Allohernioplasty Laparoscopic Postoperative Ventral Hernias

Ivanov, Yu. N.; Панченков, Д. Н.; Terehin, Aleksey Alekseevich; Shablovsky, O R

doi:10.18499/2070-478x-2017-10-1-10-20

Cited by 4 publications

(1 citation statement)

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“…even in a favorable postoperative course -in more than 35% cases. About 50% of all hernias develop within the first two years after surgery [1][2][3]. Hernioplasty for IH is one of the most frequent operations in current abdominal surgery.…”

Section: Introductionmentioning

confidence: 99%

Prevention of Complications of Incisional Hernia Repair: Current Problem State (Review)

Parshakov¹,

Гаврилов²,

Самарцев³

2018

Sovrem Tehnol Med

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The review covers the important aspects of complications in incisional hernia repair. The paper specifies the most relevant issues of modern herniology, its social and economical aspects, considers the preventive techniques for preoperative, intraoperative and postoperative complications. When describing the preoperative predictive and preventive methods in complications, the authors analyzed the existent classifications and integral grading scales for patients' state indicators, showed the benefits and drawbacks of current techniques of preoperative preparation.The part devoted to an intraoperative period presents the main current hernia repair techniques, mesh implants, and their characteristics. Much attention is given to the description of surgical options depending on mesh arrangement in relation to anatomical abdominal wall layers, and the assessment of mesh implant types, their selection for a specific clinical setting. The review considers the principles of component separation as one of the most promising directions of abdominal surgery. When studying the postoperative preventive methods, the emphasis was made on the description of fast-track principles. Currently, a fast-track technique is being widely used in surgery, and gaining popularity in herniology.

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Section: Introductionmentioning

confidence: 99%

Prevention of Complications of Incisional Hernia Repair: Current Problem State (Review)

Parshakov¹,

Гаврилов²,

Самарцев³

2018

Sovrem Tehnol Med

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Development of Methods to Obtain Grafts for the Anterior Abdominal Wall in Surgical Treatment of External Abdominal Hernias

Magomedrasulova,

Chernykh,

Shevtsov

et al. 2023

I.P. Pavlov Russian Medical Biological Herald

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INTRODUCTION: Currently, tissue engineering is one of the most promising fields of medicine dealing with search for solutions to the problems of creation of biocompatible structures capable of partial or complete replacement of organs or tissues of an organism. An advanced method of tissue engineering implies using an extracellular matrix (ECM) cleared from the cellular material. The main problem of obtaining an ECM consists in the difficulty of selecting a suitable decellularization method and exposure time. AIM: Development of a method for obtaining grafts for the anterior abdominal wall (AAW) and evaluation of the histological properties of the ECM to determine the optimal protocol for donor tissue decellularization providing a complete removal of cellular material without any significant damage to the scaffold. MATERIALS AND METHODS: The experiments were conducted on 10 White Flemish Giant male rabbits. All the animals were withdrawn from the experiment, after which, on autopsy, AAW grafts were obtained for evaluation of the decellularization properties of three detergents (alkaline solutions): 2% SDS (sodium dodecyl sulfate) solution, 2% CHAPS (zwitterionic surfactant, 3-[(3-cholamidopropyl)-dimethylammonio]-2-hydroxy-1-propansulfonate) solution, and 1% Triton-X 100 solution. The decellularization quality was controlled in histological examination. RESULTS: Morphological evaluation of tissue samples revealed that after decellularization of the material with 2% SDS solution and 2% CHAPS solution, the number of cells remaining in the preparations was comparable and significantly less (Me = 10 in a microscope field) than after treatment with 1% Triton-X 100 solution (Me = 45 in a microscope field). However, decellularization with 2% CHAPS solution led to fiber ruptures and tissue edema manifested by an increase in the distance between the fibers (Me = 163 µm). CONCLUSIONS: Decellularization of the anterior abdominal wall tissues with 2% SDS solution provides a sufficient cell elimination while preserving the fiber integrity and ECM structure. 2% CHAPS solution was comparable to 2% SDS solution in terms of the quality of cell elements removal, but its more aggressive effect on collagen fibers was noted (their multiple ruptures and a more pronounced edema). 1% Triton-X 100 solution appeared to be of low efficiency in elimination of cellular material, although it had a minimal effect on the integrity of ECM network.

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Two-Stage Abdominal Wall Reconstruction in a Patient with a Complex Postoperative Hernia

Gogiya¹,

Chertova²,

Alyautdinov³

et al. 2022

VECS

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Surgical treatment of incisional hernia is an actual problem of abdominal surgery. Despite the improvement of surgical techniques, the results of surgical treatment cannot be considered satisfactory: the recurrence rate continues to be high and is due to failures in the reconstruction of complex ventral hernia. Although there are many works devoted to various aspects of the surgical treatment of patients with complex incisional hernias, the problem is not sufficiently resolved. The treatment of this category of patients is a difficult task for both surgeons and patients due to the high risk of general and local complications. A clinical case of surgical treatment of a patient with a complex incisional hernia is presented, in which it was possible to carry out a complete reconstruction of the anterior abdominal wall in two stages without "components separation" method.

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Allohernioplasty Laparoscopic Postoperative Ventral Hernias

Cited by 4 publications

References 0 publications

Prevention of Complications of Incisional Hernia Repair: Current Problem State (Review)

Prevention of Complications of Incisional Hernia Repair: Current Problem State (Review)

Development of Methods to Obtain Grafts for the Anterior Abdominal Wall in Surgical Treatment of External Abdominal Hernias

Two-Stage Abdominal Wall Reconstruction in a Patient with a Complex Postoperative Hernia

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