Ferdinand Köckerling
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View article: Short- and long-term complications after slowly resorbable biosynthetic P4HB mesh (Phasix) implantation in European centres: a protocol paper for a multiregistry study
Short- and long-term complications after slowly resorbable biosynthetic P4HB mesh (Phasix) implantation in European centres: a protocol paper for a multiregistry study Open
Background Phasix mesh is a fully resorbable synthetic mesh for use in clean and contaminated ventral incisional hernia repairs. Long-term absorbable Phasix mesh appears to be a safe and promising device in incisional hernia repair, with l…
Protocol for EHS Guideline on Treatment of Ventral and Incisional Hernias in Emergency Open
Background Emergency presentations of ventral and incisional hernias are common and associated with significantly higher morbidity and mortality than elective procedures. Despite their frequency, clinical guidance on managing acutely compl…
Long-term outcomes of Lichtenstein and laparoscopic primary unilateral inguinal hernia repair: registry-based propensity score-matched analysis Open
Background Laparoscopic (transabdominal preperitoneal (TAPP) and totally extraperitoneal (TEP)) and Lichtenstein procedures are the most commonly used approaches for primary unilateral inguinal hernia repair. However, only limited long-ter…
5-year clinical outcome of the ESTOIH trial comparing the short-bite versus large-bite technique for elective midline abdominal closure Open
Background The short-bite technique for fascial closure after midline laparotomy has been shown to reduce the incidence of incisional hernias one year postoperatively compared to the traditional large-bite technique. However, most studies …
Inguinal Hernia Repair Using Absorbable Biosynthetic Mesh Versus Permanent Polypropylene Mesh: A Preliminary Comparative Study of 1-Year Outcomes Open
Introduction Inguinal hernia repair with synthetic mesh became a gold standard due to durability and low recurrence rates. With the growing popularity of absorbable meshes in abdominal wall repairs, we evaluated performance of absorbable b…
Comparison of short- and long-term outcomes using heavy- (3DMax™ Mesh) and lightweight (3DMax™ Light Mesh) mesh in inguinal hernia repair Open
Summary Purpose Inguinal hernia repair is one of the most common surgeries worldwide, with synthetic mesh as the standard of care. With interest in the potential of mesh weight to impact long-term outcomes, we compared short- and long-term…
Do we have to rethink slit-mesh technique in endoscopic inguinal hernia repair? – A matched pair analysis Open
The use of a slit mesh versus a non-slit mesh in laparo-endoscopic inguinal hernia repair is associated with a significantly lower recurrence rate. There is no relation with any other outcome criteria. Since the use of a slit mesh in lapar…
Limitations of Transversus Abdominis Release (TAR)—Additional Bridging of the Posterior Layer And/Or Anterior Fascia Is the Preferred Solution in Our Clinical Routine If Primary Closure is Not Possible Open
Background: By separating the abdominal wall, transversus abdominis release (TAR) permits reconstruction of the abdominal wall and the placement of large mesh for many types of hernias. However, in borderline cases, the mobility of the lay…
Certified Fellowship in Abdominal Wall Surgery—A Collaboration Between the UEMS and the European Hernia Society Open
Background: Abdominal wall surgery (AWS) is characterised by the increasing caseload and the complexity of the surgical procedures. The introduction of a tailored approach to AWS utilising laparoendoscopic, robotic and/or open techniques r…
Update of the international HerniaSurge guidelines for groin hernia management Open
Background Groin hernia repair is one of the most common operations performed globally, with more than 20 million procedures per year. The last guidelines on groin hernia management were published in 2018 by the HerniaSurge Group. The aim …
Updated guideline for closure of abdominal wall incisions from the European and American Hernia Societies Open
Background Incisional hernia is a frequent complication of abdominal wall incision. Surgical technique is an important risk factor for the development of incisional hernia. The aim of these updated guidelines was to provide recommendations…
Effects of the short stitch technique for midline abdominal closure on incisional hernia (ESTOIH): randomized clinical trial Open
Background Incisional hernia remains a frequent problem after midline laparotomy. This study compared a short stitch to standard loop closure using an ultra-long-term absorbent elastic suture material. Methods A prospective, multicentre, p…
Editorial: Mesh Complications in Hernia Surgery Open
EDITORIAL article Front. Surg., 07 March 2022 | https://doi.org/10.3389/fsurg.2022.841672
Is the dissection of the abdominal wall still necessary in the treatment of W3 hernias? Open
