scholarly journals Method of prevention of postoperative gray allohernioplasty in laparoscopic ventral hernia

2018 ◽  
Vol 9 (1) ◽  
pp. 3-9
Author(s):  
Yu. V. Ivanov ◽  
D. N. Panchenkov ◽  
R. S. Chaikin ◽  
M. V. Zinovsky ◽  
A. S. Avdeev
Keyword(s):  
Intellectual Property ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Postoperative Period ◽  
Abdominal Cavity ◽  
Seroma Formation ◽  
Trans Position ◽  
Hernia Sac ◽  
Ventral Hernias ◽  
Hernial Orifice

The authors have developed a new method of seroma formation prevention after laparoscopic allohernioplasty in patients with postoperative ventral hernias. The results of the study showed that trans- position of hernia sac into the abdominal cavity and fixation to the unmodified abdominal wall around the perimeter of the hernial orifice can reliably eliminate Grajewo cavity and thereby to eliminate the possibility of seroma formation in the postoperative period. Federal service for intellectual property (Rospatent) decided to grant a patent for this method of seroma formation prevention at the surgery of postoperative ventral hernias as for the invention “Method of laparoscopic plasty of ventral hernias” (№2017120227/14(035085) from 17.01.2018).

The role of computed tomography in optimizing the surgical treatment of ventral hernias

2021 ◽  
Vol 29 (1) ◽  
pp. 70-77
Author(s):  
K. Yu. Parkhomenko ◽  
V. A. Vovk
Keyword(s):  
Computed Tomography ◽  
Ventral Hernia ◽  
Abdominal Cavity ◽  
Clinical Manifestations ◽  
Spiral Computed Tomography ◽  
Spiral Computed ◽  
Chronic Appendicitis ◽  
Hernia Sac ◽  
Ventral Hernias ◽  
Preoperative Examination

In spite of a high informative value, spiral computed tomography is currently an additional optional examination and it is not included in domestic and foreign preoperative examination protocols. Purpose – assessing the feasibility of spiral computed tomography in the complex of presurgery examination of patients with ventral hernias. Materials and methods. The paper deals with analyzing the diagnostic findings of 35 patients with ventral hernias treated at Surgery Department of Municipal Non-Commercial Enterprise of Kharkiv Regional Council “Regional Clinical Hospital” during 2018–2019 period. All patients were operated on after compulsory and additional examinations according to the existing guidelines. Spiral computed tomography was an additional examination for all patients. The frequency of symptoms detected by means of computed tomography and confirmed during surgery was analyzed.  Results. Most of the signs revealed during tomography and associated with the combined abdominal pathology, were completely confirmed by laparoscopic exploration of the abdominal cavity and pelvis. Spiral computed tomography was of particular value in patients clinically diagnosed with chronic appendicitis. When assessing the ventral hernia, it was possible not only to clearly determine its content and location towards the abdominal line, but also, before surgery, to calculate the width and length of the hernia gate and the volume of the organs in hernia sac. Unlike ultrasonography, computed tomography makes it possible to thoroughly evaluate the dimensions of the hernia gate and the state of the muscular aponeurotic layer of the anterior abdominal wall. Not least important is diagnosing the combined abdominal pathology, including the oncological one, which has no clinical manifestations but still has to be exposed to surgery. Conclusions. In the complex of preoperative examination of patients with ventral hernias, spiral computed tomography provides useful information on the anatomical features of ventral hernia and the combined abdominal pathology that requires surgical intervention. These data aid in planning a favorable type of hernioplasty of ventral hernia and simultaneous surgery. Spiral computed tomography is recommended to be added to the standard protocol of presurgery examination of patients with ventral hernias.

scholarly journals PLASTICS OF THE ANTERIOR ABDOMINAL WALL IN POSTOPERATIVE VENTRAL HERNIA

2021 ◽  
pp. 91-97
Author(s):  
N. Sivets ◽  
◽  
D. Kluyko ◽  
A. Sivets ◽  
D. Holovach ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Plastic Surgery ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Postoperative Period ◽  
Anterior Abdominal Wall ◽  
Treatment Efficiency ◽  
Ventral Hernias

Objective. Improving the postoperative ventral hernias surgical treatment efficiency. Authors of the article define the clinically developed method of plastic surgery of the anterior abdominal wall in postoperative ventral hernia. Operations with this technique were performed in 37 patients. The endoprosthesis used was a polypropylene net made by “Eticon”. In the postoperative period complications took place in 2 (5,4%) patients. Conclusion. The developed method of the anterior abdominal wall plastics effectiveness was established in the article.

