nach oben

Erschienen in:

2018 | OriginalPaper | Buchkapitel

10. Transabdominelle präperitoneale Patchplastik (TAPP): Fehlervermeidung, Nachsorge, Schmerzmanagement und Lernkurve

verfasst von : Professor, Dr. med. Dr. h.c. mult. Reinhard Bittner, Dr. med. Jan F. Kukleta, MD David C. Chen

Erschienen in: Laparo-endoskopische Hernienchirurgie

Verlag: Springer Berlin Heidelberg

Einloggen, um Zugang zu erhalten

Zusammenfassung

In diesem Kapitel wird praxisnah nach Gutachterfällen und eigenen Missgeschicken detailliert auf mögliche Fehler bei Durchführung einer TAPP sowie auf deren Vermeidung eingegangen. Außerdem wird die Lernkurve beschrieben und ausführlich dargestellt, wie sie effektiv verkürzt und ein Trainingsprogramm für den jungen Chirurgen gestaltet werden kann. Darüber hinaus werden die persönlichen Erfahrungen zum Schmerzmanagement und der Nachsorge geschildert sowie abschließend Gründe genannt, warum der Erstautor die TAPP im Operationsspektrum bei der Leistenhernie bevorzugt.

Vorheriges Kapitel Transabdominelle präperitoneale Patchplastik (TAPP): Standardtechnik, Risiken und Komplikationen

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

In Klammern der Grad der Evidenz nach der Oxford-Klassifikation.

Agresta F, De Simone P, Ciardo LF, Bedin N (2004) Direct trocar insertion vs Veress needle in nonobese patients undergoing laparoscopic procedures: a randomized prospective single-center study. Surg Endosc 18: 1778–81. (1b)CrossRefPubMed

Altun H, Banli O, Kavlakoglu B, Kücükkayikci B, Kelesoglu C, Erez N (2007) Comparison between direct trocar and Veress needle insertion in laparoscopic cholecystectomy. J Laparoendosc Adv Surg Tech A 17: 709–12. (1b)CrossRef

Andreatta PB, Woodrum DT, Birkmeyer JD, Yellamanchilli RK, Doherty GM, Gauger PG, Minter RM (2006) Laparoscopic skills are improved with LapMentor training: results of a randomized, double-blinded study. Ann Surg 243 (6): 854–860. (1b)

Arregui ME, Davis CJ, Yucel O, NaganRF (1992) Laparoscopic mesh repair of inguinal hernia using a preperitoneal approach: a preliminary report. Surg Laparosc Endosc 2 (1):53–8. (3)

Arvidsson D, Berndsen FH, Larsson LG, Leijonmarck CE, Rimbaeck G, Rudberg C, Smedberg S, Spangen L, Montgomery A (2005) Randomized clinical trial comparing 5-year recurrence rate after laparoscopic versus Shouldice repair of primary inguinal hernia. Br J Surg 92 (9): 1085–1091 (1b)CrossRefPubMed

Bhoyrul S, Payne J, Steffes B, Swanstrom L, Way LW (2000) A randomized prospective study of radially expanding trocars in laparoscopic surgery. J Gastrointest Surg 4: 392–397. (1b)CrossRefPubMed

Bittner R, Arregui ME, Bingener-Casey J, Bisgaard T, Buhck H, Dudai M, Ferzli GS, Fitzgibbons RJ, Fortelny RH, Klinge U, Koeckerling F, Kuhry E, Kukleta J, Lomanto D, Misra MC, Montgomery A, Morales-Conde S, Reinpold W, Rosenberg J, Sauerland S, Schug-Paß C, Singh K, Timoney M, Weyhe D, Chowbey P (2015) Update of guidelines on laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia (International Endohernia Society). Surg Endosc 29 (2): 289–321. (1a)

Bittner R, Arregui ME, Bisgaard T, Dudai M, Ferzli GS, Fitzgibbons RJ, Fortelny RH, Klinge U, Kockerling F, Kuhry E, Kukleta J, Lomanto D, Misra MC, Montgomery A, Morales-Conde S, Reinpold W, Rosenberg J, Sauerland S, Schug-Pass C, Singh K, Timoney M, Weyhe D, Chowbey P (2011) Guidelines for laparoscopic (TAPP) and endoscopic (TEP) treatment of inguinal hernia [International Endohernia Society (IEHS)]. Surg Endosc 25 (9): 2773–843. (1a)CrossRefPubMedPubMedCentral

