Topic: Incisional Hernia — “Difficult case” as specialistic case: real loss of substance, multi recurrences, infections, fistulas, lombocel, burst abdomen, reconstruction of the entire wall

Veronesi, Paolo; Origi, M.; Pappalardo, V.; Zuliani, W.; Sahoo, Manash Ranjan; Radu, Victor Gheorghe; Radu, A.; Ene, St.; Lica, M.; Nahabet, Edward; Majumbder, A.; Sanchez, Edmund Q.; Novitsky, Yuri W.; Morales-Conde, Salvador; Sanchez-Ramirez, María; Alarcón, Isaías; Barranco, Antonio; Gómez-Menchero, Julio; Suárez, José; Bellido, J.; Socas, María; Aguilera, A.; Blázquez, Luis Alberto; Cruz, Ana Margarida; González, ez Juan Carlos Mayagoitia; Jiménez, C. Martín; Melero, D.; Palencia, Natividad; Robin, A; Becerra, R.; López-Monclús, Javier; Blazquez-Hernando, L A; Melero-Montes, Daniel; Jiménez-Ceinos, Carmen; Becerra-Ortiz, R; López-Quindós, Patricia; Galván, Armando; García-Ureña, Miguel Ángel; Movilla, Arsenio Sánchez; Blázquez, D.; Montes, Daniel; Lersundi, Álvaro Robín Valle de; Cidoncha, Arturo Cruz; Pavia, Arturo García; Quindós, Patricia López; García, Marco A. Marhuenda; García, S.; Maio, V. Di; Marte, Gianpaolo; Ferronetti, Antonio; Canfora, Alfonso; Mauriello, C.; Bottino, V.; Maida, Pietro; Berta, R.; Bellini, R.; Mancini, R.; Moretto, C.; Anselmino, M.; Cumbo, P.; Roberti, L.

doi:10.1007/bf03355389

Hernia

2015

DOI: 10.1007/bf03355389

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Topic: Incisional Hernia — “Difficult case” as specialistic case: real loss of substance, multi recurrences, infections, fistulas, lombocel, burst abdomen, reconstruction of the entire wall

Paolo Veronesi

M. Origi²,

V. Pappalardo³

et al.

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Cited by 3 publications

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Alloplasty in Strangulated Complicated Ventral Hernias

Lysenko¹

2023

Act. Probl. of the Modern Med.

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There is no consensus on applying alloplasty in the care of strangulated complicated ventral hernias. Aim: to enhance the effectiveness of alloplasty in the management of strangulated complicated ventral hernias. Materials and methods. The results were obtained from a retrospective clinical analysis of the surgical treatment of 146 patients with diagnosis of strangulated complicated ventral hernias, who underwent urgent surgical operations by an open method with the use of alloplasty at the surgical department of the 1st Municipal Clinical Hospital in Poltava for the period from 2010 to 2020. There were 114 women (78.1%) and 32 men (21.9%). The age of patients ranged from 21 to 85 years (average age was 62±3.2 years). Postoperative hernias prevailed were more prevalent (n=117, 80.1%), recurrent hernias were found in 31 (21.2%) patients. Median localization of the defect (M) was found in 134 patients (91.8%), lateral defects (L) was diagnosed in 12 patients (8.2%). The following alloplasty techniques were applied: "onlay" for in 2 patients (1.4%), "sublay" for 116 (79.5%), "sublay-inlay" for 18 (12.3%), "inlay" for 3 (2.1%), separation of anatomical components was performed in 7 (4.7%) cases. Results. In the early postoperative period, local complications were observed in 14 (9.6%) cases. General postoperative complications were noted in 11 (7.5%) cases; 2 (1.4%) patients died. In the remote period, local complications were recorded in 8 patients (5.5%). Conclusion. Performing alloplasty in patients with strangulated complicated ventral hernias enables to reduce the number of complications and improve the results of surgical outcomes.

