Open AccessModern technology in the treatment of patients with postoperative ventral hernias
Author(s) -
Б. В. Сигуа,
Б. В. Сигуа,
V. P. Zemlyanoy,
В П Земляной,
А. С. Соколова,
А. С. Соколова,
Д Ф Черепанов,
Д Ф Черепанов,
S. A. Vinichuk,
С. А. Винничук,
А В Никифоренко,
А В Никифоренко,
D. S. Sakhno,
D. S. Sakhno,
Е А Захаров,
Е А Захаров
Publication year - 2018
Publication title -
vestnik severo-zapadnogo gosudarstvennogo medicinskogo universiteta im. i.i. mečnikova
Language(s) - English
Resource type - Journals
eISSN - 2618-9704
pISSN - 2618-7116
DOI - 10.17816/mechnikov201810137-42
Subject(s) - medicine , surgery , esophagogastroduodenoscopy , ventral hernia , ultrasound , physical examination , abdominal wall , radiology , endoscopy
The analysis of results of treatment of 113 patients with postoperative ventral hernias was carried out patients divided into two groups. 74 patients have received treatment (II (control) group) from 2013 to 2014 year. Patients of the control group were examined according to the accepted diagnostic algorithms, in addition to physical examination algorithm include chest and abdominal x-ray examination, ultrasound diagnosis of abdominal organs and fibro-esophagogastroduodenoscopy. Plastic by reticular endoprostheses was carried out in various methods. Methods have been chosen directly by surgeon during the operation. The draining of the postoperative wound was mandatory. Main (I) group included 39 patients who received treatment from 2015 to 2016. The diagnostic algorithm was supplemented with fibrocolonoscopy and spiral computed tomography, and the plastic method was predominantly sub-lay. Hypoderma treatment by high-temperature oscillating plasma flow energy according to the original technique for the prevention of lymphorrhea was provided to all patients. Maims were mostly sutured tightly. This approach allowed to reliably reduce frequency complications from 13.4% (14) to 1.8% (2) and, as a consequence, the length of stay of the patient in the hospital.