ONE OF THE METHODS OF PREVENTING THE OCCURRENCE OF POSTOPERATIVE VENTRAL HERNIAS

Vestnik ◽  
2021 ◽  
pp. 395-398
Author(s):  
В.М. Мадьяров ◽  
М.С. Малгаждаров ◽  
Г.Р. Жапбаркулова
Keyword(s):  
Risk Factors ◽  
Early Diagnosis ◽  
Incisional Hernia ◽  
General Condition ◽  
Postoperative Period ◽  
Abdominal Cavity ◽  
Hernia Sac ◽  
Severe Intoxication ◽  
Adhesive Obstruction ◽  
Ventral Hernias

Снижение количества коллагена первого типа, существенно влияет на развитие ПВГ. Снизить частоту развития послеоперационных вентральных грыж можно вследствие раннего диагностирования факторов риска снижения коллагена на амбулаторном этапе подготовки к лапаротомии. Чем раньше сделана операция, тем меньше выражены изменения в тканях и органах, а само хирургическое вмешательство является менее сложным и более эффективным. При гладком течении и заживлении после первой операции можно оперировать послеоперационную грыжу спустя 6-8-10 месяцев в зависимости от вида и обширности первого вмешательства, общего состояния больного, величины и динамики роста грыжевого выпячивания. При склонности к ущемлению, а также при развивающемся синдроме спаечной непроходимости следует оперировать в возможно ранние сроки. Если в анамнезе есть указания на тяжело протекавший послеоперационный период в связи с обширным нагноением в ране, длительной тампонадой брюшной полости, тяжелой интоксикацией, перитонитом либо весьма длительным пребыванием в стационаре по поводу релапаротомии, следует выждать больший срок, примерно 12-18 месяцев. На это время надо назначить больному определенный режим, принять меры к улучшению общего состояния, уменьшению страданий в связи с развитием спаечного процесса в грыжевом мешке и в брюшной полости. По показаниям следует рекомендовать ношение хорошо прилаженного бандажа. Тhe decrease in the amount of collagen of the first type significantly affects the development of PVG. It is possible to reduce the incidence of postoperative ventral hernias due to early diagnosis of risk factors for collagen loss at the outpatient stage of preparation for laparotomy. The earlier the operation, the less pronounced changes in tissues and organs, and the surgery itself is less complex and more effective. When you smooth over and heal after the first operation can be operated incisional hernia after 6-8-10 months depending on the type and extensiveness of the first intervention, the patient's General condition, size and growth of hernial protrusion. With a tendency to infringement, as well as with the developing syndrome of adhesive obstruction, it is necessary to operate as early as possible. If in the history there are indications of a difficult postoperative period due to extensive suppuration in the wound, prolonged tamponade of the abdominal cavity, severe intoxication, peritonitis or a very long stay in the hospital for relaparotomy, you should wait a longer period, about 12-18 months. At this time, it is necessary to assign the patient a certain regime, take measures to improve the General condition, reduce suffering in connection with the development of adhesions in the hernia SAC and in the abdominal cavity. According to the indications, it should be recommended to wear a well-adjusted bandage.

scholarly journals Ventral hernia from routine repairs to abdominal wall reconstruction: our initial experience

2020 ◽  
Vol 7 (10) ◽  
pp. 3348
Author(s):  
Sheetal Ishwarappagol ◽  
Rohit Krishnappa
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Abdominal Wall Reconstruction ◽  
Tobacco Consumption ◽  
Transversus Abdominis ◽  
Abdominal Pressure ◽  
Postural Stabilization ◽  
History Of ◽  
And Function ◽  
Ventral Hernias

