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Total extraperitoneale Patchplastik (TEP): Standardtechnik, Risiken und Komplikationen

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Laparo-endoskopische Hernienchirurgie

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Zusammenfassung

Die Standardtechnik der extraperitonealen Patchplastik (TEP) sollte entsprechend der Empfehlungen in den Guidelines der internationalen Fachgesellschaften vorgenommen werden. Die Details der Standardtechnik der TEP werden in diesem Kapitel besprochen. Spezielle Risiken bei der TEP stellen die Operation von beidseitigen Leistenhernien, Rezidivleistenhernien, Skrotalhernien, inkarzerierten Leistenhernien, Leistenhernien nach vorausgegangenen Operationen im Unterbauch und im kleinen Becken und Aszites, Leistenhernien bei Patienten mit Koagulopathie oder antithrombotischer Therapie sowie im höheren Alter dar. Hier gilt es, insbesondere die Indikation zu einem endoskopischen Verfahren unter Abwägung der Risiken und des Nutzens für den Patienten zu stellen. Der Prävention von Komplikationen wird in diesem Kapitel besondere Aufmerksamkeit geschenkt. Aber auch die Behandlung von eingetretenen intra- und postoperativen Komplikationen wird ausführlich dargestellt. Bei sorgfältiger Beachtung der dargestellten Standardtechnik der TEP, ihrer Risiken und der Strategien zur Komplikationsprävention ist dem Leser das theoretische Rüstzeug an die Hand gegeben, die TEP mit einer niedrigen Komplikationsrate in der Praxis umzusetzen.

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Authors and Affiliations

  1. Chirurgie – Visceral- und Gefäßchirurgie; Vivantes Klinikum Spandau, Zentrum für Minimal Invasive Chirurgie, Neue Bergstraße 6, 13585, Berlin, Deutschland

    Professor, Dr. med. Ferdinand Köckerling

  2. Institute of Minimal Access, Metabolic & Bariatric Surgery, Max Super Speciality Hospital, 2 Press Enclave Road, Saket, 110017, New Delhi, Indien

    Dr. Dr. h.c. Pradeep Chowbey

  3. Khoo Teck Puat Advanced Surgery Training Centre (ASTC), National University Hospital, 5 Lower Kent Ridge Road, Level 2, Kent Ridge Wing 2, 119074, Singapore, Singapur

    MD Davide Lomanto

  4. 8402 Harcourt Rd, Suite 815, Indianapolis, IN, 46260, USA

    MD Maurice E. Arregui

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  1. Professor, Dr. med. Ferdinand Köckerling
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  2. Dr. Dr. h.c. Pradeep Chowbey
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  3. MD Davide Lomanto
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  4. MD Maurice E. Arregui
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Editors and Affiliations

  1. Stuttgart, Deutschland

    Reinhard Bittner

  2. Vivantes Klinikum Spandau, Berlin, Deutschland

    Ferdinand Köckerling

  3. Creighton University School of Medicine, Omaha, NE, USA

    Robert J. Fitzgibbons

  4. Our Lady of the Lake Physician Group, Baton Rouge, LA, USA

    Karl A. LeBlanc

  5. Creighton University School of Medicine, Omaha, NE, USA

    Sumeet Mittal

  6. Max Super Specialty Hospital Saket, New Delhi, India

    Pradeep Chowbey

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Köckerling, F., Chowbey, P., Lomanto, D., Arregui, M.E. (2018). Total extraperitoneale Patchplastik (TEP): Standardtechnik, Risiken und Komplikationen. In: Bittner, R., Köckerling, F., Fitzgibbons, R.J., LeBlanc, K.A., Mittal, S., Chowbey, P. (eds) Laparo-endoskopische Hernienchirurgie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-56090-7_11

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