The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Tarasova N.K.

Northern State Medical University;
Volosevich Arkhangelsk City Hospital

Dynkov S.M.

Northern State Medical University;
Volosevich Arkhangelsk City Hospital

Mizgirev D.V.

Northern State Medical University;
Volosevich Arkhangelsk City Hospital

Ivanov G.A.

Volosevich Arkhangelsk City Hospital

Differentiated approach to surgical treatment of patients with large postoperative ventral hernia

Authors:

Tarasova N.K., Dynkov S.M., Mizgirev D.V., Ivanov G.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2025;(3): 33‑38

DOI: 10.17116/hirurgia202503133

Read: 698 times

Buy for 300₽
Contact the author
Table of contents

DIFFERENTIATED APPROACH TO SURGICAL TREATMENT OF PATIENTS WITH LARGE POSTOPERATIVE VENTRAL HERNIA
DIFFERENTIATED APPROACH TO SURGICAL TREATMENT OF PATIENTS WITH LARGE POSTOPERATIVE VENTRAL HERNIA

To cite this article:

Tarasova NK, Dynkov SM, Mizgirev DV, Ivanov GA. Differentiated approach to surgical treatment of patients with large postoperative ventral hernia. Pirogov Russian Journal of Surgery. 2025;(3):33‑38. (In Russ.)
https://doi.org/10.17116/hirurgia202503133

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

OBJECTIVE

To analyze the results of large postoperative ventral hernia repair using the Rives-Stoppa technique and posterior component separation between 2018 and 2023.

MATERIAL AND METHODS

We retrospectively analyzed 55 case histories of patients with large postoperative ventral hernias. The Rives-Stoppa technique was used in 25 (45.5%) patients, posterior component separation — in 30 (54.5%) patients.

RESULTS

The classical Rives-Stoppa technique was predominantly performed in women (mean age 67.3±1.2 years). In 20 (80%) patients, hernia defect did not exceed 14 cm. Mean wound drainage time was 3.8±0.7 days, mean postoperative in-hospital stay — 12.7±2.4 days. Posterior component separation was more common in men, whose age was significantly lower (58.4±2.0 years, U=160.500, p<0.001). This technique was significantly more common for hernia > 15 cm (14 (47%) patients, c²=4.288, p=0.038). Mean wound drainage time was 9.7±0.8 days, mean postoperative in-hospital stay — 18.8±1.6 days (p<0.001). In early postoperative period, 15 (27.3%) patients had wound complications. There was no significant difference in the incidence of wound complications (p=0.808), and no deaths were recorded.

CONCLUSION

A differentiated approach is necessary for large hernias. Some elderly and senile patients underwent Rives—Stoppa procedure. Posterior component separation is required for anterior abdominal wall reconstruction in young and middle-aged men. Posterior component separation significantly increases the wound drainage time and hospital-stay, but does not significantly affect the incidence of wound complications.

Keywords:

large postoperative ventral hernia
subaponeurotic repair
posterior component separation

Authors:

Tarasova N.K.

Northern State Medical University;
Volosevich Arkhangelsk City Hospital

Dynkov S.M.

Northern State Medical University;
Volosevich Arkhangelsk City Hospital

Mizgirev D.V.

Northern State Medical University;
Volosevich Arkhangelsk City Hospital

Ivanov G.A.

Volosevich Arkhangelsk City Hospital

Received:

30.04.2024

Accepted:

14.06.2024

Close metadata

References:

