RESEARCH PAPER
Method for the prevention of postoperative ventral hernias during surgical interventions on the anterior abdominal wall
More details
Hide details
1
Department of Surgeons with Anesthesiology and Intensive Care, Kazakh-Russian Medical University, Almaty, Kazakhstan
2
Department of General Surgery, Kazakh-Russian Medical University, Almaty, Kazakhstan
Submission date: 2020-01-23
Final revision date: 2020-06-23
Acceptance date: 2020-06-23
Online publication date: 2020-09-09
Corresponding author
Valentine Madyarov
Department of Surgeons with Anesthesiology and Intensive Care,
Kazakh-Russian Medical University, 050004, 71 Torekul Str., Almaty, Republic of Kazakhstan
Pol. Ann. Med. 2020;27(2):103-107
KEYWORDS
TOPICS
ABSTRACT
Introduction:
ostoperative ventral hernia (PVH) is a protrusion of the abdominal organs (intestinal loops, omentum, etc.) beyond the abdominal wall through a postoperative space or a scar. Prevention and treatment of external abdominal hernias is one of the urgent problems of modern surgery. PVH is a serious late complication following surgery found in 5%–14% of patients.
Aim:
The aim of the study was to define the most important measures to prevent the occurrence of ventral hernia relapses, as well as to predict the occurrence or relapse by determining collagen content.
Material and methods:
The main objective of the study was to formulate the main preventive measures of ventral hernia relapses using a method to determine collagen content. Ultrasound examination of the abdominal cavity was used as one of the safest and most advanced diagnostic methods for PVH diagnostics. During the study, a retrospective analysis of 277 case records was used to determine the main causes of ventral hernia relapses and justify the need to prevent PVH relapses.
Results and discussion:
In this study, the authors try to develop a scheme for optimal postoperative rehabilitation of the patients to prevent ventral hernia relapses, ways to prevent PVH recurrences in the experiment and to determine the relationship between the risk of PVH and relapses associated with collagen. A comprehensive study consisting of three stages was conducted.
Conclusions:
As a result, a conceptual model was developed to improve the prevention of PVH and its relapses.
FUNDING
None.
CONFLICT OF INTEREST
Authors declare that they have no conflict of interest.
REFERENCES (19)
1.
Zhebrovsky VV, Toskin KD, Ilchenko FN. Twenty years of experience in the treatment of postoperative ventral hernias. Herald Surg I.I. Grekova. 2000;2:105–108 [in Russian].
2.
Belokonev VI, Fedorina TA, Kovaleva ZV, Pushkin SYu, Nagapetyan SV, Supilnikov AA. Pathogenesis and Surgical Treatment of Postoperative Hernias. Samara: GP Perspective; 2005 [in Russian].
3.
Kulesza G, Tuyakov B, Braczkowska M, Onichimowski D, Mayzner-Zawadzka E. Paravertebral blockade – Underrated method of regional anesthesia. Pol Ann Med. 2014;21(1):63–68.
https://doi.org/10.1016/j.poam....
4.
Biryaltsev VN, Shaimardanov RSh, Filippov VA, Khalilov KhM. Gernioabdominaplasty: A Guide for Physicians. Kazan: Idel press; 2008 [in Russian].
5.
Egiev VN. Not Traction Hernioplasty. Moscow: Medpraktyka; 2002 [in Russian].
6.
Yurasov AV, Fedorov DA, Shestakov AL. Mathematical forecasting when choosing a method for plastic surgery of postoperative hernias. Ann Surg. 2002;1:47–51 [in Russian].
7.
Sugrue M, Buist M, Lee A, Sanchez D, Hillman K. Intra-abdominal measurement using a modified nasogastric tube: description and validation of a new technique. Intensive Care Med. 1994;20(8):588–590.
https://doi.org/10.1007/bf0170....
8.
Itani KM, Hur KF, Kim LT, et al.; Veterans Affairs Ventral Incisional Hernia Investigators. Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia. Arch Surg. 2010;145(4):322–328.
https://doi.org/10.1001/archsu....
9.
Egiev VN, Lyadov KV, Voskresensky PK. Atlas of Operative Hernia Surgery. Moscow: Medpraktyka-M; 2003 [in Russian].
10.
Podergin AV, Halzov VL. Failures of hernia repair with plastic polypropylene mesh. Bull Herniology. 2006;2:149–152 [in Russian].
11.
Surkov NA. Anatomical and Functional Reconstruction of the Anterior Abdominal Wall with its Deformations and Defects. Clinical and Morphological Examination. Moscow: Institute of Plastic Surgery Cosmetology; 2007 [in Russian].
12.
Lyadov VK. Comparative Evaluation of Materials for Intraperitoneal Placement in the Treatment of Hernias of the Anterior Abdominal Wall. Experimental Clinical Study. Moscow: Lechebno-reabilitatsionnyy tsentr; 2010 [in Russian].
13.
Fedorov IV, Slavin LE, Kochnev AV. Seroma as a complication of abdominal hernia surgery. Bull Herniology. 2006;2:195–198 [in Russian].
14.
Baranova IV, Bezsmertnyi YA, Bezsmertnaya HV, Postovitenko KP, Iliuk IA, Gumeniuk AF. Analgetic effect of ozone therapy: myths of reality? Pol Ann Med. 2020;27(1):62–67.
https://doi.org/10.29089/2020.....
16.
Glotova IA, Galochkina NA, Selemenev VF, Peregonchaya OV, Sokolova SA. IR-spectroscopic study of immobilization of selenium compounds on biomodified collagen. Period Tche Quim. 2019;16(33):159–168.
http://deboni.he.com.br/Period.... Accessed: 20.01.2020.
17.
Lin Y-T, Weng T-Y, Tam K-W. Effectiveness and safety of mesh repair for incarcerated or strangulated hernias: A systematic review and meta-analysis. World J Surg. 2020;44(7):2176–2184.
https://doi.org/10.1007/s00268....
18.
De Simone B, Birindelli A, Ansaloni L, et al. Emergency repair of complicated abdominal wall hernias: WSES guidelines. Hernia. 2020;24(2):359–368.
https://doi.org/10.1007/s10029....
19.
Kjaer M, Frederiksen AKS, Nissen NI, et al. Multinutrient supplementation increases collagen synthesis during early wound repair in a randomized controlled trial in patients with inguinal hernia. J Nutr. 2020;150(4):792–799.
https://doi.org/10.1093/jn/nxz....