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Sukovatykh B.S.

Kursk State Medical University

Blinkov Yu.Yu.

Kursk state medical university

Netyaga A.A.

Kursk state medical university

Zatolokina M.A.

Kursk state medical university

Polevoy Yu.Yu.

Kursk state medical university

Zhukovskiy V.A.

Saint-Petersburg State University of Industrial Technologies and Design

Effectiveness of light strengthened endoprosthesis in the treatment of middle and large ventral hernia

Authors:

Sukovatykh B.S., Blinkov Yu.Yu., Netyaga A.A., Zatolokina M.A., Polevoy Yu.Yu., Zhukovskiy V.A.

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Journal: Pirogov Russian Journal of Surgery. 2020;(7): 39‑44

DOI: 10.17116/hirurgia202007139

Read: 1738 times

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Table of contents

EFFECTIVENESS OF LIGHT STRENGTHENED ENDOPROSTHESIS IN THE TREATMENT OF MIDDLE AND LARGE VENTRAL HERNIA
EFFECTIVENESS OF LIGHT STRENGTHENED ENDOPROSTHESIS IN THE TREATMENT OF MIDDLE AND LARGE VENTRAL HERNIA

To cite this article:

Sukovatykh BS, Blinkov YuYu, Netyaga AA, Zatolokina MA, Polevoy YuYu, Zhukovskiy VA. Effectiveness of light strengthened endoprosthesis in the treatment of middle and large ventral hernia. Pirogov Russian Journal of Surgery. 2020;(7):39‑44. (In Russ.)
https://doi.org/10.17116/hirurgia202007139

 
Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To evaluate an effectiveness of light strengthened polypropylene endoprosthesis in the treatment of patients with middle and large ventral hernias.

MATERIAL AND METHODS

Early and long-term outcomes of surgical treatment were analyzed in 60 patients with middle and large ventral hernias. Onlay hernia repair was performed. Patients were divided into two groups by 30 patients. Abdominal wall repair with conventional polypropylene endoprosthesis was performed in the first group, light strengthened endoprosthesis was used in the second group.

RESULTS

Application of light strengthened polypropylene endoprosthesis was accompanied by reduced inflammatory response and higher intensity of reparative processes in the area of implantation in early postoperative period. Moreover, we observed better functional state of abdominal rectus muscles in long-term postoperative period in the same group. Improved physical component of health by 4.5% was found in the 2nd group. As a result, incidence of excellent outcomes increased by 13.3%, good results by 6.7%, incidence of satisfactory results decreased by 20%. Recurrent hernia was absent.

CONCLUSION

Light strengthened endoprosthesis is effective and advisable in patients with middle and large ventral hernia.

Keywords:

middle and large ventral hernia
light strengthened polypropylene endoprosthesis
quality of life

Authors:

Sukovatykh B.S.

Kursk State Medical University

Blinkov Yu.Yu.

Kursk state medical university

Netyaga A.A.

Kursk state medical university

Zatolokina M.A.

Kursk state medical university

Polevoy Yu.Yu.

Kursk state medical university

Zhukovskiy V.A.

Saint-Petersburg State University of Industrial Technologies and Design

Received:

07.11.2019

Accepted:

09.12.2019

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References:

  1. Egiev VN, Voskresenskij PK. Gryzhi. M.: Medpraktika; 2015. (In Russ.).
  2. Muysoms FE, et al. Classification of primary and incisional abdominal wall hernias. Hernia. 2009;13(4):407-414.  https://doi.org/10.1007/s10029-009-0518-x
  3. Klinge U, Klosterhalfen B. Modified classification of surgical meshes for hernia repair based on the analyses of 1,000 explanted meshes. Hernia. 2012;16(3):251-258.  https://doi.org/10.1007/s10029-012-0913-6
  4. Bringman S, et al. Three‐year results of a randomized clinical trial of lightweight or standard polypropylene mesh in Lichtenstein repair of primary inguinal hernia. British Journal of Surgery: Incorporating European Journal of Surgery and Swiss Surgery. 2006;93(9):1056-1059.
  5. Cobb WS, et al. Textile analysis of heavy weight, mid-weight, and light weight polypropylene mesh in a porcine ventral hernia model. Journal of Surgical Research. 2006;136(1):1-7. 
  6. Lintin LAD, Kingsnorth AN. Mechanical failure of a lightweight polypropylene mesh. Hernia. 2014;18(1):131-133.  https://doi.org/10.1007/s10029-012-0959-5
  7. Petro CC, et al. Central failures of lightweight monofilament polyester mesh causing hernia recurrence: a cautionary note. Hernia. 2015;19(1):155-159.  https://doi.org/10.1007/s10029-014-1237-5
  8. Žuvela M, et al. Central rupture and bulging of low-weight polypropylene mesh following recurrent incisional sublay hernioplasty. Hernia. 2014;18(1):135-140.  https://doi.org/10.1007/s10029-013-1197-1
  9. Anurov MV, Titkova SM, Oettinger AP. Biomechanical compatibility of surgical mesh and fascia being reinforced: dependence of experimental hernia defect repair results on anisotropic surgical mesh positioning. Hernia. 2012;16(2):199-210.  https://doi.org/10.18499/2070-478X-2018-11-3-154-160
  10. Sukovatykh BS, Polevoy YuYu, Netyaga AA, Blinkov YuYu, Zhukovskiy VA. Comparative Experimental-Morphological Research of Light and Light Strengthened Endoprosthesis for Hernioplasty. Novosti khirurgii. 2018;26(4):402-411. (In Russ.). https://doi.org/10.18484/2305-0047.2018.4.402
  11. Sukovatykh BS, Netyaga AA, Blinkov YuYu, Polevoy YuYu, Zhukovskiy VA. Biomechanical Characteristics of Light Synthetic Materials for Hernioplasty (Experimental Study). Vestnik ehksperimental’noj i klinicheskoj hirurgii. 2018;11(3):154-160. (In Russ.). https://doi.org/10.18499/2070-478X-2018-11-3-154-160
  12. Sukovatykh BS, Valuyskaya NM, Gerasimchuk EV, Pravednikova NV, Mutova TV. Efficiency of miniabdominoplasty in the treatment of large female ventral hernias. Annaly khirurgii. 2014;5:37-43. (In Russ.).
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