Bittner R, Leibl BJ, Ulrich M (2006) Chirurgie der Leistenhernie. Karger, Basel. (2c)

Bittner R, Sauerland S, Schmedt CG (2005) Comparison of endoscopic techniques vs. Shouldice and other open nonmesh techniques for inguinal hernia repair: a meta-analysis of randomized controlled trials. Surg Endosc 19: 605–615. (1a)CrossRefPubMed

Bittner R, Schmedt CG, Leibl BJ (2003) Transabdominal pre-peritoneal approach. In: LeBlanc KA (ed) Laparoscopic hernia surgery. Arnold Publisher, London, p 54–64. (2c)CrossRef

Bittner R, Schmedt CG, Schwarz J, Kraft K, Leibl BJ (2002) Laparoscopic transperitoneal procedure for routine repair of groin hernia. Br J Surg 89: 1062–1066. (2b)CrossRefPubMed

Boekeler U, Schwarz J, Bittner R, Zacheja S, Smaxwil C (2013) Teaching and training in laparoscopic inguinal hernia repair (TAPP): impact of the learning curve on patient outcome. Surg Endosc 27 (8): 2886–2893. (3)CrossRefPubMed

Boughey JC, Nottingham JM, Walls AC (2003) Richter’s hernia in the laparoscopic era: four case reports and review of the literature. Surg Laparosc Endosc Percutan Tech 13: 55–8. (4)

Bringman S, Blomqvist P (2005) Intestinal obstruction after inguinal and femoral hernia repair: a study of 33,275 operations during 1992–2000 in Sweden. Hernia 9: 178–183. (2c)CrossRefPubMed

Carilli S, Alper A, Emre A (2004) Inguinal cord lipomas. Hernia 8: 252–254. (4)

Catarci M, Carlini M, Gentileschi P, Santoro E (2001) Major and minor injuries during the creation of pneumoperitoneum: a multicenter study on 12,919 cases. Surg Endosc 15: 566–569. (2c)CrossRefPubMed

Cavazzola LT, Lieberknecht M, Machado AS, Farias FR (2009) Giant lipoma of the spermatic cord. Am J Surg 198: 54–5. (4)CrossRefPubMed

Celik AS, Memmi N, Celebi F, Guzey D, Celik A, Kaplan R, Oncu M (2009) Impact of slit and nonslit mesh technique on testicular perfusion and volume in the early and late postoperative period of the totally extraperitoneal preperitoneal technique in patients with inguinal hernia. Am J Surg 198: 287–91. (1b)CrossRefPubMed

Chapelle CF, Swank HA, Wessels ME, Mol BW, Rubinstein SM, Jansen FW (2015) Trocar types in laparoscopy. Cochrane Database Syst Rev 12: CD009814. (1a)

Choi YY, Kim Z, Hur KY (2012) Learning curve for laparoscopic totally extraperitoneal repair of inguinal hernia. Can J Surg 55 (1): 33–36. (4)CrossRefPubMedCentral

Di Lorenzo N, Coscarella G, Lirosi F, Gaspari A (2002) Port-site closure: a new problem, an old device. JSLS 6: 181–3. (4)

Domniz N, Perry ZH, Lantsberg L, Avinoach E, Mizrahi S, Kirshtein B (2011) Slit versus non-slit mesh placement in total extraperitoneal inguinal hernia repair. World J Surg 35: 2382–6. (3)CrossRefPubMed

Dulucq JL (1992) Treatment of inguinal hernia by insertion of a subperitoneal patch under pre-peritoneoscopy. Chirurgie 118 (1–2): 83–85. (3)

Duran JJ, May JM, Msika S, Gaschard D, Domergue J, Gainant A, Fingerhut A (2000) Prevalence and mechanisms of small intestinal obstruction following laparoscopic abdominal surgery. Arch Surg 135: 208–212. (2c)CrossRefPubMed

Edwards CC, Bailey RW (2000) Laparoscopic hernia repair: the learning curve. Surg Laparosc Endosc Percutan Tech 10: 149–153. (3)CrossRef

Eker HH, Langeveld HR, Klitsie PJ, van’t Riet M, Stassen LP, Weidema WF, Steyerberg EW, Lange JF, Bonjer HJ, Jeekel J (2012) Randomized clinical trial of total extraperitoneal inguinal hernioplasty vs Lichtenstein repair: a long-term follow-up study. Arch Surg 147 (3): 256–360. (1b)CrossRefPubMed

