Modern view on postoperative perineal hernias surgical treatment

Chemidronov S.N.

Samara State Medical University

Kolsanov A.V.

Samara State Medical University

ORCID: 0000-0002-4144-7090

Belokonev V.I.

Samara State Medical University

Modern view on postoperative perineal hernias surgical treatment

Authors:

Chemidronov S.N., Kolsanov A.V., Belokonev V.I.

More about the authors

Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(1): 34‑40

DOI: 10.17116/operhirurg2023701134

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To cite this article:

Chemidronov SN, Kolsanov AV, Belokonev VI. Modern view on postoperative perineal hernias surgical treatment. Russian Journal of Operative Surgery and Clinical Anatomy. 2023;7(1):34‑40. (In Russ.)
https://doi.org/10.17116/operhirurg2023701134

Подписка 2025-2 (Russian Journal of Operative Surgery and Clinical Anatomy)

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OBJECTIVE

To study the possibilities of Autoplan hardware and software during operation on patients with perineal hernias planing.

MATERIAL AND METHODS

The analysis of female patient 46y.o. treatment with perineal hernia after radical abdominal-perineal rectal cancer extirpation were carried out. Before the operation, patients underwent ultrasound, X-ray examinations, CT of the abdominal cavity and pelvis. CT scans were archived in DICOM format to processing in Autoplan’s automated planning, management and control of surgical treatment results system (State Contract of the Ministry of Industry and Trade of the Russian Federation dated 07.04.2014 No. 14411.2049999.19.013 «4.3-Avtoplan-2014»), developed by the Institute of Innovative Development in Samara State Medical University.

RESULTS

Surgery was performed with open access in the projection of hernial protrusion. After the treatment of the hernial sac and the intra-abdominal stage, the plastic operation was performed by combined prosthetic methods.

CONCLUSION

Evaluation of CT data processing in «Autoplan» complex showed the possibilities of improved hernia visualization. Hernia sac contained organs and surrounding tissues. This allows coordinating the surgical intervention, planning the costs of prosthesis spending and effectively using the patient’s own tissues resources in hernia hiatus plasty.

Keywords:

perineal hernia

levator ani muscle

three-dimensional modeling

Autoplan

surgical treatment

Authors:

Chemidronov S.N.

Samara State Medical University

Kolsanov A.V.

Samara State Medical University

ORCID: 0000-0002-4144-7090

Belokonev V.I.

Samara State Medical University

Received:

19.09.2022

Accepted:

28.10.2022

List of references:

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