[Ways of improvement of surgical results for umbilical hernia in elderly and old patients].
The surgical treatment results of umbilical hernia in 116 patients aged from 60 to 82 years was presented. Operation was done according to Mayo procedure while small hernia presented and middle size (22 patients) with the thinning zone width of aponeurosis up to 2 cm. The original hernioplasty procedure, with duplicature forming of the preliminary doubled aponeurosis edes in the hernia gates, was conducted in 48 patients with middle-size hernia and in 25 with large hernia while the thinning zone of aponeurosis constituted from 2 to 4 cm. While treatment of large and giant hernias with the aponeurosis thinned width over 4 cm was conducted the combined plasty usid autologous tissue (aponeurosis) and the implant (of polyurethane), placed into the duplicature of the hernial sac and fixated to aponeurosis from the abdominal cavity side. Hernia recidive was revealed in 2 (2.8%) of 72 patients followed up in term from 1 year to 5 years. The recurrence was not noted after the combined plasty conduction.
Feleshtinskiĭ
Ia P
IaP
Kafedra khirurgii stomatologicheskogo fakul'teta Natsional'nogo meditsinskogo universiteta im. A.A. Bogomol'tsa, g. Kiev.
D000368:Aged; D005260:Female; D006554:Hernia, Umbilical / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
Puti uluchsheniia rezul'tata khirurgicheskogo lecheniia pupochnoĭ gryzhi u bol'nykh pozhilogo i starcheskogo vozrasta.