ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE)
Introduction. Deep wound surgical infection that occurs after installing mesh implants, with ventral hernia, is a serious problem that does not have a definite approach to its solution.Materials and methods. The work clinically demonstrated effectiveness of originally developed method to surgically...
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| Format: | Article |
| Language: | English |
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Bashkir State Medical University
2017-12-01
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| Series: | Креативная хирургия и онкология |
| Subjects: | |
| Online Access: | https://www.surgonco.ru/jour/article/view/270 |
| _version_ | 1797872436304150528 |
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| author | Vladimir S. Panteleev Vitaliy A. Zavarukhin Mariya P. Pogorelova |
| author_facet | Vladimir S. Panteleev Vitaliy A. Zavarukhin Mariya P. Pogorelova |
| author_sort | Vladimir S. Panteleev |
| collection | DOAJ |
| description | Introduction. Deep wound surgical infection that occurs after installing mesh implants, with ventral hernia, is a serious problem that does not have a definite approach to its solution.Materials and methods. The work clinically demonstrated effectiveness of originally developed method to surgically remove the infected mesh implants after hernioplasty. The developed method of surgical intervention when deleting infected mesh implants is to excise the post operational scar together with adipose tissue within healthy tissues, to detach and subsequently separate the previously installed implant from the abdominal wall by the destruction of connective-tissue adhesions using ultrasound. The surgery technique provides for the devastating effect of ultrasonic waves on the connective tissue through a liquid antiseptic - 0.2% solution of water chlorhexidine of bi-gluconate.Results. The findings show that the use of a new original method facilitates the effective removal of the mesh implant using ultrasonic cavitation from adhesions with tissues of the organism in the field of surgery without excision, traumatizing and bleeding, and also promotes wound sterilization.Conclusion. Thus, the developed method allows eliminating infected implants using ultrasound, minimizing trauma of the underlying soft tissues, which means that it preserves the possibility to keep hernial defect sutured with first row of sutures, which helps to prevent relapse of herniation. |
| first_indexed | 2024-04-10T00:58:46Z |
| format | Article |
| id | doaj.art-a570d841dbea4c4a9c8772672a5eaae6 |
| institution | Directory Open Access Journal |
| issn | 2307-0501 2076-3093 |
| language | English |
| last_indexed | 2024-04-10T00:58:46Z |
| publishDate | 2017-12-01 |
| publisher | Bashkir State Medical University |
| record_format | Article |
| series | Креативная хирургия и онкология |
| spelling | doaj.art-a570d841dbea4c4a9c8772672a5eaae62023-03-13T10:01:08ZengBashkir State Medical UniversityКреативная хирургия и онкология2307-05012076-30932017-12-0174687210.24060/2076-3093-2017-7-4-68-72251ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE)Vladimir S. Panteleev0Vitaliy A. Zavarukhin1Mariya P. Pogorelova2Республиканская клиническая больница им. Г.Г. Куватова.Республиканская клиническая больница им. Г.Г. Куватова.Республиканская клиническая больница им. Г.Г. Куватова.Introduction. Deep wound surgical infection that occurs after installing mesh implants, with ventral hernia, is a serious problem that does not have a definite approach to its solution.Materials and methods. The work clinically demonstrated effectiveness of originally developed method to surgically remove the infected mesh implants after hernioplasty. The developed method of surgical intervention when deleting infected mesh implants is to excise the post operational scar together with adipose tissue within healthy tissues, to detach and subsequently separate the previously installed implant from the abdominal wall by the destruction of connective-tissue adhesions using ultrasound. The surgery technique provides for the devastating effect of ultrasonic waves on the connective tissue through a liquid antiseptic - 0.2% solution of water chlorhexidine of bi-gluconate.Results. The findings show that the use of a new original method facilitates the effective removal of the mesh implant using ultrasonic cavitation from adhesions with tissues of the organism in the field of surgery without excision, traumatizing and bleeding, and also promotes wound sterilization.Conclusion. Thus, the developed method allows eliminating infected implants using ultrasound, minimizing trauma of the underlying soft tissues, which means that it preserves the possibility to keep hernial defect sutured with first row of sutures, which helps to prevent relapse of herniation.https://www.surgonco.ru/jour/article/view/270вентральная грыжа, герниорафия, хирургическая раневая инфекция, ультразвуковая терапия, протезы и имплантаты, хирургическая сетка |
| spellingShingle | Vladimir S. Panteleev Vitaliy A. Zavarukhin Mariya P. Pogorelova ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE) Креативная хирургия и онкология вентральная грыжа, герниорафия, хирургическая раневая инфекция, ультразвуковая терапия, протезы и имплантаты, хирургическая сетка |
| title | ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE) |
| title_full | ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE) |
| title_fullStr | ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE) |
| title_full_unstemmed | ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE) |
| title_short | ULTRASONIC EXCISION OF INFECTED MESH IMPLANTS AFTER HERNIOPLASTY (CLINICAL CASE) |
| title_sort | ultrasonic excision of infected mesh implants after hernioplasty clinical case |
| topic | вентральная грыжа, герниорафия, хирургическая раневая инфекция, ультразвуковая терапия, протезы и имплантаты, хирургическая сетка |
| url | https://www.surgonco.ru/jour/article/view/270 |
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