Use a skin graft for a incisional hernia repair


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Abstract

Incisional hernias remain one of the important problems of surgery. At the experimental study it is established that on the acellulated with plasma scalpel skin graft less expressed infl ammatory reaction, than on polypropylene mesh. The results of treatment and quality to life were studied in 124 patients, for which had been performed a hernioplasty for incisional hernia in a surgical branch the Smolensk regional clinical hospital at period since 1997 to 2007. The hernioplasty with acellulated skin graft had been performed for 74 patients (main group) and the polypropylene mesh had been implantated for 50 (control group). The follow-up was up to 9 years. The recurrence rate was 6.9% in the main group and 7.9% in control. There is no signifi cant difference between groups. The quality of life was signifi cantly more in main group whereas the pain was signifi cantly less. The conclusion was made that plastic by acellulated skin graft possible to consider the method of the choice at treatment of the incisional hernias.

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Смоленская государственная медицинская академия

Author for correspondence.
Email: AgafonovOI@mail.ru
заочный аспирант кафедры общей хирургии, военнослужащий в/ч 51354

Смоленская государственная медицинская академия

Email: admin@vestnik-surgery.com
доктор медицинских наук, профессор, заведующий кафедрой общей хирургии, Президент Смоленской государственной медицинской академии, академик РАЕН

Смоленская государственная медицинская академия

Email: admin@vestnik-surgery.com
доктор медицинских наук, профессор кафедры патологической анатомии Смоленской государственной медицинской академии, заведующий отделением клинической патологии № 2 Смоленского областного института патологии

Смоленская областная клиническая больница

Email: admin@vestnik-surgery.com
кандидат медицинских наук, заведующий хирургическим отделением Смоленской областной клинической больницы

ООО «Областной медицинский центр»

Email: admin@vestnik-surgery.com
кандидат медицинских наук, научный консультант ООО «Областной медицинский центр»

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