{"id":4173,"date":"2023-04-05T07:59:27","date_gmt":"2023-04-05T05:59:27","guid":{"rendered":"http:\/\/berlin-boehm.de\/Kanty\/?p=4173"},"modified":"2023-04-05T07:59:29","modified_gmt":"2023-04-05T05:59:29","slug":"hernien-sonstige","status":"publish","type":"post","link":"http:\/\/berlin-boehm.de\/Kanty\/archive\/4173","title":{"rendered":"Hernien &#8211; Sonstige"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-av_one_full-7acc1372e522d1472d3487e02738ae1c\">\n.flex_column.av-av_one_full-7acc1372e522d1472d3487e02738ae1c{\nbackground-color:#22689e;\n}\n<\/style>\n<div  class='flex_column av-av_one_full-7acc1372e522d1472d3487e02738ae1c av_one_full  avia-builder-el-0  el_before_av_hr  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-lg3a3w7i-155eae9a41673719a07b83002c1978d5\">\n#top .av-special-heading.av-lg3a3w7i-155eae9a41673719a07b83002c1978d5{\nmargin:20px 20px 20px 20px;\npadding-bottom:0;\ncolor:#ffffff;\n}\nbody .av-special-heading.av-lg3a3w7i-155eae9a41673719a07b83002c1978d5 .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n#top #wrap_all .av-special-heading.av-lg3a3w7i-155eae9a41673719a07b83002c1978d5 .av-special-heading-tag{\npadding:5px 5px 5px 5px;\n}\n.av-special-heading.av-lg3a3w7i-155eae9a41673719a07b83002c1978d5 .special-heading-inner-border{\nborder-color:#ffffff;\n}\n.av-special-heading.av-lg3a3w7i-155eae9a41673719a07b83002c1978d5 .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-lg3a3w7i-155eae9a41673719a07b83002c1978d5 av-special-heading-h3 custom-color-heading blockquote classic-quote  avia-builder-el-1  avia-builder-el-no-sibling '><h3 class='av-special-heading-tag '  itemprop=\"headline\"  >Hernien &#8211; Sonstige<\/h3><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div><\/div><div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-2  el_after_av_one_full  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div><\/p>\n<section  class='av_textblock_section av-lg3a4em3-b494e2fcd555012c84e63ae2bc0ce723 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p>Neben den ausf\u00fchrlich beschriebenen treten Hernien auch an vielen anderen Lokalisationen auf, allerdings sehr viel seltener.<\/p>\n<p>Klinik. Die Beschwerden der Patienten sind nicht immer wegweisend und viele Hernien werden entweder zuf\u00e4llig oder durch bildgebende Verfahren entdeckt.<\/p>\n<h4 id=\"heading_id_52\">Operation<\/h4>\n<p>Sie werden allesamt nach denselben Prinzipien versorgt: Sorgf\u00e4ltige Pr\u00e4paration und Darstellung des Bruchsackes und der Bruchpforte. Reposition bzw. Abtragung des Bruchsackes und Verschluss der Pforte. Bei kleinen spannungslosen Hernien ist immer eine Reparation mit nicht-resorbierbaren oder langfristig resorbierbaren N\u00e4hten indiziert. Eine Fasziendoppelung bzw. Mayo-Plastik wird nicht empfohlen, weil sie die Stabilit\u00e4t und Festigkeit nicht f\u00f6rdert, aber die Wundspannung erh\u00f6ht. Bei gr\u00f6\u00dferen Hernien oder hoher Nahtspannung sollte nicht gez\u00f6gert werden, ein Kunststoffnetz in Sublay-Technik einzulegen.<\/p>\n<p>Trokarhernien. Besonders erw\u00e4hnenswert ist die Trokarhernie, die nach laparoskopischen Eingriffen auftritt. Bei Verwendung von Trokaren, die einen Durchmesser von mehr als f\u00fcnf Millimeter haben, k\u00f6nnen Einklemmungen auftreten. Die Patienten klagen nach dem laparoskopischen Eingriff \u00fcber \u00dcbelkeit und lokalisierte Schmerzen im Bereich einer Trokarinzision, die in keinem Verh\u00e4ltnis zu dem Eingriff stehen. H\u00e4ufig ist hier eine Resistenz palpabel. Relativ einfach ist die klinische Diagnose bei einer vollst\u00e4ndigen Einklemmung mit deutlicher Symptomatik und zunehmendem Ileus. Manchmal sind die Beschwerden der Patienten larviert, weil nur eine Richter-Hernie, eine unvollst\u00e4ndige Einklemmung vorliegt. Eine sonographische Untersuchung sollte die Diagnose kl\u00e4ren. Um solche Hernien zu vermeiden, sollten Trokarinzisionen von mehr als f\u00fcn Millimeter durch eine Naht verschlossen werden.<\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[34],"tags":[],"class_list":["post-4173","post","type-post","status-publish","format-standard","hentry","category-chirurgie"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Hernien - Sonstige - Berliner Gelassenheit<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4173\" \/>\n<meta property=\"og:locale\" content=\"de_DE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Hernien - Sonstige - Berliner Gelassenheit\" \/>\n<meta property=\"og:url\" content=\"http:\/\/berlin-boehm.de\/Kanty\/archive\/4173\" \/>\n<meta property=\"og:site_name\" content=\"Berliner Gelassenheit\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-05T05:59:27+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-05T05:59:29+00:00\" \/>\n<meta name=\"author\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Verfasst von\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bartholom\u00e4us B\u00f6hm\" \/>\n\t<meta name=\"twitter:label2\" content=\"Gesch\u00e4tzte Lesezeit\" \/>\n\t<meta name=\"twitter:data2\" content=\"3\u00a0Minuten\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173#article\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173\"},\"author\":{\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"headline\":\"Hernien &#8211; Sonstige\",\"datePublished\":\"2023-04-05T05:59:27+00:00\",\"dateModified\":\"2023-04-05T05:59:29+00:00\",\"mainEntityOfPage\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173\"},\"wordCount\":735,\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"articleSection\":[\"Chirurgie\"],\"inLanguage\":\"de\"},{\"@type\":\"WebPage\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173\",\"name\":\"Hernien - Sonstige - Berliner Gelassenheit\",\"isPartOf\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\"},\"datePublished\":\"2023-04-05T05:59:27+00:00\",\"dateModified\":\"2023-04-05T05:59:29+00:00\",\"breadcrumb\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173#breadcrumb\"},\"inLanguage\":\"de\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/archive\\\/4173#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Startseite\",\"item\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Hernien &#8211; Sonstige\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#website\",\"url\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/\",\"name\":\"Berliner Gelassenheit\",\"description\":\"Heiterkeit und Widerspr\u00fcche\",\"publisher\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"de\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/e7bb56a842d02bb40f4663709bf5242d\",\"name\":\"Bartholom\u00e4us B\u00f6hm\",\"logo\":{\"@id\":\"http:\\\/\\\/berlin-boehm.de\\\/Kanty\\\/#\\\/schema\\\/person\\\/image\\\/\"},\"description\":\"Prof. Dr. med. 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