THE RESULTS OF THE USE OF MESH IMPLANTS TITANIUM THREADS IN THE SURGERY OF POSTOPERATIVE VENTRAL HERNIAS

Abstract

The purpose of this work was to evaluate the prospects of using titanium thread mesh implants in the treatment of postoperative ventral hernias. Material and methods: in this paper, a comparative analysis of the immediate and long-term results of treatment of 62 patients with postoperative ventral hernias, operated on as planned. The main group included 28 patients who had mesh implants made of titanium thread installed during hernioplasty, and the comparison group included 34 patients who were operated using a polypropylene mesh implant. Quality of life was assessed in 12 (43%) patients of the main group and 10 (29%) patients of the comparison group.Results: more than 75% of patients in both groups underwent hernioplasty with implant fixation under the rectus abdominis (sublay retromuscular hernioplasty). All patients were operated from traditional access. The article presents the immediate results of surgical treatment of patients with postoperative ventral hernias. A comparative analysis of the quality of life of patients 1 year after surgery was performed.Conclusion: the analysis of the results showed that the use of mesh implants made of titanium thread does not contribute to an increase in the frequency of postoperative complications, and the degree of inflammatory response to the implant in the early postoperative period is less pronounced. 1 year after surgery the quality of life of patients did not depend on the type of implant used. The use of titanium thread mesh implants in hernioplasty was accompanied by a statistically significant increase in the role of physical and emotional functioning of patients.