Postoperative ventral hernia - unsolved issues of surgical tactics

Ermolov, A S; Koroshvili, V. T.; Blagovestnov, D. A.

doi:10.17116/hirurgia201810181

Cited by 10 publications

(4 citation statements)

References 23 publications

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“…The following tension-free hernioplasty methods, depending on the location of the implant to the muscular-aponeurotic layer of the anterior abdominal wall, are: on-lay over the aponeurosis; sub-lay retro muscular, and in-lay in the form of a patch [1]. With the on-lay method, the prosthesis is fixed over the sutured hernial orifice by the type of the primary suture.…”

Section: Introductionmentioning

confidence: 99%

New Alloplasty Method for Large Incisional Ventral Hernias

2023

J Surg

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The following tension-free hernioplasty methods, depending on the location of the implant to the muscular-aponeurotic layer of the anterior abdominal wall, are: on-lay over the aponeurosis; sub-lay retro muscular, and in-lay in the form of a patch. The article describes the main methods of plastic surgery on the anterior abdominal wall with a critical analysis. Given the unresolved infection problem, the high risk of wound complications, and hernia recurrence in the long term, the authors proposed strategies to prevent these complications, which consist of combining an improved method of anterior abdominal wall plasty with photodynamic therapy through laser activation of the antibacterial effect of the domestic antiseptic drug FarGALS, which allowed two times reduce the likelihood of infection in the wound; and stimulate wound healing processes.

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Section: Introductionmentioning

confidence: 99%

New Alloplasty Method for Large Incisional Ventral Hernias

2023

J Surg

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“…Currently, the methods applied for POVH plasty are based on the use of additional plastic materials to provide a reliable cover of the hernia defect, reduce the incidence of hernia recurrence, and the absence of discomfort in the plasty area [8,9]. However, at the present stage, no less important is given to such criteria as aesthetic satisfaction of the patient after the plasty, preservation of physical activity, including sports, and the restoration of work capacity and return to everyday life.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of simultaneous surgical operations in obesity patients

Galimov,

Khanov

et al. 2023

E3S Web Conf.

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Aim is to study the quality of life in patients with obesity who underwent hernia repair, in comparison with patients who underwent a weight-correcting intervention. Materials and methods. On the basis of the University Clinic was performed a prospective study of 107 patients with incisional hernia, who underwent a prosthetic hernioplasty and whose BMI exceeded 35 kg/m2. All operated patients were divided into compared groups. The first group consisted of 36 (33.6%) patients who, in addition to hernia correction, underwent one of bariatric procedure. The second group consisted of 71 (66.4%) patients who underwent only prosthetic hernioplasty. In this groups was assessed the quality of life by SF-36 questionnaire before and 1 year after the operation. Results and discussion. It was found a correlation between the weight-correction surgery with the physical component of health, indicating a decrease in the role of physical problems in limiting the patient's life. Significant differences were revealed on the scales of physical functioning, health assessment, and the physical component of quality of life. Conclusion. Performing a simultaneous bariatric surgery with hernia repair improves the quality of life in these patients.

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“…Despite a wide choice of materials for hernial defect plastic surgery and methods of treating those defects, there are difficulties in preventing recurrence and complications of ventral hernias (Hamidian Jahromi et al 2020). To achieve this goal, it is necessary to create a hernia endoprosthesis that affects both the wound process and the process of collagen metabolism (Sukovatykh et al 2016;Ermolov et al 2018). During implantation of a hernia endoprosthesis, wound healing proceeds successively through all the stages of wound process development.…”

Section: Introductionmentioning

confidence: 99%

Studying the influence of Solcoseryl drug and vitamin C on the inflammatory reaction and proliferation of fibroblastic cells in the filed of polypropylene endoprosthesis implantation

Лазаренко¹,

Ivanov²,

Панкрушева³

et al. 2021

RRP

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Introduction: Applying a coating on hernia endoprosthesis prevents recurrent anterior abdominal wall hernias, reduces inflammatory response and stimulates reparative processes in the area of its implantation. The aim of investigation was to study the effect of Solcoseryl and Vitamin C in a collagen-stimulating coating of hernioendoprosthesis on a morphological picture in anterior abdominal wall plastic surgery. Materials and methods: The study was performed on 180 laboratory mice divided into three groups of 60 animals each: the first group animals were implanted with polypropylene endoprostheses without a collagen-stimulating coating, the second group animals – polypropylene endoprostheses with a collagen-stimulating coating with Vitamin C, and the third group animals – polypropylene endoprostheses with a collagen-stimulating coating with Solcoseryl. The laboratory animals were withdrawn from the experiment on the 10th, 30th, 60th, and 90th days. The excised sections of the abdominal wall were stained with G+E to determine the nature of inflammation and the number of cell elements. Results and discussion: When using endoprostheses with a collagen-stimulating coating, the stages of inflammatory process proceeded more quickly, which was confirmed by a reliable (р ≤ 0.05) decrease in the number of neutrophils, macrophages and lymphocytes at all stages of the study. By the 90th day of the experiment, the number of fibroblasts in the control group was by 22.64% less than in the study groups with a coating. Conclusion: A cytological and histological analysis in the control group determined a consistent decrease in an exudative phase of inflammatory reaction. When using endoprosthesis with coatings, its acceleration and lower intensity was noted throughout the study. In the group with Solcoseryl, the formation of a dense connective capsule around the endoprosthesis indicates its quality and better adaptation of the endoprosthesis in body tissues.

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Postoperative ventral hernia - unsolved issues of surgical tactics

Cited by 10 publications

References 23 publications

New Alloplasty Method for Large Incisional Ventral Hernias

New Alloplasty Method for Large Incisional Ventral Hernias

Evaluation of simultaneous surgical operations in obesity patients

Studying the influence of Solcoseryl drug and vitamin C on the inflammatory reaction and proliferation of fibroblastic cells in the filed of polypropylene endoprosthesis implantation

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