Preventive abdominal wall repair in high-risk groups of postoperative ventral hernia

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Fedoseev A.V.

Department of General Surgery, Pavlov Ryazan State Medical University, Ministry of Health of the Russian Federation, Ryazan, Russia

Rybachkov V.V.

Iaroslavskaia meditsinskaia akademiia

Trushin S.N.

Pavlov Ryazan State Medical University, Health Ministry of the Russian Federation ,Regional Clinical Hospital, Ryazan, Russia

Lebedev S.N.

Pavlov Ryazan State Medical University of Healthcare Ministry of the Russian Federation, Ryazan, Russia

Inyutin A.S.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

Preventive abdominal wall repair in high-risk groups of postoperative ventral hernia

Authors:

Fedoseev A.V., Rybachkov V.V., Trushin S.N., Lebedev S.N., Inyutin A.S.

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Journal: Pirogov Russian Journal of Surgery. 2019;(1): 32‑36

DOI: 10.17116/hirurgia201901132

Views: 624

Downloaded: 15

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To cite this article:

Fedoseev AV, Rybachkov VV, Trushin SN, Lebedev SN, Inyutin AS. Preventive abdominal wall repair in high-risk groups of postoperative ventral hernia. Pirogov Russian Journal of Surgery. 2019;(1):32‑36. (In Russ.)
https://doi.org/10.17116/hirurgia201901132

Подписка 2025 (Pirogov Russian Journal of Surgery)

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Aim — to identify the most important predictors of postoperative hernia and to determine the indications for preventive surgical repair of abdominal wall. Material and methods. Prospective analysis included 398 medical records of patients who underwent median laparotomy. Experimental tensiometry was applied to determine strength of intact fascia. Results. The main predictors of postoperative hernia are age over 60 years, obesity, upper median laparotomy, connective tissue insufficiency. Combination of factors increases the risk of hernia. The most «intense» foci of aponeurosis is middle portion of epigastric and initial part of mesogastric areas. You need to consider this features during laparotomy closure. Conclusion. Preventive repair may be an effective method for prophylaxis of postoperative hernia after median laparotomy.

Keywords:

postoperative ventral hernia

preventive repair

laparotomy

aponeurosis

Authors:

Fedoseev A.V.

Department of General Surgery, Pavlov Ryazan State Medical University, Ministry of Health of the Russian Federation, Ryazan, Russia

Rybachkov V.V.

Iaroslavskaia meditsinskaia akademiia

Trushin S.N.

Pavlov Ryazan State Medical University, Health Ministry of the Russian Federation ,Regional Clinical Hospital, Ryazan, Russia

Lebedev S.N.

Pavlov Ryazan State Medical University of Healthcare Ministry of the Russian Federation, Ryazan, Russia

Inyutin A.S.

Ryazan State Medical University named after academician I.P. Pavlov, Department of General Surgery, Ryazan, Russia

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