ALLOPLASTY OF ANTEROVENTRAL HERNIAS

N.A.GASIMOV, A.K. KAZIMOV, I.B.MIRZALIYEV

AzSATID named after A.Aliyev, Baku, AZERBAIJAN

Urgency of the subject. Post-operative hernias are the complications most commonly encountered after abdominal operations and are of great socioeconomic significance.Surgical treatment of post-operative anteroventral hernias is considered to be one of the major problems of abdominal surgery.(Хрячков В.В. с соавт., 2004). Despite numerous publications available in the sphere, so far there is no standard approach in the treatment of hernias.(Самойлов А.В., Овчарников А.Н., 2004). Despite the development of a large number of meshed prosthesis, the issue of an optimal material for the plastic surgery of hernial orifice remains unsettled. The cases of wound complications have increased in the result of wide application of alloplasty in the surgical practice. Correct and timely diagnostics and adequate treatment of the complications provides effectiveness of surgical treatment. For timely and correct diagnostics and treatment of early post-alloplasty complications of abdominal hernias, we have studied information value and effectiveness of abdominal ultrasound examination in the sphere of allotransplantation. The study involved 112 patients. The patients underwent alloplasty of abdominal hernias by means of a meshed prolen transplant. Operative wound and place of a meshed implant of all thhe patients were exposed to ultrasonography. The study was carried out in patients on the 3rd, 5th, 7th, 11th, 14th and 21st post-operative days. Early wound complications in the form seromas and hematomas encountered in 7% of patients. Timely and correct drainage of revealed seromas and hematomas helped to prevent suppuration of wounds. Necessity of removal of an implant arose in none of the patients. Thus, we demonstrated high information value of ultrasound study in the prevention and timely detection of complications of post-alloplasty wounds of anteroventral hernias. Dynamic ultrasonography of wounds beginning from the first days after alloplasty allows objective observation of changes, occurring in the wound, timely detection and adequate examination of wound complications, including seromas and hematomas.

Date: 2014-12-28; view: 1058