Surgical treatment of complex incisional hernia

Gogiya B.Sh.; Chertova A.D.; Alyautdinov R.R.

doi:https://doi.org/10.17116/hirurgia2022121117

Gogiya B.Sh.

Vishnevsky National Medical Research Center of Surgery

Chertova A.D.

Vishnevsky National Medical Research Center of Surgery

Alyautdinov R.R.

Vishnevsky National Medical Research Center of Surgery

Surgical treatment of complex incisional hernia

Authors:

Gogiya B.Sh., Chertova A.D., Alyautdinov R.R.

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Journal: Pirogov Russian Journal of Surgery. 2022;(12): 117‑123

DOI: 10.17116/hirurgia2022121117

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Gogiya BSh, Chertova AD, Alyautdinov RR. Surgical treatment of complex incisional hernia. Pirogov Russian Journal of Surgery. 2022;(12):117‑123. (In Russ.)
https://doi.org/10.17116/hirurgia2022121117

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

Использование инфографики авторами научных работ

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Abstract:

There is no generally accepted incisional hernia classification. To categorize incisional hernias, the European Hernia Society (EHS) proposed their classification based on the measurement of three parameters — location, dimension of hernia gate and recurrence. Unfortunately, this classification does not consider the «loss of the domain» of 20% or more, local complications including trophic ulcer or fistula of anterior abdominal wall. Moreover, implantation of mesh after previous hernia repair, obesity and other clinical factors are also not considered. Thus, surgeons have recently allocated patients with complex incisional hernia in a separate group. There is no clear definition of this term. There are no clinical guidelines on the management of patients with these hernias, and the choice of optimal surgical treatment remains individual. The authors present a patient with complex incisional hernia. Surgical strategy is described.

Keywords:

incisional hernia

complex ventral hernia

loss of domain

hernia repair

tension-free hernia repair

IPOM

Authors:

Gogiya B.Sh.

Vishnevsky National Medical Research Center of Surgery

Chertova A.D.

Vishnevsky National Medical Research Center of Surgery

Alyautdinov R.R.

Vishnevsky National Medical Research Center of Surgery

Received:

06.04.2022

Accepted:

10.05.2022

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References:

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