Eklund AS, Montgomery AK, Rasmussen IC, Sandbue RP, Bergkvist LA, Rudberg CR (2009) Low recurrence rate after laparoscopic (TEP) and open (Lichtenstein) inguinal hernia repair: a randomized, multicenter trial with 5-year follow-up. Ann Surg 249 (1): 33–38. (1b)CrossRefPubMed

Eugene JR, Gashti M, Curras EB, Schwartz K, Edwards J (1998) Small bowel obstruction as a complication of laparoscopic extraperitoneal inguinal hernia repair. J Am Osteopath Assoc 98: 510–511. (2c)

Feliu-Palá X, Martín-Gómez M, Morales-Conde S, Fernández-Sallent E (2001) The impact of the surgeon’s experience on the results of laparoscopic hernia repair. Surg Endosc 15 (12): 1467–1470. (3)CrossRefPubMed

Felix E, Scott S, Crafton B, Geis P, Duncan T, Sewell R, McKernan B (1998) Causes of recurrence after laparoscopic hernioplasty. A multicenter study. Surg Endosc 12: 226–31. (3)CrossRefPubMed

Gersin KS, Heniford BT, Garcia-Ruiz A, Ponsky JL (1999) Missed lipoma of the spermatic cord. A pitfall of transabdominal preperitoneal laparoscopic hernia repair. Surg Endosc 13: 585–7. (3)CrossRefPubMed

Grant AM; EU Hernia Trialists Collaboration (2002) Laparoscopic versus open groin hernia repair: meta-analysis of randomised trials based on individual patient data. Hernia 6: 2–10. (1a)CrossRefPubMed

Gurusamy KS, Aggarwal R, Palanivelu L, Davidson BR (2009a) Virtual reality training for surgical trainees in laparoscopic surgery. Cochrane Database Syst Rev 1: CD006575. (1a)

Gurusamy KS, Samraj K, Fusai G, Davidson BR (2009b) Robot assistant for laparoscopic cholecystectomy. Cochrane Database Syst Rev 1: CD006578. (1a)

Haidenberg J, Kendrick ML, Meile T, Farley DR (2003) Totally extraperitoneal (TEP) approach for inguinal hernia: the favorable learning curve for trainees. Curr Surg 60 (1): 65–68. (4)CrossRefPubMed

Hasson HM (1971) A modified instrument and method for laparoscopy. Am J Obstet Gynecol 110: 886–887. (5)CrossRefPubMed

Holzinger F, Klaiber C (2002) Trocar site hernias. A rare but potentially dangerous complication of laparoscopic surgery. Chirurg 73 (9): 899–904. (3)CrossRef

Jones DB, Callery MP, Soper NJ (1996) Strangulated incisional hernia at trocar site. Surg Laparosc Endosc 6: 152–4. (4)

Kapiris SA, Brough WA, Royston CM, O’Boyle C, Sedman PC (2001) Laparoscopic transabdominal preperitoneal (TAPP) hernia repair. A 7-year two-center experience in 3017patients. Surg Endosc 15: 972–5. (2c)CrossRefPubMed

Knook MT, van Rosmalen AC, Yoder BE, Kleinrensink GJ, Snijders CJ, Looman CW, van Steensel CJ (2001) Optimal mesh size for endoscopic inguinal hernia repair, a study in a porcine model. Surg Endosc 15: 1471–1477. (5)CrossRefPubMed

Koch CA, Grinberg GG, Farley DR (2006) Incidence and risk factors for urinary retention after endoscopic hernia repair. Am J Surg 191: 381–385. (3)CrossRefPubMed

Kouba EJ, Hubbard JS, Wallen E, Pruthi RS (2007) Incisional hernia in a 12-mm non-bladed trocar site following laparoscopic nephrectomy. Urol Int 79: 276–9. (4)CrossRefPubMed

Lal P, Kajla RK, Chander J, Ramteke VK (2004) Laparoscopic total extraperitoneal (TEP) inguinal hernia repair: overcoming the learning curve. Surg Endosc 18 (4): 642–645. (3)CrossRefPubMed

