Modern technology in the treatment of patients with postoperative ventral hernias

Cover Page

Cite item

Full Text

Abstract

The analysis of results of treatment of 113 patients with postoperative ventral hernias was carried out patients divided into two groups. 74 patients have received treatment (II (control) group) from 2013 to 2014 year. Patients of the control group were examined according to the accepted diagnostic algorithms, in addition to physical examination algorithm include chest and abdominal x-ray examination, ultrasound diagnosis of abdominal organs and fibro-esophagogastroduodenoscopy. Plastic by reticular endoprostheses was carried out in various methods. Methods have been chosen directly by surgeon during the operation. The draining of the postoperative wound was mandatory. Main (I) group included 39 patients who received treatment from 2015 to 2016. The diagnostic algorithm was supplemented with fibrocolonoscopy and spiral computed tomography, and the plastic method was predominantly sub-lay. Hypoderma treatment by high-temperature oscillating plasma flow energy according to the original technique for the prevention of lymphorrhea was provided to all patients. Maims were mostly sutured tightly. This approach allowed to reliably reduce frequency complications from 13.4% (14) to 1.8% (2) and, as a consequence, the length of stay of the patient in the hospital.

About the authors

B. V. Sigua

North-Western State Medical University named after I.I. Mechnikov

Author for correspondence.
Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

V. P. Zemlyanoy

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

A. S. Sokolova

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

D. F. Cherepanov

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

S. A. Vinichuk

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

A. V. Nikiforenko

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

D. S. Sakhno

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

E. A. Zakharov

North-Western State Medical University named after I.I. Mechnikov

Email: dr.sigua@gmail.com
Russian Federation, Saint Petersburg

References

  1. Ventral Hernia Working Group, Breuing K, Butler CE, Ferzoco S, et al. Incisional ventral hernias: review of the literature and recommendations regarding the grading and technique of repair. Surgery. 2010;148(3):544-558. doi: 10.1016/j.surg.2010.01.008.
  2. Пушкин С.Ю., Белоконев В.И. Результаты лечения больных срединной вентральной грыжей с применением синтетических эндопротезов // Хирургия. Журнал им. Н.И. Пирогова. – 2010. – № 6. – С. 43–45. [Pushkin SIu, Belokonev VI. Treatment of medial ventral hernias with the use of synthetic endoprosthesis. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2010;(6):43-45. (In Russ.)]
  3. Hauters P, Desmet J, Gherardi D, et al. Assessment of predictive factors for recurrence in laparoscopic ventral hernia repair using a bridging technique. Surg Endosc. 2017;(37):3656-3664. doi: 10.1007/s00464-016-5401-0.
  4. Абдурахманов Ю.Х., Попович В.К., Добровольский С.Р., и др. Качество жизни больных послеоперационной вентральной грыжей в отдаленном периоде // Хирургия. Журнал им. Н.И. Пирогова. – 2010. – № 7. – С. 32–36. [Abdurakhmanov IuKh, Popovich VK, Dobrovol’skiy SR. Long-term quality of life of patients with postoperative ventral hernia. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2010;(7):32-36. (In Russ.)]
  5. Кузнецов Н.А., Счастливцев И.В., Цаплин С.Н. Роль операционного доступа в развитии послеоперационных вентральных грыж // Хирургия. Журнал имени Н.И. Пирогова. – 2011. – № 7. – С. 62–66. [Kuznetsov NA, Schastlivtsev IV, Schastlivtsev IV. The role of surgical access in postoperative ventral hernia development. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2011;(7):62-66. (In Russ.)]
  6. Харитонов С.В., Кузнецов Н.А., Немов И.Д., Зинякова М.В. Закономерности неосложненного раневого процесса у больных со срединной вентральной грыжей после различных видов пластики передней брюшной стенки // Хирургия. Журнал им. Н.И. Пирогова. – 2013. – № 1. – С. 47–52. [Kharitonov SV, Kuznetsov NA, Nemov ID, Ziniakova MV. Mechanisms of the uncomplicated wound healing in patients with ventral hernia. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2013;(1):47-52. (In Russ.)]
  7. Holihan JL, Flores-Gonzalez JR, Mo J. Prospective Assessment of Clinical and Patient-Reported Outcomes of Initial Non-Operative Management of Ventral Hernias. World J Surg. 2017;41:1267-1273. doi: 10.1007/s00268-016-3859-5.
  8. Алекберзаде А.В. Открытая аллопластика послеоперационных вентральных грыж // Хирургия. Журнал им. Н.И. Пирогова. – 2011. – № 4. – С. 13–16. [Alekberzade AV, Lipnitskiy EM, Sundukov IV. Open alloplasty of postoperative ventral hernias. Khirurgiya. Zhurnal imeni N.I. Pirogova. 2011;(4):13-16. (In Russ.)]
  9. Andeweg CS, Schriek MJ, Heisterkamp J, Roukema JA. Seroma formation in two cohorts after lymph node dissection in surgery: Does timing of drain removal matter? The Breast Journal. 2011;17:359-364.
  10. Jain PK, Sowdi R, Anderson AD, MacFie J. Randomized clinical trial investigating the use of drains and fibrin sealant following surgery for breast cancer. Br J Surg. 2004;91:54-60. doi: 10.1002/bjs.4435.
  11. Chevrell JP. Classification of incisional hernias of the abdominal wall. Hernia. 2000;4:7-11.
  12. Dindo D, Demartines N, Clavien PA. Classification of Surgical Complications. Ann Surg. 2004;240(2):205-213.

Copyright (c) 2018 Sigua B.V., Zemlyanoy V.P., Sokolova A.S., Cherepanov D.F., Vinichuk S.A., Nikiforenko A.V., Sakhno D.S., Zakharov E.A.

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies