Laparoscopic aloplasty of umbilical hernias using nanomodified polypropylene mesh
DOI:
https://doi.org/10.11603/2414-4533.2020.3.11469Keywords:
umbilical hernia, nanomodified polypropylene mesh, postoperative wound complicationsAbstract
The aim of the work: to improve the results of surgical treatment of umbilical hernias nanomodified polypropylene mesh antiseptic.
Materials and Methods. The analysis of laparoscopic surgical treatment of 114 patients with umbilical hernias (UH) was performed. Depending on the type of retinal implant used during laparoscopic surgical treatment, patients were divided into two groups. In 57 (50 %) patients of group I a nanomodified polypropylene mesh implant was used during surgical treatment, in group II 57 (50 %) patients a classic polypropylene mesh was used.
Results and Discussion. Statistically significant results were obtained in patients of group I compared to group II: seroma was in 4 (7.0±1.2 %) in Group II compared to 1 (1.8±0.3%) in group I (p<0.05). Chronic pain in the abdominal wall in 6–8 months after surgery was observed in 3 (5.3±0.4) % patients in group II and in 0 group I (p>0.05), recurrences of hernia were found in 3 (5.3±0.4 %) patients of group II, in group I – in 1 (1.8±0.6) % (p<0.05). The terms of stay of patients of group II on inpatient treatment – (5.3±2.1) days group I – (2.1±1.2) days.
Laparoscopic operative treatment of UH using nanomodified polypropylene mesh antiseptic the use of the classical polypropylene mesh, namely, reducing the freguency of seroma from (7.0±1.2) % in group II of patients to (1.8±0.3) % in group I, chronic postoperative pain – from (5.3±0.4) % to 0, recurrence of hernia –from (5.3±0.4) % to (1.8±0.6) %.
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