POSTERIOR SEPARATION HERNIOPLASTY TAR IN TREATMENT OF POSTOPERATIVE VENTRAL HERNIAS W3

Abstract

Aim. To improve the results of surgical treatment in patients with the postoperative ventral hernias W3 using the method of posterior separation hernioplasty TAR. Materials and methods. Twenty seven patients with the postoperative ventral hernias W3, who underwent the posterior separation hernioplasty by TAR technology, including 14 (51,85 %) patients with simultaneous operations were examined. For all patients, the technology of uninterrruped suture using long-resorbable suture materials with immobilized antibacterial drugs was applied. Results. In the postoperative period, marginal skin necrosis developed in 1 (3,70 %) patient, retromuscular hematoma in 1 (3,70 %) patient. The regional ozonotherapy used contributed to faster reduction of infectious-inflammatory process. No lethal outcomes were fixed. Conclusions. Modern surgery of the postoperative ventral hernias is an actual medical, social and economic problem. The method of separation plasty of the anterior abdominal wall used in case of the postoperative ventral hernias W3 should be chosen individually for each patient.

Keywords

TAR / Postoperative ventral hernias / posterior separation hernioplasty / TAR

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RIGHTS & PERMISSIONS

Samartsev V.A., Gavrilov V.A., Parshakov A.A., Kuznetsova M.V.