2. Avoiding Recurrences George S. Ferzli M.D., F.A.C.S. Chairman, Department of Surgery Lutheran Medical Center-Brooklyn, N.Y. Professor, Department of Surgery S.U.N.Y-Downstate Medical Center-Brooklyn, N.Y. LUTHERAN MEDICAL CENTER
3. Hernia Recurrence Patient Factors Surgeon Factors Technical Factors What Causes Recurrence? Anesthetic Selection Mesh Selection Choice of Operation Lack of Experience Age Modifiable Risk Factors Genetic Predisposition Gilbert,A.I., Young,J., Graham, M.F. Presented at Suvretta Meeting, 2006.
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7. Tailored Approach to Hernia Repair 405 Patients HEAD Score 15 HEAD Score < 15 Mesh Repair Lichtenstein/TIPP in Primary Hernias TAPP in Bilateral/Recurrent Hernias Shouldice Repair 2.65 % Recurrence Rate at 12 months Peiper et al. Presented at Suvretta meeting, 2006.