Laparoscopic alloplasty of troacary hernia paraumbilically area

Abstract

Currently, researchers continue to debate about the choice of surgical treatment for such hernias, which is more appropriate to use: classic laparoscopic alogioplasty or a modified laparoscopic alloplasty technique. Objective. The scientific justification for the choice of surgical tactics and improve the results of surgical treatment of trocar hernias of the paraumbilical site and prove the effectiveness of the proposed method. Materials and methods. The article presents the results of the analysis of surgical treatment of trocar abdominal hernias in 64 patients aged 30 to 75 years. During the analysis, we divided the patients into two groups equal in number of faces, the inclusion factor in the first group was classical laparoscopic alogioplasty (32 patients), and the second group included patients who underwent our modified surgery - laparoscopic alloplasty of postoperative trocar hernias paraumbilical plot. Research results and discussion. When conducting a comparative analysis of the course of the early postoperative period in patients of the first group, we found that seroma was observed in 12.5% (4) patients, the second group – in 6.3% (2) patients. Postoperative wound infection was observed in only one (3.1%) patient of the first group. The length of stay of patients in the clinic, in the inpatient department, ranged from 7 to 2 days. Patients of the first group - 5 ± 2.12 (p <0.05) days, and patients of the second group - 2 ± 1.31 (p <0.05) days, respectively. Findings. Therefore, we found that laparoscopic alloplasty of trocar hernias of the abdomen has significant advantages over open by reducing the frequency of postoperative complications by more than two times from the side of the wound. In addition, the length of stay of such patients in the surgical department is reduced by 2.5 times, which, in turn, significantly reduces costs. During the prospective observation of patients who underwent laparoscopic allogernioplasty of trocar abdominal hernias (within three years after the intervention), we can state that the elimination of the defect by the proposed method is not accompanied by relapse.

Keywords

• trocar hernia of the paraumbilical site, laparoscopic allogernioplasty, prophylaxis of trocar hernia