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Objective: To evaluate the current practice of incisional hernia repair in Germany and analysis of the results of the Mayo duplication technique done in our hospital over a 10-year period. Design: Nationwide survey, retrospective analysis. Setting: University department, Germany. Subjects: Survey of most surgical departments and of 114 patients with 135 incisional hernias in our unit. Intervention: Mayo duplication repair incisional hernias. Main outcome measures: Common practice, recurrence rates, quality of life. Results: The Mayo overlap is the preferred technique in most surgical departments. The estimated failure rates (12% or less) in general practice are grossly underestimated. In our hospital the recurrence rate after Mayo duplication repair was 61/114 (54%) during a follow up time of 5.7 years with a follow-up-rate of 84%. Univariate and multivariate analyses failed to identify any predisposing factors. All patients with incisional hernias had limitations their physical function. Conclusions: The widely used Mayo procedure leads to unacceptable results for repair of incisional hernias and other techniques should be evaluated and used more often. Repair of an incisional hernia does not improve overall quality of life. [ABSTRACT FROM AUTHOR]

Objective: The aim was to describe the use of the DUB®-SkinScanner v3.9 (taberna pro medicum GmbH, Lueneburg, Germany) for the examination of the equine cornea., Material and Methods: Using the DUB ® -SkinScanner v3.9 various pathological corneal conditions were pictured in the A- and B-mode at a frequency of 22 and/or 50 MHz in nine eyes of eight horses. Scans were obtained from standing horses or from horses under general anesthesia non-related to image acquisition., Results: The examination allowed real time imaging and measurement of the equine cornea in vivo. Compared to slit-lamp biomicroscopy additional information was obtained in seven of nine eyes regarding the corneal thickness, in four of nine eyes regarding the epithelium, in five of nine eyes regarding the stroma and in five of nine eyes regarding the endothelium., Conclusion and Clinical Relevance: The DUB ® -SkinScanner v3.9 is a valuable high-resolution imaging tool for the evaluation of the equine cornea under practice conditions. The image acquisition does not depend on corneal transparency and provides additional diagnostic information to the standard slit-lamp biomicroscopy.