OPTIMISATION OF TACTICAL AND TECHNICAL ASPECTS OF SURGICAL TREATMENT OF POSTOPERATIVE AND RECURRENT VENTRAL HERNIAS
Keywords:
Postoperative ventral hernia, surgical treatment, separation prosthetic plastyAbstract
The results of treatment of 107 patients with postoperative ventral and recurrent hernias who underwent hernia defect plasty and separation prosthesis plasty with restoration of normal topographic anatomy by Onlay and sublay methods were studied. The monitoring results of the repeated intra-abdominal pressure study confirmed the priority of posterior separation hernioplasty in W3-W4 ≥11, while the anterior separation technique could be performed in <11. The algorithm of choosing the method of standard (onlay, sublay) or separation (anterior, posterior) plasty of postoperative ventral hernias W2, W3, W4 is based on the state of muscular-aponeurotic structures of the anterior abdominal wall and the intraoperative intra-abdominal pressure control index.
References
Paajanen, H., Laine, H. (2015). Operative treatment of massive ventral hernia using polypropylene mesh: a challenge for surgeon and anesthesiologist. Hernia, 9(1), 62-67.
Gurrado, A. et al. (2015). Impact of pericardium bovine patch (Tutomesh) on incisional hernia treatment in contaminated fields. Hernia, 19(2), 259-266.
Reilingh, T. S. et al. (2007). Components separation technique vs prosthetic repair: interim analysis of a randomized trial. World Journal of Surgery, 31(4), 756-763.
Azin, A. et al. (2019). Emergency laparoscopic vs open repair of incarcerated ventral hernias: multi-institutional analysis. Surg Endosc, 33(9), 2812-2820.
Chung, P. J. et al. (2017). Predicting 30-day postoperative mortality for emergent abdominal wall hernia repairs. Hernia, 21(3), 323-333.
Baltodano, P. A. et al. (2016). A validated risk assessment tool for predicting readmission after open ventral hernia repair. Hernia, 20(1), 119-129.
Rosen, M. J. et al. (2022). Biologic vs synthetic mesh for single-stage repair of contaminated ventral hernias: A randomized clinical trial. JAMA Surg, 157(4), 293-301.
Linn, J. G. et al. (2023). Long-term performance of intraperitoneal biomaterial in ventral hernia treatment. Surg Endosc, 37(5), 3455-3462.
Parker, S. G. et al. (2021). Predictors of ventral hernia recurrence: A systematic review and meta-analysis. BJS Open, 5(2).
Muysoms, F. E. et al. (2009). Classification of primary and incisional abdominal wall hernias. Hernia, 13(4), 407-414.