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Alloplasty in Strangulated Complicated Ventral Hernias

Lysenko¹

2023

Act. Probl. of the Modern Med.

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Modern Principles of Medical Rehabilitation of Patients with Median Defects of the Abdominal Wall

et al. 2022

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Aim: To analyze rehabilitation and improvement of the quality of life of patients with median abdominal wall defects (MAWD) by increasing the efficiency of alloplasty by determining the general principles of planning and performing surgical interventions. Materials and methods: We carried out an analysis of the treatment results of 346 patients with MAWD, who underwent surgery in the 1st Poltava City Hospital for the period 2005-2019. There were 269 women (77.8%), men – 77 (22.2%). 282 (81.5%) patients underwent reconstructive surgeries, 59 (17.1%) – reconstructive and corrective alloplasty techniques, and 5 (1.4%) – corrective ones. Patients underwent surgery: onlay – in 3 patients (0.9%), sublay – in 289 (83.5%), sublay-inlay – in 38 (11.0%), inlay – in 4 (1.2%), Ramirez modification – in 10 (2.9%), open IPOM – in 2 (0.6%). Results: Local complications were in 25 (7.2%) cases: seroma in 12 (3.5%) patients, infiltrate in 5 (1.5%), necrosis of the edges in 4 (1.2%), hematoma – in 3 (0.9%), wound suppuration – in 1 (0.3%). In the remote period, 14 (4.1%) were registered: recurrence – 7 (2.0%); long-term deep seroma- 3 (0.9%); ligature fistulas with phlegmon – 2 (0.6%); abscess formation – 1 (0.3%), hernial sac infiltration – 1 (0.3%). Conclusions: The results of MAWD alloplasty depend on the correct solution of the planning problem and the choice of the most rational treatment tactics. Adequate abdominoplasty leads to an improvement in the quality of life of patients, medical and social rehabilitation.

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Alloplasty for complex abdominal hernias in patients with an increased risk of wound infection

Lysenko,

Liakhovskyi,

Krasnov

et al. 2024

Emerg Med Serv

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Aim: Improvement the effectiveness of the use of alloplasty of complex abdominal hernias in patients with an increased risk of developing wound infection by substantiating a wider introduction of primary alloplasty and reducing the number of postoperative complications. Material and methods: A retrospective clinical analysis of the results of surgical treatment of 252 patients with complex abdominal hernias, who were operated on by the open method for the period 2010-2020, was carried out. Infringement was occurred in 146 (57.9%) patients, eventration - in 3 (1.2%) patients, stoma - in 3 (1.2%), fistulas - in 9 (3.6%). Obesity was diagnosed in 159 (63.0%) patients, diabetes mellitus - in 27 (10.7%) patients, and steroid use - in 13 (5.2%) patients. In 223 (88.5%) patients, concomitant pathology was found that required combined surgical treatment. Results: In the early postoperative period, early complications were observed in 21 (8.3%) cases: seroma - in 9 (3.6%) patients, inflammatory infiltrate - in 6 (2.4%), hematoma - in 3 (1.2%), necrosis of the wound edges - in 2 (0.8%), wound suppuration - in 1 (0.4%). Conclusions: The using of primary alloplasty of complex abdominal hernias in patients with an increased risk of developing wound infection by a special methodology can increase its effectiveness, improve treatment results and reduce the number of complications.

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Topic: Incisional Hernia — “Difficult case” as specialistic case: real loss of substance, multi recurrences, infections, fistulas, lombocel, burst abdomen, reconstruction of the entire wall

Cited by 3 publications

References 1 publication

Alloplasty in Strangulated Complicated Ventral Hernias

Alloplasty in Strangulated Complicated Ventral Hernias

Modern Principles of Medical Rehabilitation of Patients with Median Defects of the Abdominal Wall

Alloplasty for complex abdominal hernias in patients with an increased risk of wound infection

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