 East Medical Center Drive
Ann Arbor, Michigan
48109-0331
USA
e-mail: mfranz@umich.edu
Franzén, T.
Department of Surgery
University Hospital
Linkoping 58185
Sweden
e-mail: thomas.franzen@lio.se
Frantzidis, C. T.
Minimally Invasive Surgery
Evanston Northwestern Healthcare
Northwestern University
2650 Ridge Avenue, Burch 106
Evanston, IL 60201
USA
e-mail: cfrantzides@enh.org
IX
List of First Authors
Gilbert, A. I.
Hernia Institute of Florida
6250 Sunset Drive 200
Miami, FL 33143
USA
e-mail: Bigart32@aol.com
Haapaniemi, S.
Department of Surgery
Vrinnevi Hospital
SE-60182 Norrköpping
Sweden
e-mail: Staffan.Haapaniemi@lio.se
Halm, J.A.
Laboratorium voor Experimentele Chirurgie
Erasmus MC
Universitair Medisch Centrum Rotterdam
Postbus 2040
3000 CA Rotterdam
The Netherlands
e-mail: j.halm@erasmusmc.nl
Israelsson, L.
Kirurgkliniken
Sundvalls Sjukhus
Sundsvall Hospital
85186 Sundsvall
Sweden
e-mail: leif.israelsson@lvn.se
Itani, K.
Boston University
VA Health Care System (112A)
1400 VFW Parkway
West Roxbury, MA 02132
USA
e-mail: kitani@med.va.gov
Junge, K.
Chirurgische Klinik
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: karsten.junge@post.rwth-aachen.de
Kehlet, H.
Juliane Marie Center
Section for Surgical Pathophysiology 4074
Rigshospitalet
Blegdaarmsvej 9
2100 Copenhagen
Denmark
e-mail: Henrik.Kehlet@rh.dk
Kim, B.
VA Medical Center San Francisco
Surgical Service (112)
4150 Clement Street
San Francisco, CA 94121
USA
Kingsnorth, Andrew
Plymouth Postgraduate Medical School
Level 07 Derriford Hospital
Plymouth
Devon PL6 8DH
United Kingdom
e-mail: andrew.kingsnorth@phnt.swest.nhs.uk
Köckerling, F.
Klinikum Hannover-Siloah
Chirurgische Klinik/Zentrum
für Minimal-Invasive Chirurgie
Roesebeckstraße 15
30449 Hannover
Germany
e-mail: ferdinand.koeckerling.siloah@klinikum-
hannover.de
Kukleta, J. F.
Klinik Im Park
Seestraße 220
8029 Zürich
Switzerland
e-mail: jfkukleta@bluewin.ch
Kurzer, M.
24 Prothero Gardens
London NW4 3SL
United Kingdom
e-mail: martin@kurzer.co.uk
X List of First Authors
Lynen-Jansen, Petra
Chirurgische Klinik
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: plynen@ukaachen.de
Ma, S.Z.
Beijing ChaoYang Hospital
Capital Medical University
Cell: 13901291518
Beijing 100020
China
e-mail: masongzhang2004@yahoo.com.cn
Machairas, A.
3rd Department of Surgery
University of Athens
Faculty of Medicine
Attikon University Hospital
Rimini 1
12462 Haidari
Athens
Greece
e-mail: anmach@med.uoa.gr
Mertens, P.
Medizinische Klinik II
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: pmertens@ukaachen.de
Miserez, M.
Department of Abdominal Surgery
University Hospitals Leuven
Herestraat 49
3000 Leuven
Belgium
e-mail: marc.miserez@uz.kuleuven.ac.be
Morales-Conde, S.
University Hospital Virgen Macarena
Avda Dr. Fedriani sn
41009 Sevilla
Spain
e-mail: smoralesc@mixmail.com
Muschaweck, Ulrike
Arabella-Klinik
Arabellastraße 5
81925 München
Germany
e-mail: um@hernien.de
Nixon, S.
The Royal Infirmary of Edinburgh at Little France
26 Mayfield Gardens
Edinburgh, EH9 2BZ
United Kingdom
e-mail: stephen.nixon@ed.ac.uk
Nordin, P.
Department of Surgery
Östersund Hospital
831 83 Östersund
Sweden
e-mail: par.nordin@jll.se
Peiper, C.
Evangelisches Krankenhaus Witten
Pferdebachstraße 27
58455 Witten
Germany
e-mail: ch.peiper@dwr.de
Pettinari, D.
Department of Surgical Sciences – Pad. Beretta Est
Ospedale Maggiore Policlinico, Mangiagalli
and Regina Elena
Foundation I.R.C.C.S. Public Nature
University of Milan
Italia
e-mail: renato.pietroletti@cc.univaq.it
Pointner, R.
Department of General Surgery
and Division of Clinical Psychology
Hospital Zell am See
5700 Zell am See
Austria
e-mail: Rudolph.pointner@kh-zellamsee.at
Ramshaw, B.
Emory University
1364 Clifton Road NE
Suite H-124
Atlanta, GA 30322
USA
e-mail: ramshawb@health.missouri.edu
XI
List of First Authors
Read, R. C.
304 Potomac Street
Rockville, MD 20850
USA
e-mail: read@post.harvard.edu
Rosch, R.
Chirurgische Klinik
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: r.rosch@chir.rwth-aachen.de
Sarr, M. G.
Department of Surgery
Mayo Clinic and Mayo Foundation
Rochester, MN 55902
USA
e-mail: Sarr.michael@mayo.edu
Schippers, E.
Allgemein- und Viszeralchirurgie
Juliusspital
Juliuspromenade 19
97070 Würzburg
Germany
e-mail: e.schippers@juliusspital.de
Schumpelick, V.r
Chirurgische Klinik
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: vschumpelick@ukaachen.de
Schwab, R.
Department of General Surgery
Central Military Hospital
Rübenacher Straße 170
56072 Koblenz
Germany
e-mail: Robert.schwab@web.de
Simons, M.
Onze Lieve Vrouwe Gasthuis
Postbus 95500
1090 HM Amsterdam
The Netherlands
e-mail: mpsimons@worldonline.nl
Sorensen, L. T.
Department of Surgery
Bispebjerg Hospital
Bakke 23
2400 København
Denmark
e-mail: lts@dadlnet.dk
Stumpf, M.
Chirurgische Klinik
Universitätsklinikum Aachen
Pauwelsstraße 30
52074 Aachen
Germany
e-mail: m.stumpf@chir.rwth-aachen.de
Targarona, E. M.
Service of Surgery
Hospital de Sant Pau
Autonomous University of Barcelona
08025 Barcelona
Spain
e-mail: etargarona@santpau.es
Verhaeghe, P.
Service de Chirurgie generale et Digestive
CHU Amiens Nord
80054 Amiens cedex 01
France
e-mail: verhaeghe.pierre@chu-amiens.fr
Van Geffen, E.
Department of Surgery,
Jeroen Bosch Hospital (GZG)
Nieuwstraat 34,
5211 s-Hertogenbosch,
The Netherlands
e-mail: e.v.geffen@jbz.nl
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