Choice of treatment method for postoperative ventral hernias
https://doi.org/10.17238/2072-3180-2026-1-32-39
Abstract
Introduction. Eliminating large postoperative hernias is a difficult task, and in patients with obesity, diabetes, and smoking, the risk of postoperative complications increases many times.
Study objective. To evaluate the results of treatment of postoperative ventral hernias in overweight patients by using a differentiated approach to the choice of hernioplasty method.
Materials and methods. The results of surgical treatment of 135 patients with postoperative ventral hernias in two medical institutions were studied. The first group (68 patients) underwent surgery using an endoprosthetic mesh, the second group (67 patients) underwent an autodermal transplant prepared in oxygenated preparations. Results. Multifactorial logistic regression analysis revealed no significant differences in the incidence of adverse events between the groups (OR = 0,834, 95 % CI [0,456–1,592], p = 0,687). However, there was a significant decrease in the incidence of seromas (7,35 % vs. 1,49 %, p = 0.004). Moreover, skin autotransplantation was associated with a decrease in the incidence of seroma (OR = 0,296, 95 % CI [0,097–0,931], p = 0,042).
Conclusion. Hernioplasty using deepithelized autoderm prepared preimplantatively in oxygenated preparations is suitable for the treatment of postoperative ventral hernias in obese patients (BMI ≥ 25 kg/m2), diabetes mellitus, as well as in patients at high risk.
About the Authors
M. M. Magomedov
Dagestan State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Magomedov Mukhuma Magomedovich – Doctor of Medical Sciences, Professor, Professor of the Department of Surgery of the Faculty of Continuing Education and Postgraduate Retraining of Specialists with the course of Endoscopic Surgery
367000, Makhachkala, Lenin Square, 1
A. M. Topchiev
Astrakhan State Medical University of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Topchiev Andrey Mikhailovich – Ph.D., Associate Professor of the Department of General Surgery with a postgraduate course
121 Bakinskaya St., Astrakhan, 414000
M. A. Topchiev
Astrakhan State Medical University of the Ministry of Health of Russian Federation
Russian Federation
Russian Federation
Topchiev Mikhail Andreevich – Doctor of Medical Sciences, Professor, Head of the Department of General Surgery with a postgraduate course
121 Bakinskaya St., Astrakhan, 414000
M. K. Abdulzhalilov
Dagestan State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Abdulzhalilov Magomed Kurbanovich – Doctor of Medical Sciences, Associate Professor, Professor of the Department of Surgery of the Faculty of Continuing Education and Postgraduate Retraining of Specialists with the course of Endoscopic Surgery
367000, Makhachkala, Lenin Square, 1
A. A. Magomedov
Dagestan State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Magomedov Amirkhan Abdulmutalimovich – Postgraduate student of the Department of Surgery of the Faculty of Continuing Education and Postgraduate Retraining of Specialists with a course in endoscopic Surgery
367000, Makhachkala, Lenin Square, 1
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For citations:
Magomedov M.M., Topchiev A.M., Topchiev M.A., Abdulzhalilov M.K., Magomedov A.A. Choice of treatment method for postoperative ventral hernias. Moscow Surgical Journal. 2026;(1):32-39. (In Russ.) https://doi.org/10.17238/2072-3180-2026-1-32-39
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