DOI
https://doi.org/10.47689/2181-3663-vol3-iss4-pp27-32Keywords
postoperative ventral hernia , polypropylene mesh implant , prophylaxis of complications , recurrence of herniaAbstract
The use of synthetic materials for hernioplasty in patients with postoperative ventral hernias (PVH) helps reduce the incidence of wound complications. However, the success of PVH surgical treatment depends on thorough preoperative preparation, selecting the optimal alloplasty method, and effective postoperative patient management.
An analysis of the surgical treatment outcomes for 143 PVH patients operated on between 2018 and 2022 at the Bukhara Regional Multidisciplinary Medical Center was conducted. Polypropylene mesh implants produced by "Paha" (Turkey) were used for hernioplasty. Of these patients, 65 (45.4%) underwent onlay plasty, while 78 (54.5%) received sublay plasty. In the early postoperative period, general complications were noted in 7 patients (4.8%), wound complications in 15 patients (10.5%), and the mortality rate was 0.69%.
To improve surgical outcomes for PVH patients, specific recommendations should be followed. A comprehensive preoperative examination, combined with an individualized program to prevent wound, thromboembolic, and pulmonary complications, can be beneficial.
References
Titov V. V., Kalachev I. I., Timoshin A.D. Comparative evaluation of sub- and nadaponeurotic plasty of the anterior abdominal wall in patients with postoperative ventral hernias // Annals of Surgery. 2008. № 4. С. 56-59. (in Russian)
Khamdamov B.Z., Nuraliev N.A., Gaziev K.U., Teshayev Sh.J., Khamdamov I.B. Experimental development of methods of local treatment of wound infection // Biologiya va tibbiyot muammolari. 2020. №1, (116). - С. 194-200. (in Russian)
Yagudin M. K. Alternative approaches to hernioplasty of postoperative ventral hernias // Kazan. med. zhurn. 2003. №2. С. 121-123.9. Busek J. et al. Retromuscular mesh repair of a hernia in a scar according to Rives our first experience // Rozhl. Chir. 2005. Vol. 84. P. 543-546. (in Russian)
Celdran A. et al. The role of antibiotic prophylaxis on wound infection after mesh hernia repair under local anesthesia on an ambulatory basis // Hernia. 2004. № 8. P. 20-22.
Hanna M., Dissanaike S. Mesh ingrowth with concomitant bacterial infection resulting in inability to explant: a failure of mesh salvage // Hernia 2015; 19 (2): 339-344.
Khamdamov B.Z., Dehonov A.T., Gaziev K.U., Khamdamov I.B., Khakimboyeva K.A. Characteristics of the Immune Profile in Wound Infection in Patients with Diabetes Mellitus.// American Journal of Medicine and Medical Sciences 2022, 12(4): 432-436
Salameh J. R. et al. Role of biomarkers in incisional hernias // Am. Surg. 2007. Vol. 73, № 6. P. 561-567.
Simchen T., Rozin R., Wax Y. The Israel Study of Surgical Infection of drains and risk of wound infection in operations for hernia // Surg. Gynecol. Obstet. 1990. Vol. 170, № 4. P. 331-337.
Gaziev K.U. Adaptive approach in the treatment of elderly and senile patients with postoperative ventral hernias. Journal of Pharmaceutical Negative Results, 4613–4616. https://doi.org/10.47750/pnr.2022.13.S07.574
Gaziyev K. (2023). Features of the tactics of treatment in adult patients with postoperative abdominal hernia. American Journal of Pediatric Medicine and Health Sciences, 1(4), 158–161. Retrieved from https://grnjournal.us/index.php/AJPMHS/article/view/275
Gaziyev, K. U. (2023). Impact of Endocrine Disorders on the Results of Surgical Treatment of Patients with Cholelithiasis of Elderly and Old Age. Central Asian Journal of Medical and Natural Science, 4(1), 182-186. https://doi.org/10.17605/OSF.IO/4RZ7W
Downloads
69 18Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Карим Газиев
This work is licensed under a Creative Commons Attribution 4.0 International License.