Lam TY, Lee SW, So HS, Kwok SP (2000) Radially expanding trocar: a less painful alternative for laparoscopic surgery. J Laparoendosc Adv Surg Tech A 105: 269–273. (2b)CrossRef

Lamb AD, Robson AJ, Nixon SJ (2006) Recurrence after totally extraperitoneal laparoscopic repair: implications for operative technique and surgical training. Surgeon 4 (5): 299–307. (3)CrossRefPubMed

Lau H (2007) Recurrence following endoscopic extraperitoneal inguinal hernioplasty. Hernia 11: 415–418. (4)CrossRefPubMed

Lau H, Loong F, Yuen WK, Patil NG (2007) Management of herniated retroperitoneal adipose tissue during endoscopic extraperitoneal inguinal hernioplasty. Surg Endosc 21: 1612–6. (3)CrossRefPubMed

Lau H, Patil NG, Yuen WK, Lee F (2002) Learning curve for unilateral endoscopic totally extraperitoneal (TEP) inguinal hernioplasty. Surg Endosc 16: 1724–1728. (4)CrossRefPubMed

Leibl BJ, Kraft B, Redecke JD, Schmedt CG, Ulrich M, Kraft K, Bittner R (2002) Are postoperative complaints and complications influenced by different techniques in fashioning and fixing the mesh in transperitoneal laparoscopic hernioplasty? Results of a prospective randomized trial. World J Surg 26: 1481–1484. (2b)CrossRefPubMed

Leibl BJ, Schmedt CG, Kraft K, Kraft B, Bittner R (2001) Laparoscopic transperitoneal hernia repair of incarcerated hernias: Is it feasible? Results of a prospective study. Surg Endosc 15: 1179–1183. (3)CrossRefPubMed

Leibl BJ, Schmedt CG, Kraft K, Ulrich M, Bittner R (2000) Recurrence after endoscopic transperitoneal hernia repair (TAPP): causes, reparative techniques, and results of the reoperation. J Am Coll Surg 190: 651–655. (3)

Leibl BJ, Schmedt C-G, Schwarz J, et al (1998) A single institution’s experience with transperitoneal laparoscopic hernia repair. Am J Surg 175: 446–452. (2c)CrossRefPubMed

Liem MS, van Steensel CJ, Boelhouwer RU, Weidema WF, Clevers GJ, Meijer WS, Vente JP, de Vries LS, van Vroonhoven TJ (1996) The learning curve for totally extraperitoneal laparoscopic inguinal hernia repair. Am J Surg 171 (2): 281–285. (3)CrossRefPubMed

Lilly MC, Arregui ME (2002) Lipomas of the cord and round ligament. Ann Surg 235: 586–590. (4)CrossRefPubMedPubMedCentral

Liu CD, McFadden DW (2000) Laparoscopic port sites do not require fascial closure when nonbladed trocars are used. Am Surg 66: 853–4. (4)

Lowham AS, Filipi CJ, Fitzgibbons RJ Jr, Stoppa R, Wantz GE, Felix EL, Crafton WB (1997) Mechanisms of hernia recurrence after preperitoneal mesh repair. Ann Surg 225: 422–431. (2b)CrossRefPubMedPubMedCentral

McCormack K, Wake BL, Fraser C, Vale L, Perez J, Grant A (2005) Transabdominal pre-peritoneal (TAPP) versus totally extraperitoneal (TEP) laparoscopic techniques for inguinal hernia repair: a systematic review. Hernia 9: 109–114. (1a)

Merlin TL, Hiller JE, Maddern GJ, Jamieson GG, Brown AR, Kolbe A (2003) Systematic review of the safety and effectiveness of methods used to establish pneumoperitoneum in laparoscopic surgery. Br J Surg 90: 668–679. (1a)CrossRefPubMed

Miserez M, Arregui M, Bisgaard T, Huyghe M, Van Bruwaene S, Peeters E, Penninckx F (2009) A standardized resident training program in endoscopic surgery in general and in laparoscopic totally extraperitoneal (TEP) inguinal hernia repair in particular. Surg Laparosc Endosc Percutan Tech 19 (4): e125–e129. (4)CrossRef

Montz FJ, Holschneider CH, Munro MG (1994) Incisional hernia following laparoscopy: a survey of the American Association of Gynecologic Laparoscopists. Obstet Gynecol 84 (5): 881–4. (2c)