Large incisional hernias are a permanent problem for surgeons in a growing number of operations. For the treatment of complex hernias, there are no internationally accepted evidence-based recommendations regarding the restoration of abdomi…
O36 LOD (LOSS-OF-DOMAIN) HERNIA TREATMENT WITH INTRAOPERATIVE FASCIA TRACTION. DOES THIS TECHNIQUE MAKE RELEASE OPERATIONS SUPERFLUOUS? Open
Aim Measurable and controlled stretching of the fascia for 30 minutes during surgery to achieve primary tension-free abdominal wall closure in LOD hernias. This prospective observational study aimed to clarify the extent to which this trac…
Wilhelm Waldeyer—An Important Scientific Researcher of the 19th Century in the Context of His Memoirs and Major Monographies Open
Wilhelm Waldeyer was one of the most important anatomists of his time. The year 2021 marks the 100th anniversary of his death. His name not only lives on in terms such as “Waldeyer's pharyngeal ring” or “Waldeyer's fascia,” he also coined …
Feasibility and Short-Term Outcomes of One-Step and Two-Step Sleeve Gastrectomy as Revision Procedures for Failed Adjustable Gastric Banding Compared With Those After Primary Sleeve Gastrectomy Open
Background: The practice of bariatric surgery was studied using the German Bariatric Surgery Registry (GBSR). The focus of the study was to evaluate whether revision surgery One-Step (OS) or Two-Step (TS) sleeve gastrectomy (SG) has a larg…
Dynamic Inguinal Ultrasound (DIUS) in diagnosing groin hernias Open
Groin hernia is one of the most common surgical conditions worldwide. Clinical examination can reveal the majority of inguinal hernias. Small inguinal and femoral hernias (in women) may be missed. Dynamic inguinal ultrasound (DIUS) can fil…
Trends in Emergent Groin Hernia Repair—An Analysis From the Herniamed Registry Open
Introduction: While the proportion of emergency groin hernia repairs in developed countries is 2.5–7.7%, the percentage in developing countries can be as high as 76.9%. The mortality rate for emergency groin hernia repair in developed coun…
Intraoperative Fascia Tension as an Alternative to Component Separation. A Prospective Observational Study Open
Incisional hernias are common late complications of abdominal surgery, with a 1-year post-laparotomy incidence of about 20%. A giant hernia is often preceded by severe peritonitis of various causes. The Fasciotens® Abdomen device is used t…
Laparoscopic vs. Open Surgical Repair of Subxiphoidal Hernia Following Median Sternotomy for Coronary Bypass - Analysis of the Herniamed Registry Open
Introduction: The repair of subxiphoidal incisional hernia following median sternotomy is technically demanding due to the specific anatomic situation and the lateral distracting forces in this region. Published data are available from ret…
What Is the Reality of Hiatal Hernia Management?—A Registry Analysis Open
Introduction: To date, the guidelines for surgical repair of hiatal hernias do not contain any clear recommendations on the hiatoplasty technique with regard to the use of a mesh or to the type of fundoplication (Nissen vs. Toupet). This p…
View article: Outcomes of a new slowly resorbable biosynthetic mesh (Phasix™) in potentially contaminated incisional hernias: A prospective, multi-center, single-arm trial
Outcomes of a new slowly resorbable biosynthetic mesh (Phasix™) in potentially contaminated incisional hernias: A prospective, multi-center, single-arm trial Open
Phasix™ Mesh demonstrated acceptable postoperative surgical site occurrence rates in patients with a Ventral Hernia Working Group Grade 3 hernia. Longer follow-up is needed to evaluate the recurrence rate and the effects on quality of life…
Spermatic Cord Lipoma—A Review of the Literature Open
Introduction: A spermatic cord lipoma is found in 20-70% of all inguinal hernia repairs. The clinical picture of an inguinal hernia with bulging and pain but without an actual indirect hernia sac may become manifest in up to 8% of these ca…
Recurrent Incisional Hernia Repair—An Overview Open
Introduction: Recurrent incisional hernias with a rate of around 20% account for a relatively large proportion of all incisional hernias. It is difficult to issue any binding recommendations on optimum treatment in view of the relatively f…
What Do We Know About the Chevrel Technique in Ventral Incisional Hernia Repair? Open
Introduction: In publications on ventral incisional hernia repair, the Chevrel technique and the onlay operation are often equated. This present review now aims to present the difference between these surgical techniques and analyze the fi…
Hernia and Cancer: The Points Where the Roads Intersect Open
Introduction: This review aimed to present common points, intersections, and potential interactions or mutual effects for hernia and cancer. Besides direct relationships, indirect connections, and possible involvements were searched. Mater…