The role of surgical access in postoperative ventral hernia development

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Long-term follow-up of 508 patients after various surgical procedures has been conducted. Of the 351 patients were operated on using a paramedian incision, 109 had an upper median laparotomy and the rest 48 had an oblique subcostal incision. Posopertaive ventral hernias were registered in 45 (8.86%) patients. The upper median laparotomy herniated in 18 (16.51%) patients, paramedian incision - in 17 (4.84%), and the oblique subcostal incision herniated in 10 (20.83%). Hernia was noticed by the patient within 12 months after the initial operation in 46.67%, of them in 85.71% - within first 6 months. 53,33% of patients were diagnosed with postoperative hernia only after thorough examination. Thus, paramedian incision is considered to be the most preferrable access. Postoperative hernias develop within the first 6-12 months postoperatively, later hernia registration is a result of poor examination.

Keywords:

postoperative ventral hernia

surgical treatment

incision

Authors:

Kuznetsov N.A.

Kafedra obshcheĭ khirurgii lechebnogo fakul'teta GOU VPO RGMU Roszdrava, Moskva

Schastlivtsev I.V.

Department of General Surgery and Radiodiagnostics, State budgetary educational institution of higher professional education «N.I. Pirogov Russian National Research Medical University»;
Clinical Hospital No 1 (Volynskaya), General Management Department of the Presidential Administration

ORCID: 0000-0002-1306-1502

Tsaplin S.N.

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