Scholarlink

<p>With an incidence of up to 20%, incisional hernias represent a&#xa0;frequent late complication following abdominal surgery. The diagnosis is primarily made clinically and supported by ultrasound, particularly with smaller defects; however, large or complex hernias should be further evaluated using cross-sectional imaging, preferably with computed tomography (CT). Magnetic resonance imaging (MRI) can be considered a&#xa0;suitable alternative when ionizing radiation is contraindicated. The European Hernia Society (EHS) has developed a&#xa0;classification system to standardize the assessment of hernia location and size, thereby improving comparability between studies and enhancing communication in clinical practice. Considering the low overall risk of incarceration, surgical treatment is typically indicated based on clinical symptoms. Current evidence indicates significantly lower recurrence and complication rates associated with retromuscular mesh hernia repair. It is therefore considered to be the gold standard and is increasingly being performed using minimally invasive and robot-assisted approaches.</p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Differenzierte Konzepte zur Versorgung von Narbenhernien

  • 期刊论文

  • 发表日期：

    2026年6月3日

查看全文
  • Georgi Kalev,
  • Christoph Reißfelder,
  • Jens Jonescheit,
  • Richard Becker,
  • Sebastian Schölch

摘要

With an incidence of up to 20%, incisional hernias represent a frequent late complication following abdominal surgery. The diagnosis is primarily made clinically and supported by ultrasound, particularly with smaller defects; however, large or complex hernias should be further evaluated using cross-sectional imaging, preferably with computed tomography (CT). Magnetic resonance imaging (MRI) can be considered a suitable alternative when ionizing radiation is contraindicated. The European Hernia Society (EHS) has developed a classification system to standardize the assessment of hernia location and size, thereby improving comparability between studies and enhancing communication in clinical practice. Considering the low overall risk of incarceration, surgical treatment is typically indicated based on clinical symptoms. Current evidence indicates significantly lower recurrence and complication rates associated with retromuscular mesh hernia repair. It is therefore considered to be the gold standard and is increasingly being performed using minimally invasive and robot-assisted approaches.