Analysis of Postoperative Complications in Repair Ofincisional Ventral Hernias Using Allo- And Autografts

Abstract

The article provides a multicenter retrospective analysis of postoperative complications in patients after ventral hernias repair. The study went on for 10 years and included 628 patients divided into 2 groups. The first group included 510 patients operated on using polypropylene implants (mesh density 60g/m2 ). In the second group (118 patients) a de-epithelized autodermal graft prepared according to the authors' technology was applied. Clavien-Dindo classification was used to describe postoperative complications. The total number of complications in the first group was 22.2%, in the second group — 2.5% (p < 0.01). In the analysis of complications in all patients operated on using both allo- and autograft, the most frequent complications in the form of seroma were noted when implants using the one lay technique — 22.3% (p < 0.05) were installed. The autodermal de-epithelized graft used in ventral hernia plastics, regardless of their localization and size, especially in relapses after alloplasty, may be a good alternative to synthetic grafts.

Literature Review Methods for Prosthetic Mesh Fixation in Surgical Repair of Inguinal Hernias

“…The use of adhesive compositions for mesh fixation during the inguinal hernia surgical repair can be particularly highlighted [11]. Before the start of our first publications (Chair of Surgery named after N.D. Monastyrskiy) on the use of adhesive compositions [12,13] there were few publications on this issue in the Russia, and most surgeons had no idea about the use of this method of fixation.…”

Immunohistochemical Trends of the Consequences of Mesh and Autoderm Implantation Into the Anterior Abdominal Wall in Rats

“…It is assumed that patient's own tissue will not cause a pronounced local and general inflammatory response. The autograft will sprout with vessels and newly formed connective tissue, while it will maintain its strength and anisotropy properties [4][5][6]. At the same time, there are not enough studies on the features of the inflammatory response to autoderm.…”