  1. Ermolov AS, Koroshvili VT, Blagovestnov DA. Postoperative ventral hernia — unsolved issues of surgical tactics. Pirogov Russian Journal of Surgery. 2018;(10):81-86. (In Russ.). https://doi.org/10.17116/hirurgia201810181
  2. Dietz UA, Pereira JA, Montcusí B, López-Cano M, Hernández-Granados P, Fresno de Prado L; Miembros del registro EVEREG. The Treatment of incisional hernia. Deutsches Ärzteblatt International. 2018;115(3):31-37.  https://doi.org/10.1016/j.ciresp.2018.03.008
  3. Eriksson A, Rosenberg J, Bisgaard T. Surgical treatment for giant incisional hernia: a qualitative systematic review. Hernia. 2014;18(1):31-38. 
  4. Deerenberg EB, Timmermans L, Hogerzeil DP, Slieker JC, Eilers PH, Jeekel J, Lange JF. A systematic review of the surgical treatment of large incisional hernia. Hernia. 2015;19(1):89-101.  https://doi.org/10.1007/s10029-014-1321-x
  5. Poruk KE, Farrow N, Azar F, Burce KK, Hicks CW, Azoury SC, Cornell P, Cooney CM, Eckhauser FE. Effect of hernia size on operative repair and post-operative outcomes after open ventral hernia repair. Hernia. 2016;20(6):805-810. 
  6. Zolin SJ, Fafaj A, Krpata DM. Transversus abdominis release (TAR): what are the real indications and where is the limit? Hernia. 2020;24(2):333-340.  https://doi.org/10.1007/s10029-020-02150-5
  7. Cherednikov EF, Polubkova GV, Skorobogatov SA, Mehantjeva LE, Ovsyannikov ES. Surgical treatment options for patients with large and giant postoperative reducible medial abdominal hernias. International journal of biomedicine. 2019;9(3):298-301. 
  8. Scheuerlein H, Thiessen A, Schug-Pass C, Köckerling F. What do we know about component separation techniques for abdominal wall hernia hepair? Frontiers in Surgery. 2018;(5):24.  https://doi.org/10.3389/fsurg.2018.00024
  9. Cornette B, De Bacquer D, Berrevoet F. Component separation technique for giant incisional hernia: A systematic review. American Journal of Surgery. 2018; 215:719-726.  https://doi.org/10.1016/j.amjsurg.2017.07.032
  10. Egiev VN, Kuliev AS, Evsyukova IV. Life quality assessment in patients undergoing anterior separation plastic surgery. Moskovskij khirurgicheskij zhurnal. 2018;(4):25-30. (In Russ.). https://doi.org/10.17238/issn2072-3180.2018.4.25-30
  11. Samartsev VA, Gavrilov VA, Parshakov AA, Kuznetsova MV. Posterior separation hernioplasty tar in treatment of postoperative ventral hernias W3. Permskij meditsinskij zhurnal. 2017;34(1):35-42. (In Russ.).
  12. Parshikov VV, Loginov VI, Baburin AB, Romanov RV. Posterior components separation: indications, surgical technique and outcomes. Sovremennye problemy nauki i obrazovaniya. 2018;5:12-15. (In Russ.).
  13. Vasavada BB, Patel H. Outcomes of open transverse abdominis release for ventral hernias: a systematic review, meta-analysis and meta-regression of factors affecting them. Hernia. 2023;27(2):235-44.  https://doi.org/10.1007/s10029-022-02657-z
  14. Oprea V, Toma M, Grad O, Bucuri C, Pavel P, Chiorescu S, Moga D. The outcomes of open anterior component separation versus posterior component separation with transversus abdominis release for complex incisional hernias: a systematic review and meta-analysis. Hernia. 2023;27(3):503-517.  https://doi.org/10.1007/s10029-023-02745-8
  15. Gogia BS, Chertova AD, Aljautdinov RR, Karmazanovsky GG. Two-Stage Abdominal Wall Reconstruction in a Patient with a Complex Postoperative Hernia. Journal of Experimental and Clinical Surgery. 2022;15(4):333-341. (In Russ.). https://doi.org/10.18499/2070-478X-2022-15-4-333-341
  16. Chevrel JP, Rath AM. Classification of incisional hernias of the abdominal wall. Hernia. 2000;4(2):94.  https://doi.org/10.1007/bf02353754
  17. Toskin KD, Zhebrovskiy VV. Abdominal wall hernias. Moscow: Meditsina; 1990. (In Russ.).
  18. Al Sadairi AR, Durtette-Guzylack J, Renard A, Durot C, Thierry A, Kianmanesh R, Passot G, Renard Y. A simplified method to evaluate the loss of domain. Hernia. 2022;26(3):927-936.  https://doi.org/10.1007/s10029-021-02474-w
  19. Winters H, Knaapen L, Buyne OR, Hummelink S, et al. Pre-operative CT scan measurements for predicting complications in patients undergoing complex ventral hernia repair using the component separation technique. Hernia. 2019;23(2):347-354.  https://doi.org/10.1007/s10029-019-01899-8
  20. Junge K, Klinge U, Rosch R, Mertens PR, Kirch J, Klosterhalfen B, Lynen P, Schumpelick V. Decreased collagen type I/III ratio in patients with recurring hernia after implantation of alloplastic prostheses. Langenbeck’s Archives of Surgery. 2004;389(1):17-22.  https://doi.org/10.1007/s00423-003-0429-8
  21. Henriksen NA, Mortensen JH, Sorensen LT, Bay-Jensen AC, Ågren MS, Jorgensen LN, Karsdal MA. The collagen turnover profile is altered in patients with inguinal and incisional hernia. Surgery. 2015;157(2):312-321.  https://doi.org/10.1016/j.surg.2014.09.006
  22. Leblanc K, Whitaker J, Bellanger D, Rhynes V. Laparoscopic incisional and ventral hernioplasty: lessons learned from 200 patients. Hernia. 2003;3(7):118-124. 
  23. Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. The American Journal of Surgery. 2012;204(5):709-716. 
  24. Köckerling F, Scheuerlein H, Schug-Pass C. Treatment of large incisional hernias in sandwich technique — a review of the literature. Frontiers in Surgery. 2018;5(37):1-9.  https://doi.org/10.3389/fsurg.2018.00037
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.