Analysis of complications and quality of life in patients who underwent posterior separation plastic surgery with a follow-up period of 5 years
https://doi.org/10.17238/2072-3180-2022-1-48-52
Abstract
Introduction. Despite the improvement of surgical treatment methods, the formation of postoperative incisional hernias remains a fairly frequent complication afer laparotomy.
Aim. To evaluate the results of treatment, complications and the quality of life in patients afer posterior component separation.
Material and methods. Te article presents an analysis of complications and quality of life in 95 patients with giant incisional hernia who underwent posterior component separation. Te characteristics of patients, polypropylene mesh, fxation method, as well as complications and quality of life are described. Te Clavien-Dindo scale was used to classify and detail complications in the frst 30 days. Te patients ' quality of life was assessed using the EuraHS Quality of Life score questionnaire.
Results. Wound complications were 2.1 %, General complications (pneumonia, lower limb vascular thrombosis) 7.4 %, hernia recurrence 3.1 %, and death 1.0 %. In most patients, 3 months afer surgery, there is a signifcant decrease in the intensity of pain, satisfaction with appearance, and an increase in physical activity.
Conclusion. Te results of the study showed a low percentage of wound complications, relapse, and a signifcant improvement in the quality of life.
About the Authors
S. A. Kuliyev
Peoples’ Friendship University of Russia (RUDN University)
Russian Federation
Russian Federation
Serdar Ataevich Kuliev – MD, Associate Professor
117198, Mikluho-Maklaya str., 21, Moscow
I. V. Evsyukova
GBUZ MO Domodedovo Central hospital
Russian Federation
Russian Federation
Irina Viacheslavovna Evsyukova – MD
142005, Pirogovo str., 9, Moscow region, Domodedovo
A. V. Protasov
Peoples’ Friendship University of Russia (RUDN University)
Russian Federation
Russian Federation
Andrey Vitalievich Protasov – Professor
117198, MikluhoMaklaya str., 21, Moscow
M. N. Fomina
Moscow State Medical and Dental University named after A. I. Evdokimov, Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Milana Nikolaevna Fomina – Candidate of Medical Sciences, Associate Professor of the Department
Delegatskaya str., 20, p. 1, Moscow, 127473
References
1. Sanders D.L., Kingsnorth A.N. Te modern management of incisional hernias. BMG, 2012, № 344, p. 2843.
2. Asti E., Sironi A., Lovece A. Open versus laparoscopic management of incisional abdominal hernia: cohort study comparing quality of life outcomes. Journal of laparoendoscopic and advanced surgical techniques, 2016, № 26, pp. 249-255.
3. Bueno-Lledo J., Torregrosa A., et all. Predictors of hernia recurrence afer Rives-Stoppa repair in the treatment of incisional hernia: a retrospective cohort. Surgical endoscopy, 2018, https://doi.org/10.1007/s00464-018-6597-y
4. Paasch C., Anders S., Strik M.W. Postoperative-treatment following open incisional hernia repair: a survey and a review of literature. INT. J. Surg., 2018, № 53, pp. 320–325.
5. Deerenberg E.B. Small bites versus large bites for closure of ab dominal midline incisions (STITCH): a double-blind, multicenter, randomized controlled trial. Lancet, 2015, №. 386, pp. 1254–1260.
6. Dietz, U.A. Importance of recurrence rating, morphology, hernial gap size and risk factors in ventral and incisional hernia classifcation. Hernia, 2014, № 8(1), pp. 19-30.
7. Bittner R., Bain K., LeBlanc K. et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)) – Part A. Surg. Endosc., 2019, № 33(10), pp. 3069–3139.
8. Bittner R., Bain K., LeBlanc K. et al. Guidelines for laparoscopic treatment of ventral and incisional abdominal wall hernias (International Endohernia Society (IEHS)) – Part Part B. Surg. Endosc., 2019, № 33(11), pp. 3511–3549.
9. Pauli, E.M. Open ventral hernia repair with component separation. Surg. Clin. North. Am., 2013, № 93 (5), pp. 1111–1133.
10. Parshikov V.V. Components separation technique in treatment of patients with ventral and incisional hernias (review). Sovremennye tehnologii v medicine, 2016, № 8(1), pp. 183–194.
11. Hodgkinson J.D. A meta-analysis comparing open anterior component separation and transversus abdominis release in the repair of midline ventral hernias. Hernia, 2018, № 22(4), pp. 617–626
Review
For citations:
Kuliyev S.A., Evsyukova I.V., Protasov A.V., Fomina M.N. Analysis of complications and quality of life in patients who underwent posterior separation plastic surgery with a follow-up period of 5 years. Moscow Surgical Journal. 2022;(1):48-52. (In Russ.) https://doi.org/10.17238/2072-3180-2022-1-48-52
Views:
287
Email this article 