Recurrent Hernia

I. Recurrence as an Important Endpoint. Present State of Failure Rates (Clinical Studies and Epidemiological Database, Short- and Long-Term) ; Recurrence as a Problem of the Trainee ; Failures in Hernia Surgery Done by Experts -- II. Biological Reasons to Fail. Pervasive Co-Morbidity and Abdominal Herniation: an Outline ; Non-Surgical Risk Factors for Recurrence of Hernia ; The Instable Scar ; Biomaterials: Disturbing Factors in Cell Cross-Talk and Gene Regulation -- III. Hiatal Hernia. Technical Pitfalls and Factors that Promote Recurrence (Small Defects) Following Surgical Treatment of Hiatal Hernia ; Anatomical Limitations of Surgical Techniques ; Prevention by Selection? -- IV. Redo-Operations Open/Laparoscopically: Change of Technique or Make it Better? The Failed Laparoscopic Hiatal Hernia Repair: "Making it Better" at Redo Operation ; Change of Technique: With or Without Mesh? ; Some Laparoscopic Hiatal Hernia Repairs Fail -- Impact of Mesh and Mesh Material in Crural Repair -- V. Abdominal Wall Closure. Finding the Best Abdominal Closure -- An Evidence-Based Overview of the Literature ; Closure of Transverse Incisions ; Biological Reasons for an Incisional Hernia ; Technical Pitfalls Favouring Incisional Hernia ; Bioprostheses: Are They the Future of Incisional/Acquired Hernia Repair? -- VI. Incisional Hernia. Whom to Operate? ; How to Create a Recurrence After Incisional Hernia Repair ; Anatomical Limitations -- Where Are the Layers? ; Biomechanical Data -- "Hernia Mechanics": Hernia Size, Overlap and Mesh Fixation -- VII. How to Treat the Recurrent Incisional Hernia. Open Repair ; Laparoscopical Repair -- VIII. Primary Inguinal Hernia. How to Create a Recurrence ; How to Treat Recurrent Inguinal Hernia ; IX. Treatment of Recurrent Inguinal Hernia. Recurrence and Infection: Correlation and Measures to Decrease the Incidence of Both ; Inguinal Hernia Recurrence and Pain ; Recurrence and Mesh Material ; Mesh Explantation in the Groin ; The Mesh and the Spermatic Cord ; Principle Actions for Re-Recurrences -- X. Treatment of the Other Hernia. Laparoscopic Repair of Recurrent Childhood Inguinal Hernias After Open Herniotomy ; The Femoral Hernia -- the B??te Noire of Hernias! ; The Umbilical Hernia ; Parastomal Hernia: Prevention and Treatment ; Central Mesh Rupture -- Myth or Real Concern?: Personal Comment to the Paper of E. Schippers -- XI What Can We Do to Improve Our Results? Improved Teaching and Technique ; Analyzing Reasons and Re-Operation for the Inguinal Hernias Recurring After Mesh-Plug Procedure ; Standard Procedures for Standard Patients? ; Tailored Approach for Non-Standard Patients ; Identification of the Patients at Risk (for Recurrent Hernia Disease) ; The Biological Treatment of the Hernia Disease ; Pharmacological Treatment of the Hernia Disease ; XII. Concluding Recommendations to Prevent the Recurrence. Questionnaire (39 Participants) -- XIII. Appendix.