Background: Loss of continuity of abdominal wall significantly affects the functions of protection of viscera, postural stabilization, and maintenance of intra-abdominal pressure. The newer understanding of abdominal wall reconstruction (AWR) aims at restoring abdominal wall anatomy and function, instead of simply patching the defect. We want to showcase the changing trends and results in hernia repair at a Medical Institution.Methods: This is an observational retrospective study conducted in RRMCH, Bengaluru from July 2018-2019 including all patients with ventral hernia undergoing the specified hernia repairs.Results: A total of 54 patients with ventral hernias undergoing routine hernia repairs/AWR surgeries were retrospectively analysed. The overall mean age was 46.62±12.44 year. Majority subjects were females (n=37; 68.5%), and overweight (Mean BMI=28.07±3.01/m2). 14 patients (25.92%), all males, had history of tobacco consumption. There were 38 (70.37%) primary ventral hernias and 7 recurrent hernias. Overall mean defect size was 10.2±0.4 cm. Most frequently performed was open retro rectus Hernioplasty (n=18; 33.33%), followed by open Preperitoneal Hernioplasty (n=17; 31.48%), laparoscopic intraperitoneal onlay mesh (IPOM) (n=16; 29.62%) and open transversus abdominis release (TAR) (n=3; 5.5%). On statistical analysis, it was found that Open repairs had higher post-operative pain (p=0.0005), longer hospitalization (p=0.0002) and higher incidence of surgical site events (p=0.0134) when compared to Laparoscopic repairs.Conclusion: As known already, minimally invasive techniques of hernia surgeries are shown to have acceptable outcomes when compared to radical open surgeries. Newer techniques of AWR are being employed to routine cases in larger numbers, and not just for complex reconstruction, at most centres with acceptable outcomes. 

scholarly journals Method for the prevention of postoperative ventral hernias during surgical interventions on the anterior abdominal wall

2020 ◽  
Author(s):  
Valentine Madyarov ◽  
Maulen Malgazhdarov ◽  
Yerik Kaliaskarov ◽  
Gulnara Zhapbarkulova ◽  
Karakoz Amantayeva
Keyword(s):  
Abdominal Wall ◽  
Ventral Hernia ◽  
Abdominal Cavity ◽  
Late Complication ◽  
Diagnostic Methods ◽  
Collagen Content ◽  
Postoperative Rehabilitation ◽  
Surgical Interventions ◽  
Abdominal Organs ◽  
The Relationship

Introduction: ostoperative ventral hernia (PVH) is a protrusion of the abdominal organs (intestinal loops, omentum, etc.) beyond the abdominal wall through a postoperative space or a scar. Prevention and treatment of external abdominal hernias is one of the urgent problems of modern surgery. PVH is a serious late complication following surgery found in 5%–14% of patients. Aim: The aim of the study was to define the most important measures to prevent the occurrence of ventral hernia relapses, as well as to predict the occurrence or relapse by determining collagen content. Material and methods: The main objective of the study was to formulate the main preventive measures of ventral hernia relapses using a method to determine collagen content. Ultrasound examination of the abdominal cavity was used as one of the safest and most advanced diagnostic methods for PVH diagnostics. During the study, a retrospective analysis of 277 case records was used to determine the main causes of ventral hernia relapses and justify the need to prevent PVH relapses. Results and discussion: In this study, the authors try to develop a scheme for optimal postoperative rehabilitation of the patients to prevent ventral hernia relapses, ways to prevent PVH recurrences in the experiment and to determine the relationship between the risk of PVH and relapses associated with collagen. A comprehensive study consisting of three stages was conducted. Conclusions: As a result, a conceptual model was developed to improve the prevention of PVH and its relapses.

scholarly journals CRITICAL ANALYSIS OF EXPERIMENTAL MODEL FOR STUDY OF ADHESIONS AFTER INCISIONAL HERNIAS INDUCED IN RATS’ AND REPAIR OF ABDOMINAL WALL WITH DIFFERENT BIOMATERIALS

