OPTIMIZATION OF TREATMENT OF PATIENTS WITH POSTOPERATIVE VENTRAL HERNIAS

Abstract

Purpose: to improve results of treatment of patients with postoperative ventral hernias using of different methods of abdominal wall repair, to study patients’ quality of life in postoperative period.Materials and Methods: the study presented results of treatment of 288 patients with postoperative ventral hernias. Based on the treatment type all patients divided on 2 groups. 144 patients (50,0%) (first group) were operated on using traditional surgical methods of abdominal wall repair (Meyo, Sapejko, Yanov). In surgical treatment of another 144 (50,0%) patients (Second group) were used tension-free surgical technics of hernioplasty (by methods of «оn lay», «sub lay», «in lay») as well as traditional methods of repair depending on individual features of patients. Basic clinical data, laboratory investigations, diagnostic of external phenotypical signs of the syndrome of connective tissue dysplasia, monitoring of intraabdominal pressure in dynamic were studied. Indicators of patients quality of life in both groups were searched.Results and summary: created complex of tactical and treatment measures lead to decrease frequency of early postoperative complications in 2,4 times , recurrence of diseases in 8,5 times, mortality – in 3 times.

Keywords

• postoperative ventral hernia
• surgical treatment
• quality of life