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Kirurgisk behandling af ventralhernier
Engelsk titel: Surgical treatment algorithm for ventral hernias Läs online Författare: Henriksen, Nadia A ; Bisgaard, Thue ; Friis Andersen, Hans ; Nannestad Jörgensen, Lars ; Helgstrand, Frederik Språk: Dan Antal referenser: 30 Dokumenttyp: Översikt UI-nummer: 19090050

Tidskrift

Ugeskrift for Laeger 2019;181(10)974-7 ISSN 0041-5782 E-ISSN 1603-6824 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

This review updates the literature on surgical treatment algorithm for umbilical, epigastric and incisional hernias by proposing an algorithm. It is recommended, that small hernias (horizontal defect 0-2 cm) are repaired openly with sublay or onlay mesh with 1 cm mesh overlap. Medium-sized hernias (horizontal defect 2-6 cm) may be repaired laparoscopically with intraperitoneal mesh with at least 5 cm overlap or openly with sublay mesh. Open repair with sublay mesh is recommended for large hernias (6-10 cm). Complex hernias and transverse defects > 10 cm should be repaired in a specialised hernia centre.