Muschalla F, Schwarz J, Bittner R (2016) Effectivity of laparoscopic inguinal hernia repair (TAPP) in daily clinical practice: early and long-term result. Surg Endosc 30 (11):4985–4994CrossRefPubMed

Nasr AO, Tormey S, Walsh TN (2005) Lipoma of the cord and round ligament: an overlooked diagnosis? Hernia 9: 245–7. (4)CrossRefPubMed

Neumayer L, Giobbie-Hurder A, Jonasson O, Fitzgibbons R Jr, Dunlop D, Gibbs J, Reda D, Henderson W; Veterans Affairs Cooperative Studies Program 456 Investigators (2004) Open mesh versus laparoscopic mesh repair of ingiunal hernia. N Engl J Med 350: 1819–1827. (1b)

Neumayer L, Giobbi-Hurder A, Jonasson O (2004) Open mesh versus laparoscopic mesh hernia repair (authors reply). N Engl J Med 351: 1463–1465. (4)

Peitgen K, Nimtz K, Hellinger A, Walz MK (1997) Open approach or Veress needle in laparoscopic interventions? Results of a prospective randomized controlled study. [Article in German] Chirurg 68: 910–3. (2b)CrossRef

Phillips EH, Rosenthal R, Fallas M, Carroll B, Arregui M, Corbitt J, Fitzgibbons R, Seid A, Schultz L, Toy F, et al (1995) Reasons for early recurrence following laparoscopic hernioplasty. Surg Endosc 9: 140–4. (2c)

Reardon PR, Preciado A, Scarborough T, Matthews B, Marti JL (1990) Hernia at 5-mm laparoscopic port site presenting as early postoperative small bowel obstruction. J Laparoendosc Adv Surg Tech A 9: 523–5. (4)CrossRef

Reddy VM, Sutton CD, Bloxham L, Garcea G, Ubhi SS, Robertson GS (2007) Laparoscopic repair of direct inguinal hernia: a new technique that reduces the development of postoperative seroma. Hernia 11: 393–6. (2b)CrossRefPubMed

Ridings P, Evans DS (2000) The transabdominal pre- peritoneal (TAPP) inguinal hernia repair: a trip along the learning curve. J R Coll Surg Edinb 45 (1): 29–32. (3)

Rosenberger RJ, Loeweneck H, Meyer G (2000) The cutaneous nerves encountered during laparoscopic repair of inguinal hernia: new anatomical findings for the surgeon. Surg Endosc 14 (8): 731–5. (3)CrossRefPubMed

Schmedt CG, Leibl BJ, Däubler P, Bittner R (2001)Access-related complications – an analysis of 6023 consecutive laparoscopic hernia repairs. Min Invas Ther & Allied Technol 10: 23–30. (2c)CrossRef

Schmedt CG, Sauerland S, Bittner R (2005) Comparison of endoscopic procedures vs. Lichtenstein and other open mesh techniques for inguinal hernia repair. A meta-analysis of randomized controlled trials. Surg Endosc 19: 188–199. (1a)CrossRefPubMed

Semm K (1985) Operative pelviscop – operative laparoscopy. In: Operative manual for endoscopic abdominal surgery. Year Book Medical Publishers, Chicago. (3)

Shamiyeh A, Glaser K, Kratochwill H, Hörmandinger K, Fellner F, Wayand W, Zehetner J (2009) Lifting of the umbilicus for the installation of pneumoperitoneum with the Veress needle increases the distance to the retroperitoneal and intraperitoneal structures. Surg Endosc 23: 313–317. (3)CrossRefPubMed

Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J, de Lange D, Fortelny R, Heikkinen T, Kingsnorth A, Kukleta J, Morales-Conde S, Nordin P, Schumpelick V, Smedberg S, Smietanski M, Weber G, Miserez M (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13: 343–403. (2c)CrossRefPubMedPubMedCentral

Slater GH, Jourdan I, Fölscher DJ, Snook AL, Cooper M, D’Allessandro P, Rangeley C, Bailey ME (2001) The Guildford MATTU TEP hernia model. Surg Endosc 15 (5): 493–496. (3)CrossRefPubMed

Stengel D, Bauwens K, Ekkernkamp A (2004) Recurrence risks in randomized trials of laparoscopic versus open inguinal hernia repair: to pool or not to pool (this is not the question). Langenbecks Arch Surg 389: 492–498. (2a)CrossRefPubMed

