EFFECTIVENESS OF SIMULTANEOUS ABDOMINAL AND HERNIAL PLASTY WITH NEW SYNTHETIC MATERIALS IN OBESE PATIENTS WITH POSTOPERATIVE VENTRAL HERNIAS

T.P JAMALOVA, F.G.JAMALOV, I.T.AKHUNDOV, SH.G.HUSEYNOV

Azerbaijan Medical University, Baku,AZERBAIJAN

The study of the influence of improved hernial plasty with use of new synthetic materials (moiacrilprolencomposite - MPC-grid by “Johnson-Johnson” (USA) impregnated with antibacterial drugs and absorbable adhesive barrier – “artificial peritoneum”) and its combination with abdominoplasty on the nearest and remote results of surgical treatment of patients with postoperative ventral hernias of obese patients. 61 patients at the age of 29 - 72 years (women – 38, men - 23) studied at RCH named after acad. M.A.Mir-Gasimov, were divided into the following three groups subject to the applied treatments:

The 1^st group, control - 30 patients that underwent conventional hernioplasty by the method of aponeurotic duplication (19 patients - 1A subgroup) and normal hernial plasty by simple prolene mesh (11 patients - 1B subgroup).

The 2^nd group, comparative - 14 patients that underwent hernioplasty with a new MPC-grid, fixed at the edges of the hernial orifice and aponeurosis by an improved method.

The 3^rd group, main - 17 patients that underwent hernioplasty with a new MPC-grid and “artificial peritoneum” (9 patients - 3A subgroup) in combination with abdominoplasty (8 patients - 3B subgroup). Distribution of patients by age, sex, underlying disease and comorbidities, duration of the underlying disease, size of hernial orifices, conducted conservative treatment, other parameters did not significantly differ (p> 0.05).

The exposure of patients with postoperative ventral hernias to a comprehensive treatment by modified methods of preoperative specialized training, improved surgical techniques of location and fixation of implants, use of new synthetic materials - MPC-grid and “artificial peritoneum” in hernioplasty, its combination with abdominoplasty, leads to significant improvement of the short-term (reduction of the number of postoperative purulent infectious complications of cardiovascular and respiratory systems from 9.2% to 1.6%, reduction in length of stay of patients in hospital by 1.6 days) and long-term (reduction of recurrence of hernia from 3.3% to 1.6% and improvement of the quality of life of patients) results.

Date: 2014-12-28; view: 989