[Possibilities of prognostication of suppurative-inflammatory complications of surgical treatment of patients with nonrecurrent postoperative ventral hernia].
On the basis of the data of a retrospective investigation of 541 patients with nonrecurrent noncomplicated postoperative ventral hernia the criteria of prognosis of pyo-inflammatory complications in the operative wound after liquidation of the abdominal wall defect became more exact and quantitated. It was established that 18 criteria can be used for prognosis, 14 of them--before operation. During the operative procedure it can be possible to make the prognosis more exact with the intraoperative findings taken into account. Among them of special significance are 4 prognostic criteria: multichamber hernial sac, commissural process in the abdominal cavity, the fact of separation of the commissures and possible perforation of the hollow organ. The efficiency of the program was 80%. The approbation of the program has shown that prognosis of the development of pyo-inflammatory complications must be made on the basis of both the preoperative and intraoperative criteria. It allows to reliably reduce the amount of postoperative pyo-inflammatory complications from 8.6% (retrospective data) to 5.2% (prospective data).
Maĭstrenko
N A
NA
Bakhtin
M Iu
MIu
Tkachenko
A N
AN
Fedorov
D Iu
DIu
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*; D011379:Prognosis; D011446:Prospective Studies; D012189:Retrospective Studies; D012307:Risk Factors; D013492:Suppuration / Q000209:etiology / Q000517:prevention & control; D013530:Surgical Wound Infection / Q000209:etiology / Q000517:prevention & control*