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Adhaerencer efter laparoskopisk ventralherniotomi
Engelsk titel: Adhesion after laparoscopic ventral hernia repair Läs online Författare: Zinther NB ; Fedder J ; Friis-Andersen HU Språk: Dan Antal referenser: 5 Dokumenttyp: Fallbeskrivning UI-nummer: 07101563

Tidskrift

Ugeskrift for Laeger 2007;169(42)3588-9 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

Four patients treated laparoscopically for ventral hernia (LVH) using W3 mesh (Cousin Biotech, France) and Protack (Tyco Healthcare, USA) were reoperated laparoscopically after 5, 6, 14 and 23 months for recurrent hernia (two cases) and a new hernia proximal to the primary mesh (two cases). In all patients we found adhesions toward the mesh and fixation devices that increased in severity and extent with time, rendering dissection difficult and dangerous. These findings cause concern and suggest that current validation methods for materials used in LVH should be re-evaluated.