Surgical aspects of prevention of complications in patients with postoperative ventral hernias

Abstract

The analysis of results of treatment of 113 patients with postoperative ventral hernias, divided into two groups, was carried out. 74 patients have received treatment (II (control) group) from 2013 to 2014 year. Patients of the control group were examined according to the accepted diagnostic algorithms, in addition to physical examination algorithm included chest and abdominal x-ray examination, ultrasound diagnosis of abdominal organs and fibro-esophagogastroduodenoscopy. Plastics by reticular endoprostheses was carried out in various methods. Methods have been chosen directly by surgeon during the operation. The draining of the postoperative wound was mandatory. Main (I) group included 39 patients who received treatment from 2015 to 2016. The diagnostic algorithm was supplemented with fibrocolonoscopy and spiral computed tomography, and the plastics method was predominantly the sub-lay. Hypoderma treatment by high-temperature oscillating plasma flow energy according to the original technique for prevention of lymphorrhea was provided to all patients. Wounds were mostly sutured tightly. This approach allowed to reliably reduce frequency complications from 13,4 to 1,8% and, as a consequence, the length of the patient’s staying in the hospital.

Keywords

postoperative ventral hernias / oscillatingplasma / hypoderm / lymphorrhea / prevention of complications / plastic methods / diagnostic algorithm

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