2015 ◽  
Vol 28 (3) ◽  
pp. 178-182 ◽  
Author(s):  
Leonardo Carvalho SERIGIOLLE ◽  
Renato Lamounier BARBIERI ◽  
Helbert Minuncio Pereira GOMES ◽  
Daren Athiê Boy RODRIGUES ◽  
Sarah do Valle STUDART ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Experimental Model ◽  
Primary Repair ◽  
Statistical Significance ◽  
Abdominal Cavity ◽  
Incisional Hernia Repair ◽  
Greater Omentum ◽  
Abdominal Wall Defects ◽  
Hernia Sac ◽  
Incisional Hernias

Background: Adhesions induced by biomaterials experimentally implanted in the abdominal cavity are basically studied by primary repair of different abdominal wall defects or by the correction of incisional hernias previously performed with no precise definition of the most appropriate model. Aim: To describe the adhesions which occur after the development of incisional hernias, before the prosthesis implantation, in an experimental model to study the changes induced by different meshes. Methods: Incisional hernias were performed in 10 rats with hernia orifices of standardized dimensions, obtained by the median incision of the abdominal wall and eversion of the defect edges. Ten days after the procedure adhesions of abdominal structures were found when hernias were repaired with different meshes. Results: The results showed hernia sac well defined in all rats ten days after the initial procedure. Adhesions of the greater omentum occurred in five animals of which two also showed adhesions of small bowel loops besides the omentum, and another two showed liver adhesions as well as the greater omentum, numbers with statistical significance by Student's t test (p<0.05). Conclusion: Although it reproduces the real clinical situation, the choice of experimental model of incisional hernia repair previously induced implies important adhesions, with possible repercussions in the evaluation of the second operation, when different implants of synthetic materials are used.

Plasty of incisional ventral hernias using a mechanical suture

1982 ◽  
Vol 63 (3) ◽  
pp. 37-40
Author(s):  
B. L. Elyashevich ◽  
F. Sh. Sharafislamov ◽  
R. M. Ramazanov
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Ventral Hernia Repair ◽  
Anterior Abdominal Wall ◽  
Long Term Results ◽  
Mechanical Suture ◽  
And Function ◽  
Ventral Hernias

Developed and applied in patients with hernias of the anterior abdominal wall a method of plasty with own tissues using a mechanical suture. 109 patients with postoperative and recurrent ventral hernias were operated on. This method of ventral hernia repair allows to restore the anatomy and function of the abdominal wall, standardizes and simplifies the technique of the operation, reducing the time of its implementation, and gives 95.4% positive long-term results.

Simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity

2020 ◽  
Vol 26 (4) ◽  
pp. 45-49
Author(s):  
V.V. Boiko ◽  
◽  
K.Yu. Parkhomenko ◽  
◽  
◽  
...  
Keyword(s):  
Ventral Hernia ◽  
Postoperative Period ◽  
Average Length ◽  
Lower Lobe ◽  
Long Term Results ◽  
Hospital Treatment ◽  
Surgical Interventions ◽  
Cosmetic Results ◽  
Good Cosmetic ◽  
Ventral Hernias

Aim. To study the results of simultaneous abdominoplasty and laparoscopic ventral hernia alloplasty in patients with obesity. Material and Methods. Simultaneous adbominoplasty and laparoscopic hernioplasty for ventral hernias were performed in 31 patients. The mean age of the patients was 53.7±6.5 (95% CI 51.3; 56.0). All patients were diagnosed as obese (body mass index more than 30 kg/m2). Incisional hernia was the main indication for surgery in the majority of patients - 20 (64,5%); in 11 (35%) cases a primary hernia of median localization was detected. Immediate and long-term results of surgical interventions were studied. Results and Discussion. In the postoperative period after drainage removal accumulations of fluid (seromas) were revealed in 9 (29%) patients using ultrasound investigation; in 2 cases they were evacuated by puncture. In one case, a marginal necrosis of the skin around the formed umbilicus occurred (healing by secondary tension); in another, lower lobe pneumonia was diagnosed (eliminated by antibiotic therapy). The average length of hospital stay was 7.3±1.4 (95% CI 6.8; 7.9) days, 6-8 days in most cases. Only two patients were hospitalized for more than 8 days due to postoperative complications. No recurrences of hernias were registered at follow-up examination 1-3 years later; good cosmetic results were achieved. Conclusions. In patients with ventral hernias with obesity and fat apron it is advisable to perform simultaneous intervention - abdominoplasty and allogernioplasty. It is advisable to perform alloplasty of ventral hernias with simultaneous abdominoplasty via laparoscopic access according to IPOM technology with the use of mesh endoprosthesis with antiadhesive coating. Simultaneous abdominoplasty causes an increase in the frequency of seromas in the postoperative period, but it does not increase the duration of hospital treatment. Simultaneous surgeries allow achieving good cosmetic results and do not increase the incidence of hernia recurrence. Keywords: obesity, fat apron, ventral hernia, abdominoplasty, laparoscopic alogernioplasty, result

