Analysis of surgical treatment of patients with primary and postoperative ventral hernias in the period from 2001 to 2017
DOI:
https://doi.org/10.11603/2414-4533.2018.4.9710Keywords:
ventral hernia, postoperative ventral hernia, complications, surgical treatmentAbstract
The aim of the work: to analyze and evaluate the results of surgical treatment of patients with primary and postoperative ventral hernia to increase the effectiveness of surgical treatment of this group of patients.
Materials and Methods. In the period from 2001 to 2017, a comprehensive clinical-instrumental and laboratory examination of 1419 patients with primary ventral hernia (PVH) and postoperative ventral hernia (POVH) was performed. The distribution of patients into groups occurred in accordance with the periods of surgical treatment of patients, formed two periods: from 2001 to 2009 and from 2010 to 2017. In the first period, 597 (42.07 %) patients were examined and operated. These patients formed a comparison group. The main group, corresponding to patients who were treated in the period from 2010 to 2017, were 822 (57.93 %) persons.
Results and Discussion. In both periods of the study, the prevalence of postoperative ventral hernia was higher than that of the primary ventral hernia. In assessing the size and distribution of the hernia defect, in both groups there was a prevalence of the localization of the medians with the spread to other anatomical regions of the anterior abdominal wall of large size hernia, mainly among persons with postoperative ventral hernias. There is a tendency to change the technique of the surgical methods of treatment of ventral hernias – from tensile (autoplasty, “on lay”) to tension free (“sub lay”, “in lay”, “CST”), and also from the use of "heavy" to "light" polypropylene mesh. Consideration of the features of the modification of performed surgical interventions and the choice of the type of mesh implant was reflected in a significant reduction in the number of early, both local and general, and late postoperative complications, which improved the effectiveness of surgical treatment of patients with primary and postoperative ventral hernias.
References
Dziubanovskyi, I.Ya., & Piatnochka, V.I. (2009). Ranovi uskladnennia pislia alohernioplastyky pisliaoperatsiinoi hryzhi cherevnoi stinky [Early complications after allergic plastic surgery of the postoperative hernia of the abdominal wall]. Klinichna khirurhiia – Clinical Surgery, 11 (11), 33-34 [in Ukrainian].
Feleshtynskyi, Ya.P., Vatamaniuk, V.F., Dubenets, V.O., & Svyrydovskyi, S.A. (2010). Optymizatsiia khirurhichnoho likuvannia seredynnykh pisliaoperatsiinykh hryzh cherevnoi stinky [Optimization of surgical treatment of medial postoperative hernias of the abdominal wall]. Klinichna khirurhiia – Clinical Surgery, 3, 35-38 [in Ukrainian].
Lupaltsov, V.I., Yahniuk, A.I., Dekhtiaruk, I.A., & Voroshchuk, R.S. (2010). Profilaktyka ranovykh hniinykh uskladnen pisliaoperatsiinykh hryzh cherevnoi stinky [Prevention of wound purulent complications of postoperative hernia of the abdominal wall]. Klinichna khirurhiia – Clinical Surgery, 1, 58 [in Ukrainian].
Bilianskyi, L.S., Todurov, I.M., Kosiukhno, S.V., & Perekhrestenko, O.V. (2011). Khirurhichna taktyka u khvorykh z hihantskymy defektamy cherevnoi stinky [Surgical tactics in patients with giant defects of the abdominal wall]. Khirurhiia Ukrainy – Surgery of Ukraine, 3 (39), 10-11 [in Ukrainian].
Helgstrand, F. (2016). National results after ventral hernia repair. Dan. Med. J., 63 (7), B5258.
Israelsson, L.A., & Millbourn, D. (2013). Prevention of incisional hernias: How to close a midline incision. Surg. Clin. North Am., 93 (5), 1027-1040.
Kaoutzanis, C., Leichtle, S., Mouawad, N., Welch, K.B., Lampman, R.M., Wahl W,L., & Cleary, R.K. (2015). Risk factors for postoperative wound infections and prolonged hospitalization after ventral/incisional hernia repair. Hernia, 19 (1), 113-123.
Köhler, G., Luketina, R., & Emmanuel, K. (2015). Sutured repair of primary small umbilical and epigastric hernias: Concomitant rectus diastasis is a significant risk factor for recurrence. World J. Surg., 39 (1), 121-126.
Muysoms, F., Antoniou, S., Bury, K., Campanelli, G., Conze, J., Cuccurullo, D., … & Berrevoet, F. (2015). European hernia society guidelines on the closure of abdominal wall incisions. Hernia, 19 (1), 1-24.
Oodit, R. (2015). Hernia surgery, South Africa 2015: Editorial. South African Journal of Surgery, 53 (2), 37.
Patel, P.V., & Merchant, A.M. (2014). Ventral hernia repair in the morbidly obese patient: A review of medical and surgical approaches in the literature. Bariatr. Surg. Pract Patient Care, 9 (2), 61-65.
Ross, S.W., Wormer, B.A., Kim, M., Oommen, B., Bradley, J.F., Lincourt, A.E., … & Heniford, B.T. (2015). Defining surgical outcomes and quality of life in massive ventral hernia repair: An international multicenter prospective study. Am. J. Surg., 210 (5), 801-813.
Downloads
Published
How to Cite
Issue
Section
License
Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access)
