PLASTY RECURRENT POSTOPERATIVE ABDOMINAL WALL HERNIA. CLINICAL AND ANATOMICAL OBSERVATION OF THE PATIENT AFTER 13 YEARS OF THE PLASTY
ABSTRACT. Postoperative abdominal wall hernias account for 20-26% of all external abdominal hernias and occur in 10 - 32% of the patients operated on the abdominal organs. They are characterized by a rapid increase in size, high rate of complications. There is no standard operation. Relapses occur i...
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Format: | Article |
Language: | Russian |
Published: |
Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department
2016-03-01
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Series: | Неотложная медицинская помощь |
Subjects: | |
Online Access: | https://www.jnmp.ru/jour/article/view/152 |
Summary: | ABSTRACT. Postoperative abdominal wall hernias account for 20-26% of all external abdominal hernias and occur in 10 - 32% of the patients operated on the abdominal organs. They are characterized by a rapid increase in size, high rate of complications. There is no standard operation. Relapses occur in 14–15%. Autoplastic ways by fascial-aponeurotic plasty are not always reliable and radical. Alloplastic methods have been widely spread and used in 75–85% of operated in Europe and in the USA. These methods are not flawless- changes of the implants properties and their capsule were marked — their size, flexibility and strength are decreased, complications — adhesions, fistulas, pain and discomfort. Therefore, the search for radical ways remains relevant. The description of the clinical follow-up after successful local fascial-aponeurotic plastic surgery of the repeatedly recurrent postoperative abdominal wall hernia. Conclusion The author recommends the wider use of the described method of hernioplasty. |
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ISSN: | 2223-9022 2541-8017 |