IMPROVING THE RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH POSTOPERATIVE AND RECURRENT LUMBAR HERNIA

Authors

DOI:

https://doi.org/10.11603/2414-4533.2025.4.15746

Keywords:

hernioplasty, postoperative hernias of the lumbar region of the abdomen, complications, recurrence

Abstract

The aim of the work: to improve the results of surgical treatment of patients with postoperative and recurrent lumbar hernia by developing technical prerequisites for increasing the safety of surgical interventions, reducing the frequency of recurrences and improving the quality of life of operated patients.

Materials and Methods. An in-depth comprehensive examination of 63 patients operated on for postoperative and recurrent hernia of the lumbar region of the abdomen was conducted. The main group consisted of 29 (46.03 %) patients who underwent allohernioplasty in two variants according to the proposed method with two meshes. The comparison group was represented by 34 (53.97 %) patients who underwent traditional self-tissue and allohernioplasty with different mesh placement variants. According to the types of surgical interventions performed in both groups, the number and nature of postoperative complications were studied.

Results. The assessment of the results in both observation groups was carried out taking into account the frequency of local wound complications and recurrences in the early and long-term postoperative period. Of all 63 operated patients, local early postoperative complications were diagnosed in 18 (28.57 %) people. In the comparison group, local complications occurred in 11 (32.34 %) patients, and in the main group – in 7 (24.13 %) people. Hernia recurrence was observed in 14 (41.18 %) and 1 (3.45 %) cases, respectively. When analyzing the distribution of complications depending on the types of hernioplasty performed, it was found that hematoma was observed in 4 (11.76 %) of the operated patients, the formation of an infiltrate in the postoperative wound area was in 1 (2.94 %) patient, suppuration of the postoperative wound was noted in 1 (2.94 %) patient. Prolonged postoperative pain was observed in 4 (11.76 %), and such a postoperative complication as mesh torsion with cyst formation occurred only in 1 (2.94 %) of the operated patient. In the main observation group, hematoma was observed in 2 (6.89 %) patients, prolonged postoperative pain occurred in 1 (3.45 %) patient. In contrast, in the main group, seroma was observed in 4 (13.79 %) patients, which was not observed in the operated comparison group. In patients who had the first mesh placed intraperitoneally (IPOM), this complication was not observed.

Conclusions. The use of developed surgical techniques aimed at preventing postoperative complications and increasing the safety of performing allohernioplasty of postoperative and recurrent hernias of the lumbar region of the abdomen allowed to reduce the frequency of early local postoperative complications from 32.34 % to 24.13 % (p<0.05). Hernia recurrence decreased from 41.18 % to 3.45 % (p˂0.05).

Author Biographies

V. I. PYATNOCHKA, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

DSc (Medicine), Professor of the Department of Surgery, Faculty of  Postgraduate  Education

A. A. YAROSH, I. Horbachevsky Ternopil National Medical University, Ternopil, Ukraine

Intern Surgeon of  the  Department  of  Surgery,  Faculty  of  Postgraduate  Education

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Published

2025-12-30

How to Cite

PYATNOCHKA, V. I., & YAROSH, A. A. (2025). IMPROVING THE RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH POSTOPERATIVE AND RECURRENT LUMBAR HERNIA. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (4), 83–88. https://doi.org/10.11603/2414-4533.2025.4.15746

Issue

No. 4 (2025)

Section

EXPERIENCE OF WORK

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Copyright (c) 2025 В. І. П’ЯТНОЧКА, А. А. ЯРОШ

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