Method of allograft fixation in pre-peritoneal repair of ventral hernias

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Abstract

The aim of the study was to evaluate the reliability of allograft fixation and the effectiveness of postoperative purulent-inflammatory complications using the proposed new method for fixing a synthetic graft in pre-peritoneal ventral hernia repair. The proposed method was tested by us in 32 patients aged 29–75 years (main group). The dimensions of the hernial orifice did not exceed 3 cm in diameter, the dimensions of the hernial sac were 4–5 cm. 28 patients aged 31–74 years (control group) were operated on with transaponeurotic sutures in the standard way. According to the main clinical characteristics, both groups were comparable. Among the evaluated indicators, the most significant were: the absence of hernia recurrence within 1–5 years in both groups; absence of postoperative complications in the main group, in the control group – 2 cases (7.1%) of hematoma of the postoperative wound (differences are statistically significant); a significant decrease in the average length of stay in the hospital after surgery in the main group to 7±0.2 days (in the control group, 8±0.1 days).

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About the authors

V. G. Chernykh

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: cvkg_man@mil.ru

кандидат медицинских наук, полковник медицинской службы

Russian Federation, Moscow

K. N. Efremov

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: cvkg_man@mil.ru

подполковник медицинской службы

Russian Federation, Moscow

M. V. Belov

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: cvkg_man@mil.ru

подполковник медицинской службы

Russian Federation, Moscow

N. V. Bondareva

The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: cvkg_man@mil.ru
Russian Federation, Moscow

References

  1. Базаев А.В., Гошадзе К.А., Малов А.А., Янышев А.А. Миграция полипропиленовой сетки в брюшную полость после грыжесечения по поводу рецидивной послеоперационной вентральной грыжи (клинический случай) // Вестн. новых мед. технол. – 2016. – Т. 23, № 1. – С. 59–61.
  2. Дерюгина М.С. Методы ненатяжной пластки срединных послеоперационных грыж // Хирургия. – 2004. – № 7. – С. 69–70.
  3. Егиев В.Н., Лядов К.В., Воскресенский П.К. Атлас оперативной хирургии грыж. – М.: Медпрактика, 2003. – 70 с.
  4. Крайнюков П.Е., Скоробогатов В.М., Черных В.Г., Кулюшина Е.А., Бондарева Н.В. Способ комбинированной аллопластики при косой паховой грыже // Вестн. Национ. мед.-хир. центра им. Н.И.Пирогова. – 2017. – Т. 12, № 4 (ч. 2). – С. 47–51.
  5. Славин Л.E., Фёдоров И.В., Сигал Е.И. Осложнения хирургии грыж живота. – М.: Профиль, 2005. – 175 с.
  6. Черных В.Г., Крайнюков П.Е., Скоробогатов В.М., Ошмарин С.В., Бондарева Н.В., Пятов С.С. Способ фиксации сетчатого трансплантата при аллопластике паховой грыжи // Воен.-мед. журн. – 2016. – Т. 337, № 10. – С. 69–70.
  7. Черных В.Г., Крайнюков П.Е., Скоробогатов В.М. и др. Способ трансперитонеальной лапароскопической герниопластики с рассечением грыжевого мешка // Воен.-мед. журн. – 2019. – Т. 340, № 5. – С. 36–39.
  8. Aggarwal S., Praneeth K., Rathore Y. et al. Laparoscopic management of mesh erosion into small bowel and urinary bladder following total extra-peritoneal repair of inguinal hernia // J. Minim. Access. Surg. – 2016. – Vol. 12, N 1. – P. 79–82. https://doi.org/10.4103/0972-9941.169956
  9. Dubbeling R.M., Ramesh K. Infected inguinal hernia mesh presenting as pseudotumor of the bladder // Indian. J. Urol. – 2013. – Vol. 29, N 4. – P. 345–347. https://doi.org/10.4103/0970-1591.120120
  10. Ishikawa S., Kawano T., Karashima R. et al. A case of mesh plug migration into the bladder 5 years after hernia repair // Surg. Case Rep. – 2015. – N 1. – P. 4. https://doi.org/10.1186/s40792-014-0004-2
  11. Filippou D. Late Ps. aeruginosa inguinal mesh infection 12 years after the initial operation: report of the case and short review of the literature // Case Rep. Surg. – 2017. – P. 4385913. https://doi.org/10.1155/2017/4385913
  12. Jensen K.K. Recovery after abdominal wall reconstruction // Dan. Med. J. – 2017. – Vol. 64, N 3. – B5349.
  13. Koyama M., Miyagawa Y., Yamamoto Y. et al. Surgery for chronic mesh infection occurred 10 years after sacrectomy – mesh resection and mesentric leaf repair: a case report // Int. J. Surg. Case Rep. – 2017. – Vol. 30. – P. 215–217. https://doi.org/10.1016/j.ijscr.2016.10.057
  14. Nanu M., Nanu C., Trifu M. Modifications in the abdominal wall after prostheses implant in guinea pigs. Experimental preliminary study // Chirurgia (Bucur). – 2006. – Vol. 101, N 1. – P. 41–46.
  15. Shrivastava A., Gupta A. Erosion of small intestine with necrotising fasciitis of over lying abdominal wall after expanded poly-tetrafluoroethylene mesh implantation: a rare complication after laparoscopic incisional hernia repair // J. Minim. Access. Surg. – 2013. – Vol. 9, N 3. – P. 138–140. https://doi.org/10.4103/0972-9941.115381
  16. Vorst A.L., Kaoutzanis C., Carbonell A.M., Franz M.G. Evolution and advances in laparoscopic ventral and incisional hernia repair // World J. Gastrointest. Surg. – 2015. – Vol. 7, N 11. – P. 293–305. https://doi.org/10.4240/wjgs. v7.i11.293

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Copyright (c) 2024 Chernykh V.G., Efremov K.N., Belov M.V., Bondareva N.V.


СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
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