Open AccessPREVENTION OF POSTOPERATIVE VENTRAL HERNIAS AND PREDICTORS OF HERNIATION
Author(s) -
А В Федосеев,
А. С. Инютин,
С. Н. Лебедев,
В. С. Шкляр
Publication year - 2020
Publication title -
hirurgičeskaâ praktika
Language(s) - English
Resource type - Journals
ISSN - 2223-2427
DOI - 10.38181/2223-2427-2020-2-50-55
Subject(s) - medicine , ventral hernia , aponeurosis , abdominal wall , hernia , surgery , fibrous joint , prosthesis , implant
The issue of predicting and preventing postoperative ventral hernias is relevant. 450 patients were examined to identify and determine the significance of risk factors, and 71 patients underwent MRI of the anterior abdominal wall to assess the morphology of the anterior abdominal wall. Large and small predictors of herniation are identified. MRI revealed aponeurosis defects that are not physically determined, which is a high risk of postoperative ventral hernias. Based on the risk level of postoperative ventral hernias, their surgical prevention was performed. Patients at low risk should undergo laparorrhaphy with a staggered strengthening suture, at high risk - preventive using a mesh prosthesis, and if it is impossible - laparorrhaphy using a thread from a mesh polypropylene implant according to the developed technique.