PREVENTION OF POSTOPERATIVE VENTRAL HERNIAS AND PREDICTORS OF HERNIATION
https://doi.org/10.38181/2223-2427-2020-2-50-55
Abstract
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.
About the Authors
A. V. Fedoseev
Federal State Budget Educational Institution of Higher Education I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Fedoseev Andrey Vladimirovich, MD, Professor, head of the Department of General surgery
390026, Vysokovol'tnaya St., 9, Ryazan
A. S. Inyutin
Federal State Budget Educational Institution of Higher Education I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Inyutin Alexander Sergeevich, Ph. D., associate Professor of the Department of General surgery
390026, Vysokovol'tnaya St., 9, Ryazan
Cell number: 8-(962)-391-62-08
S. N. Lebedev
Federal State Budget Educational Institution of Higher Education I.P. Pavlov Ryazan State Medical University
Russian Federation
Russian Federation
Lebedev Sergey Nikolayevich, assistant, Department of General surgery
390026, Vysokovol'tnaya St., 9, Ryazan
V. S. Shklyar
Federal State Budget Educational Institution of Higher Education I.P. Pavlov Ryazan State Medical University; City clinical hospital of emergency medical care of Ryazan
Russian Federation
Russian Federation
Shklyar Vyacheslav Sergeevich, graduate student of Department of General surgery of I.P. Pavlov Ryazan State Medical University.
390026, Vysokovol'tnaya St., 9, Ryazan
390013, Dzerzhinskogo St., 9, Ryazan
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Review
For citations:
Fedoseev A.V., Inyutin A.S., Lebedev S.N., Shklyar V.S. PREVENTION OF POSTOPERATIVE VENTRAL HERNIAS AND PREDICTORS OF HERNIATION. Surgical practice (Russia). 2020;(2):50-55. (In Russ.) https://doi.org/10.38181/2223-2427-2020-2-50-55
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