Stoppa RE, Rives JL, Warlaumont CR et al (1984) The use of Dacron in the repair of hernias of the groin. Surg Clin North Am 64: 269–285. (3)CrossRefPubMed

Sutherland LM, Middleton PF, Anthony A, Hamdorf J, Cregan P, Scott D, Maddern GJ (2006) Surgical simulation: a systematic review. Ann Surg 243 (3): 291–300. (1a)CrossRefPubMedPubMedCentral

Teoh B, Sen R, Abbot J (2005) An evaluation of four tests used to ascertain Veress needle placement at closed laparoscopy. 12: 153–158. (4)

Thijssen AS, Schijven MP (2010) Contemporary virtual reality laparoscopy simulators: quicksand or solid grounds for assessing surgical trainees? Am J Surg 199 (4): 529–541. (1a)CrossRefPubMed

Tonouchi H, Ohmori Y, Kobayashi M, Kusunoki M (2004) Trocar site hernia. Arch Surg 139: 1248–56. (2a)CrossRefPubMed

Totte E, Van Hee R, Kox E, Hendrickx L, Van Zwieten KJ (2005) Surgical anatomy of the inguinal region: implications during inguinal laparoscopic herniorrhaphy. Eur Surg Res 37: 185–90. (5)CrossRefPubMed

Ulrich M (2006) Postoperatives Management. In: Bittner R, Leibl BJ, Ulrich M (Hrsg) Chirurgie der Leistenhernie. Karger, Basel, pp 140–142. (2c)CrossRef

Vilos GA, Ternamian A, Dempster J, Laberge PY; The Society of Obstetricians and Gynaecologists of Canada (2007) Laparoscopic entry: a review of techniques, technologies, and complications. J Obstet Gynaecol Can 29: 433–65. (1a)

Vilos GA, Vilos AG, Abu-Rafea B, Hollett-Caines J, Nikkhah-Abyaneh Z, Edris F (2009) Three simple steps during closed laparoscopic entry may minimize major injuries. Surg Endosc 23: 758–64. (4)CrossRefPubMed

Voitk AJ (1998) The learning curve in laparoscopic inguinal hernia repair for the community general surgeon. Can J Surg 41: 446–450. (3)

Wauschkuhn CA, Schwarz J, Bittner R (2009) Laparoscopic transperitoneal inguinal hernia repair (TAPP) after radical prostatectomy: is it safe? Results of prospectively collected data of more than 200 cases. Surg Endosc 23: 973–977. (3)CrossRefPubMed

Wauschkuhn CA, Schwarz J, Boekeler U, Bittner R (2010) Laparoscopic inguinal hernia repair: Gold standard in bilateral hernia repair? Results of more than 2800 patients in comparison to literature. Surg Endosc 24: 3026–3030. (3)CrossRefPubMed

Wilkiemeyer M, Pappas TN, Giobbie-Hurder A, Itani KM, Jonasson O, Neumayer LA (2005) Does resident postgraduate year influence the outcomes of inguinal hernia repair? Ann Surg 241 (6): 879–882. (3)CrossRefPubMedPubMedCentral

Yee DS, Duel BP (2006) Omental herniation through a 3-mm umbilical trocar site. J Endourol 20: 133–4. (4)CrossRefPubMed

Yeung P Jr, Justice T, Pasic RP (2009) Comparison of text versus video for teaching laparoscopic knot tying in the novice surgeon: a randomized, controlled trial. J Minim Invasive Gynecol 16 (4): 411–415. (1b)CrossRefPubMed

Yim SF, Yuen PM (2001) Randomized double-masked comparison of radially expanding access device and conventional cutting tip trocar in laparoscopy. Obstet Gynecol 97: 435–438. (1b)

Zendejas B, Cook DA, Bingener J, Huebner M, Dunn WF, Sarr MG, Farley DR (2011) Simulation-based mastery learning improves patient outcomes in laparoscopic inguinal hernia repair: a randomized controlled trial. Ann Surg 254 (3): 502–509. (1b)CrossRefPubMed

Titel: Transabdominelle präperitoneale Patchplastik (TAPP): Fehlervermeidung, Nachsorge, Schmerzmanagement und Lernkurve
verfasst von: Professor, Dr. med. Dr. h.c. mult. Reinhard Bittner
Dr. med. Jan F. Kukleta
MD David C. Chen
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_10

Springerpflege

Zusammenfassung

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten