Clinical Nutrition in Critical Care Medicine - Guideline of the German Society for Nutritional Medicine (DGEM).

Purpose: Enteral and parenteral nutrition of adult critically ill patients varies in terms of the route of nutrient delivery, the amount and composition of macro- and micronutrients, and the choice of specific, immune-modulating substrates. Variations of clinical nutrition may affect clinical outcomes. The present guideline provides clinicians with updated consensus-based recommendations for clinical nutrition in adult critically ill patients who suffer from at least one acute organ dysfunction requiring specific drug therapy and/or a mechanical support device (e.

Usage of a self-adhesive mesh in TAPP hernia repair: A prospective study based on Herniamed Register.

Introduction: Inguinal hernia repair is one of the most frequently performed surgical procedures worldwide in general surgery. The transabdominal laparoscopic (TAPP) approach in the therapy of inguinal hernia seems to be a suitable alternative to classical open inguinal hernia repair mainly in the hands of an experienced surgeon. TAPP repair offers the possibility of gentle dissection with implantation of the mesh and the possibility of non-invasive fixation of the implanted mesh.

Innovation in Laparoscopic Inguinal Hernia Reparation - Initial Experiences with the Parietex Progrip Laparoscopic(™) - Mesh.

Introduction: The Laparoscopic TAPP (transabdominal pre-peritoneal inguinal hernia repair) - technique is becoming more widely and frequently used due to higher patient satisfaction and lower rates of both relapse and complications.

Materials And Methods: The role of the fixation of the mesh is especially important in regard to the endoscopic technique. The fixation of mesh through penetrating techniques using staples, clips, or screws is associated with a significantly increased risk of developing a chronic post-herniotomy inguinal pain syndrome (CPIP).