Allohernioplasty Laparoscopic Postoperative Ventral Hernias

Abstract


Relevance. Currently, the problem of effective treatment of postoperative ventral hernias is still not completely solved. The recurrence rate of the disease ranges from 15% to 50%, and repeat surgery causes increasing of the rate up to 20-65%.

The purpose of the study is to evaluate the results of laparoscopic hernioplasty in patients with postoperative ventral hernias.

Materials and methods. A retrospective analysis of the immediate and remote results of surgical treatment of 140 patients with postoperative ventral hernias. Patients of the main group (63) laparoscopic hernia repair method "ipom" patients in the comparison group (73) – open hernioplasty by the method of "onlay" and "inlay".

Results. The use of laparoscopic hernioplasty by the method of "ipom" allow to significantly reduce the number of early and overall postoperative complications (3.7%), duration of hospitalization (from 9.8 ± 1.3 per day to 5.4 ± 0.7 per day), the period of temporary incapacity (from 28.9 ± 3.4 days to 17.2 ± 2.3 days), as well as reduce the number of relapses (from 8.2% to 3.0%).

Discussion Laparoscopic hernioplasty is an effective method of treatment of postoperative ventral hernias. The obvious advantages of laparoscopic hernioplasty are: low invasiveness, fewer complications, rapid medical and social rehabilitation of patients. There is an undoubted advantage of laparoscopic hernioplasty over an open operation with the patient several postoperative ventral hernias.

Conclusion. In modern conditions, laparoscopic hernia repair can be recommended as the operation of choice in patients with postoperative ventral hernia.

 


Yury Viktorovich Ivanov

Department of FSCC FMBA of Russia "Federal scientific-clinical center of specialized types of medical care and medical technologies" Department of endoscopic surgery of A.I. Evdokimov Moscow State University of Medicine and Dentistry.  

Author for correspondence.
Email: ivanovkb83@ya.ru

Russian Federation, 1 - Orekhovy Boulevard, 28, Moscow, 115682, Russian Federation 2 - Delegatskaya St., 20/1, Moscow, 127473, Russian Federation

The head of the surgery Department of FSCC FMBA of Russia "Federal scientific-clinical center of specialized types of medical care and medical technologies", The Professor of the Department of endoscopic surgery of A.I. Evdokimov Moscow State University of Medicine and Dentistry, MD.

Dmitry Nikolaevich Panchenkov

Department of endoscopic surgery of A.I. Evdokimov Moscow State University of Medicine and Dentistry.

Email: dnpanchenkov@mail.ru

Russian Federation, 1 - Orekhovy Boulevard, 28, Moscow, 115682, Russian Federation 2 - Delegatskaya St., 20/1, Moscow, 127473, Russian Federation

The head of the laboratory of minimally invasive surgery, The Professor of the Department of endoscopic surgery of A.I. Evdokimov Moscow State University of Medicine and Dentistry, MD.

Aleksey Alekseevich Terehin

General surgery Department of FSCC FMBA of Russia "Federal scientific-clinical center of specialized types of medical care and medical technologies"

Email: ivanovkb83@ya.ru

Russian Federation, 1 - Orekhovy Boulevard, 28, Moscow, 115682, Russian Federation 2 - Delegatskaya St., 20/1, Moscow, 127473, Russian Federation

Surgeon of the General surgery Department of FSCC FMBA of Russia "Federal scientific-clinical center of specialized types of medical care and medical technologies", MD, PhD.

Oleg Radomirovich Shablovsky

Department of FSCC FMBA of Russia "Federal scientific-clinical center of specialized types of medical care and medical technologies" Department of endoscopic surgery of A.I. Evdokimov Moscow State University of Medicine and Dentistry

Email: ivanovkb83@ya.ru

Russian Federation, 1 - Orekhovy Boulevard, 28, Moscow, 115682, Russian Federation 2 - Delegatskaya St., 20/1, Moscow, 127473, Russian Federation

The head of the surgery Department of FSCC FMBA of Russia "Federal scientific-clinical center of specialized types of medical care and medical technologies", The Professor of the Department of endoscopic surgery of A.I. Evdokimov Moscow State University of Medicine and Dentistry, MD.is a deputy chief physician for surgical care of FSCC FMBA of Russia "Federal scientific-clinical center of specialized types of medical care and medical technologies", The Professor of the Department of endoscopic surgery of A.I. Evdokimov Moscow State University of Medicine and Dentistry, MD.

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Copyright (c) 2017 Ivanov Y.V., Panchenkov D.N., Terehin A.A., Shablovsky O.R.

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