PP 36. Results Of Surgical Treatment Of Ventral Hernias
V. Samartsev, Y. Busirev, V. Gavrilov, A Parshakov
18:40 - 18:46h
at Margrit Room
Categories: Abdominal Wall and Hernia, Plastic and Reconstructive Surgery, Poster Session
Session: Poster (P3) - Abdominal Wall & Hernia / Plastic & Reconstructive Surgery
Background
The aim of our research was to analyze the complications of surgical treatment of inguinal and ventral primary and incisional hernias.
Material and Methods
We conducted a retrospective analysis of the results of surgical treatment 1196 patients. In 661(55.3%) cases were observed primary ventral hernias, in 376(31.4%) - primary and postoperative ventral hernia and in 159(13.3%) patients - recurrent ventral hernias. There were 138(25.7%) performed tension onlay technology, 263(49.2%) sublay technology, 61(11.4%) -
abdominoplasty and bariatric operations, 40(7.5%) – onlay technology and 23(4.3%) – sublay technology. Liechtenstein hermioplasty was performed in 457(83.7%), hernioplasty using PHS - 42(7.7%), hernioplasty the Mayor of 39(7.1%), Stoppa - 8(1.5%).
Result
In 103(8.6%) patients were observed: seromas - 53(4.4%), surgical site infection - 14(1.2%), chronic postoperative pain - 42(3.5%), incisional hernias - 34(2.8%). The meshes removed in four cases with SSI. In patients group with inguinal hernia were observed: hydrocele - 2(0.4%), ischemic orchitis - 4(0.7%) after primary and 7(1.3%) after a recurrent hernia; 5(0.9%) - urination disorders. In 159 cases with large incisional hernia tromboembolia small branches of the pulmonary artery was
observed in 2(1.3%); compartment abdominal syndrome 2(1.2%).
Conclusion
Despite the introduction of high technologies in modern hernioplasty, improvement of operational equipment and a complex of measures aimed at prevention of SSI, the number and nature of postoperative complications remain without significant changes.
