title: [The role of surgical access in postoperative ventral hernia development].
abstract: Long-term follow-up of 508 patients after various surgical procedures has been conducted. Of the 351 patients were operated on using a paramedian incision, 109 had an upper median laparotomy and the rest 48 had an oblique subcostal incision. Post-operative ventral hernias were registered in 45 (8.86%) patients. The upper median laparotomy herniated in 18 (16.51%) patients, paramedian incision - in 17 (4.84%), and the oblique subcostal incision herniated in 10 (20.83%). Hernia was noticed by the patient within 12 months after the initial operation in 46.67%, of them in 85.71% - within first 6 months. 53,33% of patients were diagnosed with postoperative hernia only after thorough examination. Thus, paramedian incision is considered to be the most preferable access. Postoperative hernias develop within the first 6-12 months postoperatively, later hernia registration is a result of poor examination.
authors: N A
authors: NA
authors: Kuznetsov
authors: I V
authors: IV
authors: Schastlivtsev
authors: S N
authors: SN
authors: Tsaplin
mesh_terms: D034861:Abdominal Wall / Q000473:pathology / Q000601:surgery*; D000328:Adult; D002763:Cholecystectomy / Q000379:methods*; D042241:Early Diagnosis; D005260:Female; D005500:Follow-Up Studies; D006555:Hernia, Ventral / Q000145:classification / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007813:Laparotomy / Q000009:adverse effects / Q000145:classification / Q000379:methods; D008297:Male; D011183:Postoperative Complications; D011184:Postoperative Period; D011364:Professional Practice / Q000592:standards; D012307:Risk Factors; D013997:Time Factors; D014945:Wound Healing