Differentiated approach to the treatment of large hernial defects of the anterior abdominal wall in children (clinical observations)

Razumovsky A.Yu.; Smirnov A.N.; Dronov A.F.; Chundokova M.A.; Chirkov I.S.

doi:https://doi.org/10.17116/hirurgia2017446-50

Razumovsky A.Yu.

Subdepartment of Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 117997

ORCID: 0000-0003-3511-0456

Smirnov A.N.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet im. N.I. Pirogova

Dronov A.F.

Kafedra detskoĭ khirurgii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Detskaia gorodskaia klinicheskaia bol'nitsa #13 im. N.F. Filatova, Moskva

Chundokova M.A.

Kafedra detskoĭ khirurgii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Detskaia gorodskaia klinicheskaia bol'nitsa #13 im. N.F. Filatova, Moskva

Chirkov I.S.

N.I. Pirogov Russian National Research Medical University, Department of Pediatric Surgery, Russian Ministry of Health, Moscow, Russia;
N.F. Filatov Children’s City Hospital №13, Moscow, Russia

Differentiated approach to the treatment of large hernial defects of the anterior abdominal wall in children (clinical observations)

Authors:

Razumovsky A.Yu., Smirnov A.N., Dronov A.F., Chundokova M.A., Chirkov I.S.

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Journal: Pirogov Russian Journal of Surgery. 2017;(4): 46‑50

DOI: 10.17116/hirurgia2017446-50

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Razumovsky AYu, Smirnov AN, Dronov AF, Chundokova MA, Chirkov IS. Differentiated approach to the treatment of large hernial defects of the anterior abdominal wall in children (clinical observations). Pirogov Russian Journal of Surgery. 2017;(4):46‑50. (In Russ.)
https://doi.org/10.17116/hirurgia2017446-50

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

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Abstract:

Aim. To present an experience of treatment of children with large hernial defects of the anterior abdominal wall. Material and methods. This article describes management of 43 children with large (n=31) and giant (n=12) ventral hernia who were at N.F. Filatov Children´s City Hospital №13 for the period 2005—2015. All patients underwent surgical correction using local tissues in «edge to edge» fashion (n=23), aponeurosis dublication of «coat floors» type (n=14) and biological implant «Permacol» (n=6). Etiological causes of ventral hernias in children were comprehensively analyzed. Optimal time for surgical treatment and features of viscero-abdominal disproportion were discussed. Conclusion. Early restoration of anatomical and functional structures of the anterior abdominal wall is necessary for good cosmetic result and prevention of recurrent ventral hernia. We presented three clinical examples of commonly used surgical procedures in children including anterior abdominal wall repair using biological material «Permacol».

Keywords:

ventral hernia

viscero-abdominal disproportion

biological material

Authors:

Razumovsky A.Yu.

Subdepartment of Pediatric Surgery of the N.I. Pirogov Russian National Research Medical University under the Ministry of Health of the Russia, Moscow, Russia, 117997

ORCID: 0000-0003-3511-0456

Smirnov A.N.

Rossiĭskiĭ natsional'nyĭ issledovatel'skiĭ meditsinskiĭ universitet im. N.I. Pirogova

Dronov A.F.

Kafedra detskoĭ khirurgii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Detskaia gorodskaia klinicheskaia bol'nitsa #13 im. N.F. Filatova, Moskva

Chundokova M.A.

Kafedra detskoĭ khirurgii Rossiĭskogo gosudarstvennogo meditsinskogo universiteta, Detskaia gorodskaia klinicheskaia bol'nitsa #13 im. N.F. Filatova, Moskva

Chirkov I.S.

N.I. Pirogov Russian National Research Medical University, Department of Pediatric Surgery, Russian Ministry of Health, Moscow, Russia;
N.F. Filatov Children’s City Hospital №13, Moscow, Russia

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References:

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