[Principles of surgical treatment of postoperative ventral hernia].
The article deals with the results of surgical treatment of postoperative ventral hernias in 398 patients who underwent operation in 1982-1990; 68.5% of patients had large and giant hernias. In 198 patients (48.4%) the hernias were recurrent. One to 9 concomitant diseases were encountered in 88% of cases, which complicated the course of the postoperative period significantly. Reconstructive operations with the use of auto-allo-xenografts and netted synthetic materials were undertaken when the defect measured 15-20 cm in diameter, as well as in cases of multiple, though lesser in diameter, defects in patients with diseases of the cardiovascular system and lungs in the stage of sub- and decompensation, in hernias of long duration, in large irreducible hernias, and in patients over 60 years of age. A combination of grafts with netted synthetic materials was used when a defect measuring 21 cm or more in diameter was encountered together with the above situations. The late-term results were followed-up in periods of 12 months to 8 years. In 254 cases (69%) auto-allo-xenografts and synthetic materials and, in difficult situations, their combinations were used, with good results in 96% of patients. After plastics in 254 patients with the use of additional materials 2 recurrences (0.7%) were revealed; 3 recurrences (2.6%) were encountered among 113 cases in which the defect was closed with local tissues by means of sutures.
Andreev
S D
SD
Adamian
A A
AA
D000009:Abdominal Muscles / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D006555:Hernia, Ventral / Q000209:etiology / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D012008:Recurrence; D012086:Reoperation; D016038:Skin Transplantation / Q000379:methods; D013526:Surgical Mesh
Printsipy khirurgicheskogo lecheniia posleoperatsionnykh ventral'nykh gryzh.