POSTOPERATIVE-TREATMENT FOLLOWING OPEN INCISIONAL HERNIA REPAIR: A SURVEY AND A REVIEW OF LITERATURE
DOI:
https://doi.org/10.51699/ijhsms.v2i12.3321Keywords:
postoperative ventral hernia, plastic, mesh synthetic prostheses.Abstract
The article presents a review of the literature on the frequency, etiology, pathogenesis of postoperative ventral hernias and surgical tactics. A modern international classification of postoperative ventral hernias, endoprostheses, classical operations is given, as well as postoperative complications, causes of unsatisfactory results are described. The use of a single bolus is ineffective due to the limited duration of action. Long-term administration of drugs is carried out through a special catheter inserted by the surgeon at the desired location at the end of the operation, which increases the duration of pain relief and, consequently, the effective use of local tissue infiltration. Most of the controversy in laparoscopic repair relates to the tensile strength of the mesh fixation method. Relapse is thought to be the result of inadequate or failed fixation. Postoperative pain caused by different fixation methods is another factor to consider when choosing between sutures and staples. Sutures are thought to cause more severe and persistent pain. This method allows the use of irrigation with long wounds as a component of postoperative analgesia after implantation of a prosthesis from a polypropylene mesh after postoperative ventral hernias plastic.
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