Novosti
Khirurgii

 This journal is
indexed in Scopus
journal cover
android icon Android Applicaion

Year 2011 Vol. 19 No 2

GENERAL AND SPECIAL SURGERY

NEKRASOV A.YU., KASUMIAN S.A., VORONTSOV A.K., SERGEEV A.V., BEZALTYNNYH A.A.

NON-STRETCHING HERNIOPLASTY OF THE POSTOPERATIVE VENTRAL HERNIAS

Objectives. To compare the results of various methods of non-stretching hernioplasty application at the postoperative ventral hernias.
Methods. The analysis of 93 prosthesis hernioplasty of the postoperative hernias performed at the period of 2005–2010 is carried out. In the control group 46 patients (49, 4%) underwent hernioplasty carried out by an open technique “sub lау” and “оnlау”. In the main group 47 patients (50,6%) underwent laparoscopic hernioplasty. The polypropylene mesh of the firm “Lintex” was used. The inquire SF-36 was used to investigate the life quality.
Results. Fewer complications were observed after laparoscopic hernioplasty. While analyzing the life quality, reliably higher summed indicators of physical and psychic health components were seen in the patients after laparoscopic hernioplasty.
Conclusions. Laparoscopic hernioplasty is an effective and safe method of the external abdominal hernias correction. The advantage of the endoscopic hernioplasty is its less traumatic character as well as fast medical and social rehabilitation of patients.

Keywords: laparoscopic hernioplasty, hernioplasty, postoperative hernia
p. 21 – 25 of the original issue
References
  1. Деметрашвили, З. М. Лечение послеоперационных вентральных грыж / З. М. Деметрашвили, Р. Д. Магалашвили, Г. В. Лобжанидзе // Хирургия. – 2008. – № 11. – С. 44-46.
  2. Bower, C. Complications of laparoscopic incisional-ventral herniarepair: the experience of a single institution / C. Bower, C. Reade, L. Kirby // Surg. Endosc. – 2004. – Vol. 18. – P. 672-675.
  3. Егиев, В. Н. Современное состояние и перспективы герниологии / В. Н. Егиев // Герниология. – 2006. – № 2. – С. 5-11.
  4. Тимошин, А. Д. Стационарзамещающие технологии в хирургии грыж / А. Д. Тимошин, А. Л. Шестаков, А. В. Юрасов // Герниология. – 2007. – № 3. – С. 8-11.
  5. McGreevy, J. M. Aprospective study comparing the complication ratesbetween laparoscopic and open ventral hernia repairs / J. M. McGreevy, P. P. Goodney, C. M. Birkmeyer // Surg. Endosc. – 2003. – Vol. 17. – P. 1778-1780.
  6. Белоконев, В. И. Комплексное лечение больных с послеоперационной вентральной грыжей / В. И. Белоконев, З. В. Ковалева, В. А. Вавилов // Хирургия. – 2008. – № 2. – С. 42-47.
  7. Beldi, G. Laparoscopic ventral hernia repair is safe and costeffective / G. Beldi, R. Ipaktchi, M. Wagner // Surg. Endoscopy. – 2006. – Vol. 20. – P. 92-95.
  8. Clarabelle, T. Laparoscopic ventral hernia repair: asystematic review / T. Clarabelle, Pham, L. Caryn // Surg. Endosc. – 2009. – Vol. 23. – P. 4-15.
  9. Ильченко, Ф. Н. Лапароскопическая герниопластика при послеоперационных грыжах брюшной стенки / Ф. Н. Ильченко, М. М. Сербул // Герниология. – 2004. – № 3. – С. 24-25.
  10. Особенности лечения больных с большими послеоперационными и рецидивными вентральными грыжами / В. П. Сажин [и др.] // Герниология. – 2004. – № 1. – С. 11-14.
  11. Moore, M. Outcomes of the fascial component separation technique with synthetic mesh reinforcement for repair of complex ventral incisional hernias in the morbidly obese / M. Moore, T. Bax, M. MacFarlane // Am. J. Surg. – 2008. – Vol. 207, N 5. – P. 663-669.
  12. Langer, C. Prognosis factors in incisional hernia surgery: 25 years of experience / C. Langer, A. Schaper, T. Liersch // Hernia. – 2005. – Vol. 9, N 1. – P. 16-21.
  13. Naveen, B. Laparoscopic versus open ventral herniarepairs: 5 year recurrence rates / B. Naveen, P. Rikesh, B. Eren // Surg. Endosc. – 2008. – Vol. 22. –P. 1935-1940.
  14. Chevrel, J. P. Classification of incisional hernias of the abdominal wall / J. P. Chevrel, A. M. Rath // Hernia. – 2000. – Vol. 4. – P. 7-11.
Contacts | ©Vitebsk State Medical University, 2007-2023