Especially the ratio of collagen in the aponeurosis of the anterior abdominal wall in patients with postoperative ventral hernia and signs of connective tissue dysplasia

Despite an active search and an abundance of scattered recommendations for the prevention of incisional ventral hernias, there is still no consensus on many issues. Discussions continue about the use of a continuous or interrupted suture of the aponeurosis, the prophylactic use of a mesh endoprosthesis during the closure of abdominal wall incisions. The generally accepted methods of prevention include the use of monofilament non-absorbable synthetic materials when suturing the aponeurosis using the "small byte" technique. The first experience with a new prevention method, such as laparotomy with umbilical dissection, shows good results and requires further study.

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Prevention of Incisional Ventral Hernias After Midline Laparotomy: Current State of the Art

Vanzha

Vertyankin

Yakubenko

et al. 2021

Journal of Volgograd State Medical University

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Comparative Evaluation of Connective Tissue Reaction on Implants for Hernioplasty 106 With Collagen-Stimulating Coating

Ponomareva

Цуканов

Zatolokina

et al. 2022

Journal of Volgograd State Medical University

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The paper presents data on studying biocompatibility and tissue response in the implantation zone of collagenstimulating coated hernio implants. Endoprosthesis of the anterior abdominal wall was carried out in a supraponeurotic manner on rats of the Vistar breed. When using ascorbic acid coated hernioimplant, less pronounced reactive changes were observed in the surrounding tissues, manifested by the absence of a significant number of inflammatory cells, the predominance of fibroblastic elements in the field of view, the activation of which contributed to the early engraftment of the hernioimplant as a result of stimulation of collagenesis. Therefore, it was concluded that the most optimal is hernioimplant coated with ascorbic acid.

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Technical aspects of performing a transumbilical midline laparotomy

Vanzha

Vertyankin

2021

Science and Innovations in Medicine

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Aim to present a new midline approach technique with dissection of the navel and umbilical ring, that allows to reduce the number of postoperative ventral hernias after median laparotomy. Material and methods. The study involved 230 patients operated using the median approach with the transumbilical technique and with the traditional technique of midline laparotomy with a bypass of the umbilical ring on the left. The observation period lasted from 2016 to 2021. Results. The observation helped to assess the course of the postoperative period and the long-term outcome in the area of the surgical intervention on the abdominal wall. The advantages of the proposed technique were determined. Conclusion. When performing an access with a dissection of the umbilical ring, a strict compliance with the sequence of actions of suturing the laparotomic wound is of great importance. For the prevention of postoperative ventral hernias, it is important to combine the methods of access and suturing of the median laparotomic wound.

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Especially the ratio of collagen in the aponeurosis of the anterior abdominal wall in patients with postoperative ventral hernia and signs of connective tissue dysplasia

Cited by 3 publications

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Prevention of Incisional Ventral Hernias After Midline Laparotomy: Current State of the Art

Prevention of Incisional Ventral Hernias After Midline Laparotomy: Current State of the Art

Comparative Evaluation of Connective Tissue Reaction on Implants for Hernioplasty 106 With Collagen-Stimulating Coating

Technical aspects of performing a transumbilical midline laparotomy

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