Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias
Objective. Studying of possibility of application of a self-fixing mesh ProGrip™ while plasty performing for large hiatal hernias (HH). Маterials and methods. In the investigation 144 patients, ageing 30 – 78 yrs old, owing HH with square 10 - 20 сm2, took part. The patients were divided into two gr...
| Main Authors: | , , |
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| Format: | Article |
| Language: | Russian |
| Published: |
Liga-Inform ltd.
2018-07-01
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| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/455 |
| _version_ | 1797839449591119872 |
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| author | V. V. Grubnik N. R. Paranyak V. V. Grubnik V. V. Ilyashenko |
| author_facet | V. V. Grubnik N. R. Paranyak V. V. Grubnik V. V. Ilyashenko |
| author_sort | V. V. Grubnik |
| collection | DOAJ |
| description | Objective. Studying of possibility of application of a self-fixing mesh ProGrip™ while plasty performing for large hiatal hernias (HH).
Маterials and methods. In the investigation 144 patients, ageing 30 – 78 yrs old, owing HH with square 10 - 20 сm2, took part. The patients were divided into two groups. Group I consisted of 71 patients, to whom crurorhaphy with additional strengthening of the sutures, using a self-fixing mesh ProGrip™ was peformed. Group II consisted of 73 patients, in whom sutures of crurorhaphy were not strengthened by the mesh implant. Dynamical follow-up in patients was conducted in 3, 6, 12, 24, 36, 48 and 60 mo after the surgical treatment.
Results. Average duration of the operation in patients of Group i and Group II did not differ essentially – (94 ± 12) and (92 ± 15) min, accordingly (p > 0.1). In late terms of follow-up the HH recurrence have occurred in 3.2% in the Group I patients and in 21.5% - in the Group II patients. The quality of life index in patients of Group I, in accordance to questionnaire SF-36, was trustworthily better, than in patients of Group II (p < 0.05).
Conclusion. The mesh ProGrip™ application while doing plasty of large HH permits to lower the recurrence rate significantly and to improve the operative interventions results essentially. |
| first_indexed | 2024-04-09T15:57:06Z |
| format | Article |
| id | doaj.art-36895ffe548c4a85aa9bc2f0ffe039de |
| institution | Directory Open Access Journal |
| issn | 0023-2130 2522-1396 |
| language | Russian |
| last_indexed | 2024-04-09T15:57:06Z |
| publishDate | 2018-07-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj.art-36895ffe548c4a85aa9bc2f0ffe039de2023-04-25T13:54:55ZrusLiga-Inform ltd.Клінічна хірургія0023-21302522-13962018-07-018575810.26779/2522-1396.2018.07.05455Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal herniasV. V. Grubnik0N. R. Paranyak1V. V. Grubnik2V. V. Ilyashenko3Оdessa National Medical University, OdessaOdessa national medical university, OdessaOdessa national medical university, OdessaOdessa national medical university, OdessaObjective. Studying of possibility of application of a self-fixing mesh ProGrip™ while plasty performing for large hiatal hernias (HH). Маterials and methods. In the investigation 144 patients, ageing 30 – 78 yrs old, owing HH with square 10 - 20 сm2, took part. The patients were divided into two groups. Group I consisted of 71 patients, to whom crurorhaphy with additional strengthening of the sutures, using a self-fixing mesh ProGrip™ was peformed. Group II consisted of 73 patients, in whom sutures of crurorhaphy were not strengthened by the mesh implant. Dynamical follow-up in patients was conducted in 3, 6, 12, 24, 36, 48 and 60 mo after the surgical treatment. Results. Average duration of the operation in patients of Group i and Group II did not differ essentially – (94 ± 12) and (92 ± 15) min, accordingly (p > 0.1). In late terms of follow-up the HH recurrence have occurred in 3.2% in the Group I patients and in 21.5% - in the Group II patients. The quality of life index in patients of Group I, in accordance to questionnaire SF-36, was trustworthily better, than in patients of Group II (p < 0.05). Conclusion. The mesh ProGrip™ application while doing plasty of large HH permits to lower the recurrence rate significantly and to improve the operative interventions results essentially.https://hirurgiya.com.ua/index.php/journal/article/view/455hiatal hernia; crurorhaphy; mesh implants |
| spellingShingle | V. V. Grubnik N. R. Paranyak V. V. Grubnik V. V. Ilyashenko Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias Клінічна хірургія hiatal hernia; crurorhaphy; mesh implants |
| title | Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias |
| title_full | Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias |
| title_fullStr | Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias |
| title_full_unstemmed | Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias |
| title_short | Possibility of application of a self–fixing mesh ProGrip™ in laparoscopic plasty of large hiatal hernias |
| title_sort | possibility of application of a self fixing mesh progrip™ in laparoscopic plasty of large hiatal hernias |
| topic | hiatal hernia; crurorhaphy; mesh implants |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/455 |
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