IMPROVEMENT OF SURGICAL TREATMENT OF VENTRAL HERNIAS WITH CONCOMITANT PATHOLOGY OF ABDOMINAL ORGANS
Keywords:
Ventral hernias, simultaneous operations, surgical treatment, hernioplasty, dystopia scheme, single access, tension-free methods, complications, abdominal organ pathology, ramirez techniqueAbstract
The article focuses on enhancing the outcomes of surgical treatment of ventral hernias with concomitant abdominal organ pathology through the development of simultaneous operation techniques. The study involved 197 patients (2019–2024), divided into a main group (104 patients with simultaneous pathology) and a comparison group (93 patients). A dystopia scheme was developed to optimize surgical access: a single herniolaparotomy approach was used in 79.8% of cases, while separate accesses were applied in 20.2%. Tension and tension-free hernioplasty methods, including the Ramirez technique, were employed. Complication rates were 8.6% in the main group and 7.5% in the comparison group (p=0.045), confirming the safety of the approach. Tactical and technical improvements reduced trauma, operative time, and recurrence risk, improving treatment quality.
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