Year 2014 Vol. 22 No 6

REVIEWS

D.V. NAREZKIN, E.V. SERGEEV

PREVENTIVE METHODS OF PYO-INFLAMMATORY WOUND COMPLICATIONS IN HERNIOTOMY OF STRANGULATED POSTOPERATIVE VENTRAL HERNIAS

SBEE HPE Smolensk State Medical Academy,
The Russian Federation

All activities for the prevention of wound complications in the surgical treatment of strangulated postoperative ventral hernias of the anterior abdominal wall can be divided into three types: preoperative, intraoperative and postoperative. Historically the most common preoperative method to prevent wound complications is considered to be antibiotic prophylaxis. Intraoperative methods are the most used however, they are very controversial. At the present stage the mesh implants and suture material with antibacterial properties are actively commonly introduced.
Considerable importance is given to the application of low-temperature plasma or laser, as the methods of intraoperative prevention. Important preventive value within the surgical treatment is considerd to eliminate bacterial load in an infected wound and the drainage. In the postoperative period the majority of preventive measures are focused at reducing, early diagnosis and evacuation of pathological accumulations of fluid in the wound.
Today the methods of ultrasonographic diagnosis or computed tomography are considered to be fast, safe and effective in confirming the presence of pathological fluid.
Despite improved methods of prevention of wound postoperative complications of herniotomy of strangulated postoperative ventral hernias at present there is no clear algorithm of preventive measures application.

Keywords: postoperative ventral hernia, wound complications, hernioplasty
p. 743-749 of the original issue
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Address for correspondence:
214019, Rossiyskaya Federatsiya,
g. Smolensk, ul. Krupskoy, d. 28,
GBOU VPO Smolenskaya gosudarstvennaya
meditsinskaya akademiya,
kafedra gospitalnoy khirurgii,
tel. 7-980-310-10-10,
e-mail: br.rus32@gmail.com,
Sergeev Evgeniy Valerevich
Information about the authors:
Narezkin D.V. MD, professor, Vice-rector for dealing with practical public health and post-educational training, Head of the hospital surgery chair of SBEE HPE Smolensk State Medical Academy.
Sergeev E.V. A post-graduate student of the faculty surgery chair of SBEE HPE Smolensk State Medical Academy.
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