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2018 | OriginalPaper | Buchkapitel

17. Chronische postoperative Schmerzen nach Leistenhernienoperation

verfasst von : Dr. med. Wolfgang Reinpold, MD David C. Chen, Dr. med. Cigdem Berger

Erschienen in: Laparo-endoskopische Hernienchirurgie

Verlag: Springer Berlin Heidelberg

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Zusammenfassung

Der chronische postoperative Schmerz ist die häufigste Komplikation nach Leistenbruchoperationen. Gemäß aktueller Leitlinien treten chronische Schmerzen mit 18 % nach offenen Leistenbruchoperation deutlich häufiger auf als nach laparoendoskopischem Eingriff (6%). Weitere signifikante Risikofaktoren für chronische Schmerzen sind starke präoperative Leistenschmerzen, Alter unter 50 Jahren, weibliches Geschlecht, Rezidivleistenbruchoperation und starke frühpostoperative Schmerzen. Eine starke Beeinträchtigung im täglichen Leben tritt in 0,5–6 % der Fälle auf. Zur Prävention chronischer Leistenschmerzen sind präzise Kenntnisse der Leistennervenanatomie bei jeder Operation unverzichtbar. Die Diagnostik und Therapie erfolgen interdisziplinär. Bei relevanten, die Lebensqualität beeinträchtigenden chronischen postoperativen Leistenschmerzen, die sich mit konservativen und interventionellen Therapiemaßnahmen nicht beherrschen lassen, kann eine Operation indiziert sein. Revisionsoperationen zur Schmerzkontrolle und insbesondere die Entfernung von Kunststoffimplantaten sollten spezialisierten Hernienchirurgen vorbehalten sein.

Vorheriges Kapitel Nachsorge und Rekonvaleszenz in der laparoskopischen Leistenhernienchirurgie

Nächstes Kapitel Kosten der laparoendoskopischen Leistenhernienversorgung

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Titel: Chronische postoperative Schmerzen nach Leistenhernienoperation
verfasst von: Dr. med. Wolfgang Reinpold
MD David C. Chen
Dr. med. Cigdem Berger
Verlag: Springer Berlin Heidelberg
Buch: Laparo-endoskopische Hernienchirurgie
Print ISBN: 978-3-662-56089-1

Electronic ISBN: 978-3-662-56090-7

Copyright-Jahr: 2018
DOI: https://doi.org/10.1007/978-3-662-56090-7_17

Springerpflege

Zusammenfassung

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