Use of Polypropylene Mesh in the Management of a Contaminated Large Ventral Hernia: A Contraindication or a Solution?

2013 ◽  
Vol 79 (12) ◽  
pp. 1298-1303 ◽  
Author(s):  
Fei Yang
Keyword(s):  
Ventral Hernia ◽  
Polypropylene Mesh ◽  
Perioperative Management ◽  
Abdominal Cavity ◽  
Mesh Size ◽  
Bladder Injury ◽  
Wound Debridement ◽  
Large Ventral Hernia ◽  
Hernia Size ◽  
Ventral Hernias

Management of contaminated large ventral hernias is still a challenge as a result of massive loss of muscular and fascial tissues in the abdominal wall, traditional contraindication to use of a prosthesis, and complicated perioperative management. This study aimed to provide a solution for this challenging dilemma using monofilament polypropylene mesh (Marlex; Bard) in the Sublay-Bridge fashion. Twenty-three consecutive patients with contaminated large ventral hernias from 2009 to 2011 were identified. Preoperatively, source of contamination at the surgical site was managed through oral antibiotics, wound débridement, and dressing change; the hernia content was reduced into the abdominal cavity gradually and an abdominal binder was applied. Marlex meshes in the Sublay-Bridge fashion were used in these patients. Demographic and perioperative data were collected. Fourteen males and nine females were included with a mean age of 52.5 ± 10.5 years and a mean body mass index of 25.2 ± 6.1 kg/m2. Twelve patients underwent ostomy takedown, which was the most common indication. Mean hernia size was 120.5 ± 18.5 cm2 and a mean mesh size was 380.0 ± 80.5 cm2. The mean operative time was 125.5 ± 35.5 minutes and the hospital stay was 10.0 ± 3.5 days. Twenty-three patients had a mean follow-up period of 12.5 ± 6.5 months. An iatrogenic bladder injury occurred because of severe prevesical adhesion attributed to previous prosthesis repair. There was no presentation of abdominal compartment syndrome. Four patients developed surgical site infection and managed with conservative therapy without mesh removal. Three patients had seromas and underwent aspiration guided by B-ultrasound. Three patients reported chronic foreign body sensation. No recurrence was followed up. Repair of contaminated large ventral hernia using a Marlex mesh in the Sublay-Bridge fashion is safe and efficient management. Perioperative management and operative technology play important roles in dealing with this problem.

scholarly journals Exomphalos Major in Adults: A Treatment Modality

2016 ◽  
Vol 02 (02) ◽  
pp. 066-069
Author(s):  
Tanweerul Huda ◽  
Ashok Mhaske
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Wall ◽  
Ventral Hernia ◽  
Adult Female ◽  
Treatment Modality ◽  
Abdominal Wall Defect ◽  
Abdominal Cavity ◽  
Wall Defect ◽  
High Degree ◽  
Standard Techniques

AbstractOmphalocele (OC) is a congenital abdominal wall defect (CAWD) at the site of the umbilical ring with evisceration of the bowel covered by a three-layered membrane of peritoneum, Wharton's jelly, and amnion. It is associated with an underdeveloped abdominal cavity and a high degree of viscera abdominal disproportion. An adult female giant OC patient was treated at our hospital using the component separation technique (CST) after reviewing different standard techniques. No evidence of any compartment syndrome or ventral hernia was detected postoperatively. Giant OC in an adult healed in the same way using CST as in an infant with favorable outcomes.

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