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Kirurgisk behandling af ventralhernier

Forfatter(e)
Nadia A. Henriksen1, 2, Thue Bisgaard2, 3, Hans Friis Andersen2, 4, Lars Nannestad Jørgensen2, 5 & Frederik Helgstrand1, 2 1) Kirurgisk Afdeling, Sjællands
Universitetshospital, Køge 2) Dansk
Herniedatabase3) Gastroenheden, Kirurgisk Sektion, Hvidovre Hospital4) Kirurgisk Afdeling, Regionshospitalet Horsens 5) Abdominalcenter K, Bispebjerg Hospital

Ugeskr Læger 2018;180:V02180096
Reference: 
Ugeskr Læger 2018;180:V02180096
Sidetal: 

Nadia A. Henriksen, Thue Bisgaard, Hans Friis Andersen, Lars Nannestad Jørgensen & Frederik Helgstrand:

Surgical treatment algorithm for ventral hernias

Ugeskr Læger 2018;180:V02180096

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.

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