Clinical application and results of the original technique of hernioplasty of ventral hernias of lateral localization
https://doi.org/10.17238/2072-3180-2023-2-32-39
Abstract
Introduction. In order to improve the results of surgical treatment in patients with ventral hernias of lateral localization, an original technique of non-tensioning plastic surgery using frame threads and a polypropylene mesh graft has been developed. The results of the application of a new original hernioplasty technique are presented.
Materials and methods of research. A retrospective analysis of the "hospital patient cards" of 63 patients was carried out. 2 groups of patients were formed. The "main" group included patients after hernioplasty using the original technique of non-tensioning hernioplasty – 29 patients, the "control" group consisted of 34 patients who underwent conventional non-tensioning hernioplasty. The basis of the original technique is the use of two frame threads in the preperitoneal space and above the muscles of the anterior abdominal wall, which are captured when applying U-shaped sutures that fix the mesh endoprosthesis.
Treatment results. A comparative analysis of the long-term results of operations with an average follow-up period of 36,22 months showed that there was no recurrence of hernia in patients operated according to the original method, while out of 34 patients in the control group, 5 people (14,7 %) had a relapse.
Conclusion. The original technique of hernioplasty "onlay" has statistically proven advantages over the generally accepted method of non-protracted hernioplasty, – the absence of hernia recurrence for a long time after surgery, is a safe and publicly available method of surgical treatment of patients with postoperative ventral hernias of lateral localization.
About the Authors
V. L. Korobka
Rostov State Medical University of the Ministry of Health of the Russian Federation; State Budgetary Institution of the Rostov region "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Vyacheslav Leonidovich Korobka, Doctor of Medical Sciences,
Associate Professor, Head of the Department
Department of Reconstructive, Cardiovascular, Thoracic, Maxillofacial Surgery and Transplantology
344022
lane. Nakhichevan, 29
344015
Rostov-on-Don
A. V. Korobka
State Budgetary Institution of the Rostov region "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Alexey Vyacheslavovich Korobka, Surgeon
344015
Blagodatnaya str., 170
Rostov-on-Don
A. M. Shapovalov
State Budgetary Institution of the Rostov region "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Alexander Mikhailovich Shapovalov, deputy Chief Physician for Organizational and methodological work
344015
Blagodatnaya str., 170
Rostov-on-Don
V. K. Tatyanchenko
Rostov State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Vladimir Konstantinovich Tatyanchenko, Doctor of Medical Sciences, Professor, Head of the Department of Operative Surgery, Clinical Anatomy and Pathological Anatomy
344022
lane. Nakhichevan, 29
Rostov-on-Don
M. V. Gonchar
Rostov State Medical University of the Ministry of Health of the Russian Federation; State Budgetary Institution of the Rostov region "Rostov Regional Clinical Hospital"
Russian Federation
Russian Federation
Mikhail Viktorovich Gonchar, Assistant
Department of Reconstructive, Cardiovascular, Thoracic, Maxillofacial Surgery and Transplantology
344022
lane. Nakhichevan, 29
344015
Rostov-on-Don
A. Y. Tyshlek
Rostov State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Alyona Yurievna Tyshlek, student of the Faculty of Treatment and Prevention
344022
lane. Nakhichevan, 29
Rostov-on-Don
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Review
For citations:
Korobka V.L., Korobka A.V., Shapovalov A.M., Tatyanchenko V.K., Gonchar M.V., Tyshlek A.Y. Clinical application and results of the original technique of hernioplasty of ventral hernias of lateral localization. Moscow Surgical Journal. 2023;(2):32-39. (In Russ.) https://doi.org/10.17238/2072-3180-2023-2-32-39
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