Postoperative abdominal hernia: a modern view on incidence and etiopathogenesis

Ermolov, A S; Koroshvili, V. T.; Blagovestnov, D. A.; Yartsev, P. A.; Shlyakhovsky, I. A.

doi:10.17116/hirurgia2017576-82

Cited by 4 publications

(2 citation statements)

References 50 publications

(56 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A significant percentage of these interventions consists of surgery for postoperative ventral hernias (POVH). (5,6) This category of patients is a constant contingent of surgical hospitals. Thus, over the past 25 years, due to the increase in the number of surgical interventions on the abdominal organs, the frequency of POVH has increased by 9 times or more.…”

Section: Introductionmentioning

confidence: 99%

Conceptual and Methodological Approaches to Choosing a Method for Marking a Surgical Site for Reconstructive Surgery on the Anterior Abdominal Wall

Hryvenko¹,

Semënov²,

Mahanta³

et al. 2020

IJBM

View full text Add to dashboard Cite

This article discusses the effectiveness of the author's method of marking a surgical site (Ukraine patent UA 99427) for surgical treatment of patients with postoperative ventral hernias (POVH). Based on the study of quality of life (QOL) indicators obtained using the SF-36 questionnaire, it was found that the proposed therapeutic tactics for surgical correction of POVH can increase medical, social and aesthetic efficacy to a statistically significant improvement in QOL.

show abstract

Section: Introductionmentioning

confidence: 99%

Conceptual and Methodological Approaches to Choosing a Method for Marking a Surgical Site for Reconstructive Surgery on the Anterior Abdominal Wall

Hryvenko¹,

Semënov²,

Mahanta³

et al. 2020

IJBM

View full text Add to dashboard Cite

show abstract

“…Симультанные вмешательства являются составляющей успешного лечения больного с грыжей. Несмотря на то что расположение протеза в передней брюшной стенке возможно в позиции on lay, inlay, sublay, ретроперитониально и интраперитониально [1,2,3,4,5], выполнение симультанных операций затруднено, если сопутствующая хирургическая патология диагностируется в органах, которые не соответствуют анатомическому расположению грыжевых ворот. Тактика лечения таких больных до конца не разработана [1,6,7].…”

Section: Introductionunclassified

Simultaneous Operations Tactics in Patients With Ventral Hernias

Fedorin

Белоконев

Pushkin

et al. 2018

Science and Innovations in Medicine

View full text Add to dashboard Cite

Objectives - to improve treatment results in patients with ventral hernia and the concurrent surgical diseases by means of the designed surgery tactics. Material and methods. The treatment of 834 patients with ventral hernia, aged from 18 up to 82 years, was analyzed. The group consisted of 196 men (23.5%) and 638 women (76.5%). According to the European Hernia Society (EHS) classification of postoperative ventral hernias the gate types were distributed in patients as follows: W1 - in 132 patients (15.8%), W2 - in 397 (47.6%), W3 - in 305 (36.6%), in 243 (29.1%) cases the hernias were recurrent. 394 (47.2%) patients had 597 simultaneous interventions. The treatment tactics for the patients with hernias and associated diseases was defined according to the designed classification. For the abdominal wall repair the 2 variants of the "tension-free" mesh repair technique were used. Results. Forced simultaneous interventions were performed in 34 patients when the intestinal loops adherent to the scar were situated in the hernia sac. In 27 cases the postoperative ventral hernia was combined to the intestinal fistulas, located out of the hernia area. 12 patients underwent herniolaparotomy conditioned by the intra-abdominal intestinal fistulas closure and small hernias size. To prevent the compartment syndrome in 3 patients with splanchnoptosis the right part of the colon was resected. 103 patients had the planned simultaneous operations including the laparoscopic cholecystectomy in 19 cases, 114 patients underwent the panniculectomy. The preventional appendectomy was performed in patients with the recurrent large hernias. In 140 cases the omentum resection was done due to the signs of the chronical strangulation and omentitis. Postoperative pulmonary artery thromboembolia was the death cause for 3 (0.4%) patients. Only 8 (0.9%) patients suffered the partial hernia recurrence. Conclusion. In patients with hernias the simultaneous operations are conditioned by the pathogenesis and do not affect the severity and frequency of wound complications in the postoperative period. A condition for the simultaneous interventions in patients with hernias is the necessary implementation of the combined techniques of the ventral tension-free mesh hernioplasty.

show abstract