Recurrence after totally extraperitoneal (TEP) inguinal hernia repair: the role of physical examination and ultrasound. (van Hessen et al. Hernia, 2019)

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PURPOSE: Physical examination (PE) combined with ultrasound (US) is recommended to confirm a recurrent hernia. However, the evidence is rather weak. The aim of this study was to evaluate PE and appraise the added value of US in alleged recurrent inguinal hernias after totally extraperitoneal (TEP) inguinal hernia repair. METHODS: All adult patients who were […]

Accreditation and certification requirements for hernia centers and surgeons: the ACCESS project. (Kockerling et al. Hernia, 2019)

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INTRODUCTION: There is a need for hernia centers and specialist hernia surgeons because of the increasing complexity of hernia surgery procedures due to new techniques, more difficult cases and a tailored approach with an increasing public awareness demanding optimal treatment results. Therefore, the requirements for accredited/certified hernia centers and specialist hernia surgeons should be formulated […]

Anterior cutaneous nerve entrapment syndrome (ACNES). (Scheltinga & Roumen, Hernia, 2018)

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The abdominal wall is frequently overlooked as a potential source of chronic abdominal pain. In anterior cutaneous nerve entrapmentsyndrome (ACNES), irritated intercostal nerves cause severe abdominal pain. Current textbooks fail to acknowledge ACNES. Aim of the present review is to provide detailed information on patient history, physical examination, and a three-step treatment protocol including abdominal wall injections and […]

Mesh versus suture repair of umbilical hernia in adults: a randomised, double-blind, controlled, multicentre trial. (Kaufmann et al. Lancet, 2018)

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BACKGROUND: Both mesh and suture repair are used for the treatment of umbilical hernias, but for smaller umbilical hernias (diameter 1-4 cm) there is little evidence whether mesh repair would be beneficial. In this study we aimed to investigate whether use of a mesh was better in reducing recurrence compared with suture repair for smaller […]

Prevention of incisional hernia with prophylactic onlay and sublay mesh reinforcement versus primary suture only in midline laparotomies (PRIMA): 2-year follow-up of a multicentre, double-blind, randomised controlled trial. (Jairam et al. Lancet, 2017)

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BACKGROUND: Incisional hernia is a frequent long-term complication after abdominal surgery, with a prevalence greater than 30% in high-risk groups. The aim of the PRIMA trial was to evaluate the effectiveness of mesh reinforcement in high-risk patients, to prevent incisional hernia. METHODS: We did a multicentre, double-blind, randomised controlled trial at 11 hospitals in Austria, […]

Long-term Results of a Randomized Double-blinded Prospective Trial of a Lightweight (Ultrapro) Versus a Heavyweight Mesh (Prolene) in Laparoscopic Total Extraperitoneal Inguinal Hernia Repair (TULP-trial). (Burgmans et al. Annals of Surgery, 2016)

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In de TULP trial hebben dr. Burgmans en collegae de uitkomsten van de Ultrapo mat vergeleken met de Prolene mat in TEP chirurgie. De studie werd in mei 2016 in de Annals of Surgery gepubliceerd. Een groep van 950 patiënten werd gerandomiseerd waarbij de helft behandeld werd met een Ultrapro mat en de andere helft […]