Hernioaloplasty in ventral hernias
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2022-01-16 14:24
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BORŞ, Pavel. Hernioaloplasty in ventral hernias. In: MedEspera: International Medical Congress for Students and Young Doctors, Ed. 7th edition, 3-5 mai 2018, Chişinău. Chisinau, Republic of Moldova: 2018, 7, pp. 104-105.
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Dublin Core
MedEspera
7, 2018
Congresul "International Medical Congress for Students and Young Doctors"
7th edition, Chişinău, Moldova, 3-5 mai 2018

Hernioaloplasty in ventral hernias


Pag. 104-105

Borş Pavel
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
 
Disponibil în IBN: 4 noiembrie 2020


Rezumat

Introduction. Lately, abdominal surgery has seen a particular development in frequency and magnitude of surgical interventions, followed by a major incidence of incisional hernias. Rehabilitation surgery has progressed over time, and so did the abdominal wall reconstruction techniques, along with the widespread use of synthetic allografts (polyamide, polypropylene, polyester, polytetrafluoroethylene, etc.). Aim of the study. Analysis of the treatment results of patients with incisional hernia, resolved by hernioaloplasty of the anterior abdominal wall. Materials and methods. Retrospective analysis of the treatment results of 98 patients with incisional hernia resolved by anterior abdominal wall hernioaloplasty in the Surgery Clinic (Institute of Emergency Medicine, Chisinau) during 2016-2017 was performed. The M:F ratio was 1:2.92, mean age - 58.63±1.07 years. Demographic data, time of surgery, type of hernioplasty, postoperative evolution and length of hospital stay were analyzed. Results. There were 9(9.18%) patients who underwent emergency surgery, and elective - 89(90.82%) (p <0.001). The alloprosthesis was placed in several ways: anterior position - 6(6.12%), Stoppa-Shumpelick method - 25(25.5%), preperitoneal - 48(48.98%), intraperitoneal - 19(19.4%); the deep positions of prosthesis placement dominated (p<0.001). The postoperative period has evolved through complications in 11(11.22%) patients: pneumonia - 3(3.06%), wound infection - 8(8.16%). Among the factors that influenced the development of complications were: comorbidities in 7(7.14%) patients: diabetes mellitus (2), obesity (7), cardiac pathology (5); multiple abdominal operations 6(6.12%); duration of operation over 2 hours; unexplained drainage in 5(5.1%) patients. The hospital stay was significantly lower in patients without complications compared to those with postoperative complications – 6.98±0.32 vs 17.27±2.02 days, respectively (p<0.001). Conclusions. Hernioaloplasty is a method of choice in abdominal wall repair surgery. Methods of prosthesis placement, compensation of comorbidities, thorough haemostasis and wound drainage can reduce the rate of postoperative complications and the hospital stay.

Cuvinte-cheie
incisional hernia, hernioaloplasty, postoperative evolution