THE CHOICE OF IMPLANT FOR HERNIOPLASTY OF POSTOPERATIVE VENTRAL HERNIAS

Abstract

According to the literature, up to 50% of laparotomies end with herniation. Therefore, postoperative ventral hernias will not lose their relevance for a long time. The appearance of non-tension hernioplasty by means with synthetic implants helped to solve some issues of hernia: the frequency of relapses in the late postoperative period significantly decreased. However, the number of the complications associated with suppuration of postoperative wounds and seroma in the early postoperative period increased. This leads in the increase of number days of hospital treatment, the need for antibiotic therapy, and accordingly the cost of treatment. In this regard, new types of implants that have the necessary biocompatibility properties are constantly being developed. Also, implants with the possibility of self-griping to the tissues have become more and more relevant in recent years. Self-gripping implants are not only convenient for the operating surgeon - reducing the time of operation, but also don’t cause of the chronic pain in the area of operation. However, the problem of surgical treatment of postoperative ventral hernias remains unresolved. The aim of study was to improve the quality of life of patients with postoperative ventral hernias. Was surgery with implants ProgripTM 65 patients. Patients were divided into two groups, taking into account the use of standard implant shape and simulated. The frequencies of surgical complications, duration of surgery and inpatient treatment were compared. The relapse developed in 14.7% and 3.2% of cases, respectively. There were no other significant complications. Conclusion: the simulated implant is anatomically correct and reduces the risk of detachment of the implant from the tissue during stretching.

Keywords

• postoperative ventral hernia
• self-gripping implant
• hernioplasty