Prosthetic repair of the anterior abdominal wall in patients after solid organ transplantation: The experience of N.V. Sklifosovsky Research Institute for Emergency Medicine

Abstract

Rationale. The postoperative ventral hernia is seen in 1.6-34.8% of patients undergoing organ transplantation that determines the urgency of this problem.The objective was to improve the treatment of patients with postoperative ventral hernia after organ transplantation.Material and methods. From 2006 to 2017, 36 patients underwent surgery with synthetic material application for postoperative ventral hernias after organ transplantation. There were 15 women (41.7%) and 21 men (58.3 %). The median age was 55 years [44.5; 59]; the median body mass index was 30 kg/m2 [27.1; 33.2].Results. The postoperative period was uneventful in 13 patients (36.1%). Twenty three patients (63.9%) developed complications of varied severity, including 13 patients (56.5%), in whom the revealed complications were not considered the indications to a targeted therapy (Category I), 3 patients (13.1%) in whom the complications regressed after the drug therapy had been corrected (category II), 7 (30.4%) patients in whom complications were cured using mini-invasive surgical techniques (category IIIa).Conclusions. The prosthetic hernia repair demonstrated a high efficacy and safety as the treatment for postoperative ventral hernia in patients after solid organ transplantation.

Keywords

• prosthetic repair of hernia
• surgical complications
• solid organ transplantation