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Galimov O.V.

Bashkir State Medical University

Khanov V.O.

Bashkir State Medical University

Vagizova G.I.

Bashkir State Medical University

Ibragimov T.R.

Bashkir State Medical University

Saifullin R.R.

Bashkir State Medical University

Preventive mesh replacement for postoperative ventral hernia

Authors:

Galimov O.V., Khanov V.O., Vagizova G.I., Ibragimov T.R., Saifullin R.R.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(12): 80‑84

DOI: 10.17116/hirurgia202512180

Read: 856 times

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Table of contents

PREVENTIVE MESH REPLACEMENT FOR POSTOPERATIVE VENTRAL HERNIA
PREVENTIVE MESH REPLACEMENT FOR POSTOPERATIVE VENTRAL HERNIA

To cite this article:

Galimov OV, Khanov VO, Vagizova GI, Ibragimov TR, Saifullin RR. Preventive mesh replacement for postoperative ventral hernia. Pirogov Russian Journal of Surgery. 2025;(12):80‑84. (In Russ.)
https://doi.org/10.17116/hirurgia202512180

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 improve the outcomes in patients with morbid obesity via prevention of postoperative ventral hernias.

MATERIAL AND METHODS. W

E analyzed morphological structure of connective tissue of linea alba in patients with normal BMI and morbid obesity. To confirm safety of synthetic prostheses, we harvested aponeurosis after mesh replacement. Considering insufficiency of connective tissue and safety of synthetic prostheses in patients with morbid obesity, we performed preventive mesh replacement via laparotomy.

RESULTS. P

Reventive mesh replacement in patients with morbid obesity for prevention of postoperative ventral hernias after laparotomy reduced the incidence of this complication from 25.8% to 4%.

CONCLUSION

The relevance of preventive mesh replacement in patients with morbid obesity is due to frequent postoperative ventral hernias after laparotomy (≥28%). The implanted synthetic prosthesis is characterized by diffuse germination of mature connective tissue as a natural reaction to foreign body. Preventive closure of laparotomy with synthetic prosthesis is advisable in patients with morbid obesity.

Keywords:

incisional hernia
eventration
morbid obesity

Authors:

Galimov O.V.

Bashkir State Medical University

Khanov V.O.

Bashkir State Medical University

Vagizova G.I.

Bashkir State Medical University

Ibragimov T.R.

Bashkir State Medical University

Saifullin R.R.

Bashkir State Medical University

Received:

17.01.2025

Accepted:

16.03.2025

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References:

  1. Wehrle CJ, Shukla P, Miller BT, Blake KE, Prabhu AS, Petro CC, Krpata DM, Beffa LR, Tu C, Rosen MJ. Incisional hernia rates following midline laparotomy in the obese patient: a retrospective review. Hernia. 2023;27(3):557-563.  https://doi.org/10.1007/s10029-022-02688-6
  2. Feldman LS, Ramaswamy A. Is Mesh Prophylaxis the Answer to the Prevention of Incisional Hernia? JAMA Surg. 2019;154(2):116.  https://doi.org/10.1001/jamasurg.2018.4246
  3. DeAngelo N, Perez AJ. Hernia Prevention: The Role of Technique and Prophylactic Mesh to Prevent Incisional Hernias. Surg Clin North Am. 2023;103(5):847-857.  https://doi.org/10.1016/j.suc.2023.04.021
  4. Tarasova NK, Dynkov SM, Pozdeev VN, Teterin AYu, Osmanova GSh. Analysis of the causes of recurrent postoperative ventral hernias. Pirogov Russian Journal of Surgery. 2019;(10):36-42. (In Russ.). https://doi.org/10.17116/hirurgia201910136
  5. Deerenberg EB, Harlaar JJ, Steyerberg EW, Lont HE, van Doorn HC, Heisterkamp J, Wijnhoven BP, Schouten WR, Cense HA, Stockmann HB, Berends FJ, Dijkhuizen FPH, Dwarkasing RS, Jairam AP, van Ramshorst GH, Kleinrensink GJ, Jeekel J, Lange JF. Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial. Lancet. 2015; 386(10000):1254-1260. https://doi.org/10.1016/S0140-6736(15)60459-7
  6. Endo T, Miyahara K, Shirasu T, Mochizuki Y, Taniguchi R, Takayama T, Hoshina K. Risk Factors for Incisional Hernia After Open Abdominal Aortic Aneurysm Repair. In Vivo. 2023;37(6):2803-2807. https://doi.org/10.21873/invivo.13393
  7. Karimov SS, Shonazarov ISh. Prevention of complications of incisional hernia repair. Res Focus. 2024;3(8):48-61. (In Russ.). https://doi.org/10.5281/zenodo.13359651
  8. López-Cano M. Editorial: Incisional Hernia Prevention. JAWS. 2023;2:11495. https://doi.org/10.3389/jaws.2023.11495
  9. Lozada Hernández EE, Hernández Bonilla JP, Hinojosa Ugarte D, Magdaleno García M, Mayagoitía González JC, Zúñiga Vázquez LA, Obregón Moreno E, Jiménez Herevia AE, Cethorth Fonseca RK, Ramírez Guerrero P. Abdominal wound dehiscence and incisional hernia prevention in midline laparotomy: a systematic review and network meta-analysis. Langenbeck’s Arch Surg. 2023;408(1);268.  https://doi.org/10.1007/s00423-023-02954-w
  10. Harris HW. Innovations for Incisional Hernia Prevention. JAWS. 2022;1:10945. https://doi.org/10.3389/jaws.2022.10945
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