Мethod of surgical treatment of ventral hernia in patients with obesity
DOI:
https://doi.org/10.11603/2414-4533.2016.1.5882Abstract
The work is based on the analysis of hernia repair in 164 patients with postoperative, recurrent and primary ventral hernias obese. The patients were divided into two groups: a control group and the main group. Patients in the control group performed classical hernia repair with local tissues and prosthetic materials indicated. In the study group patients underwent hernia repair using mesh implants with the addition dermatolipidectomу. The majority of patients after surgery preserves the normal function of the gastrointestinal tract, only 3 patients in the control and in 1 patient in the study group underwent hernia repair over a giant ventral hernia was observed intestinal paresis, docked medication. The reliability of plastics hernia ring is provided by a polypropylene prosthesis and perform no compression hernioalloplastic and combined technique allowed to avoid increasing intra-abdominal pressure due to the increase in the abdominal cavity. As a result of dermatolipidektomу managed to reduce the number of complications in the near (9.8 %) and late postoperative period. There were not disease recurrence and death.References
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