Prevention of Complications in the Postoperative Period when Treating Ventral Hernia
DOI:
https://doi.org/10.51699/ijhsms.v2i10.2730Keywords:
postoperative ventral hernia, polypropylene mesh implant, prevention of complicationsAbstract
The use of synthetic materials for hernial orifice repair in patients with postoperative ventral hernias (POVH) has reduced the incidence of wound complications. However, the success of surgical treatment of patients with POVH largely depends on complete preparation for surgery, the choice of the optimal method of alloplasty and rational management of the patient in the postoperative period. An analysis of the results of surgical treatment of 143 patients with POVH for the period 2018-2022, operated on at the regional multidisciplinary medical center (RMMC), was carried out. For plastic surgery of the hernial orifice, a polypropylene mesh implant “Paha” (Turkey) was used. In 65 (45.4%) patients, supraponeurotic (on1au) plastic surgery was performed, and in 78 (54.5%), sublay type plastic surgery was used. In the early postoperative period, general complications occurred in 7 (4.8%) patients, wound complications - in 15 (10.5%) patients, mortality was 0.69%. To improve the results of surgical treatment of patients with POVH, a number of recommendations should be followed. In the preoperative period, it is useful to conduct a comprehensive examination of patients with the development of an individual program for the prevention of wound, thromboembolic and pulmonary complications.
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Titov V.V., Kalachev I.I., Timoshin A.D. Comparative assessment of sub- and supraponeurotic plastic surgery of the anterior abdominal wall in patients with postoperative ventral hernias // Annals of Surgery. 2008. No. 4. P. 56-59.
Khamdamov B.Z., Nuraliev N.A., Gaziev K.U., TeshaevSh.Zh., Khamdamov I.B. Experimental development of methods for local treatment of wound infection. // Biology va Tibbiyot Muammolari. 2020. No. 1, (116). – pp. 194-200.
Yagudin M.K. Alternative approaches to hernioplasty of postoperative ventral hernias // Kazan. honey. magazine 2003. No. 2. pp. 121-123.9. Busek J. et al. Retromuscular mesh repair of a hernia in a scar according to Rives our first experience // Rozhl. Chir. 2005. Vol. 84. P. 543-546.
Celdran A. et al. The role of antibiotic prophylaxis on wound infection after mesh hernia repair under local anesthesia on an ambulatory basis // Hernia. 2004. № 8. P. 20-22.
Hanna M., Dissanaike S. Mesh ingrowth with concomitant bacterial infection resulting in inability to explant: a failure of mesh salvage // Hernia 2015; 19 (2): 339-344.
Khamdamov B.Z., Dehonov A.T., Gaziev K.U., Khamdamov I.B., Khakimboyeva K.A. Characteristics of the Immune Profile in Wound Infection in Patients with Diabetes Mellitus.// American Journal of Medicine and Medical Sciences 2022, 12(4): 432-436
Hamdamov B.Z., Musoev T.Y., Khaidarov F.N., Gaziev K.U. Dynamics of cytokine blood profile at destructive forms of acute
calculous cholecystitis. // Europe's Journal of Psychology, 2021, Vol. 17(3), 93-101.
Salameh J. R. et al. Role of biomarkers in incisional hernias // Am. Surg. 2007. Vol. 73, № 6. P. 561-567.
Simchen T., Rozin R., Wax Y. The Israel Study of Surgical Infection of drains and risk of wound infection in operations for hernia // Surg. Gynecol. Obstet. 1990. Vol. 170, № 4. P. 331-337.
Gaziev K.U. Adaptive approach in the treatment of elderly and senile patients with postoperative ventral hernias. Journal of Pharmaceutical Negative Results, 4613–4616. https://doi.org/10.47750/pnr.2022.13.S07.574
Gaziyev K. (2023). Features of the tactics of treatment in adult patients with postoperative abdominal hernia. American Journal of Pediatric Medicine and Health Sciences, 1(4), 158–161. Retrieved from https://grnjournal.us/index.php/AJPMHS/article/view/275
Gaziyev, K. U. (2023). Impact of Endocrine Disorders on the Results of Surgical Treatment of Patients with Cholelithiasis of Elderly and Old Age. Central Asian Journal of Medical and Natural Science, 4(1), 182-186. https://doi.org/10.17605/OSF.IO/4RZ7W
