Modified transaponeurotic method of allograft fixation in plastic surgery of median ventral hernias

Author:

Chernykh V. G.1,Simonenko A. V.1,Belov M. V.1,Chernykh A. V.2

Affiliation:

1. Central Military Clinical Hospital named after P.V. Mandryka of the Ministry of Defense of Russia

2. Krasnogorsk city Hospital, "Emerald Hills" Polyclinic

Abstract

A new method for fixing a synthetic graft in preperitoneal plastic surgery of median ventral hernias has been developed. The suggested method was used by us in 32 patients aged 29–75 (the main group). The size of the hernial orifice did not exceed 3 cm in diameter, the size of the hernial sac — 4–5 cm. 28 patients aged 31–74 (the control group) were operated on with the imposition of transaponeurotic sutures in the standard way. According to the main clinical characteristics, both groups were comparable. Among the evaluated indicators, the most significant were the absence of recurrence of hernias in the period from 1 to 5 years in both groups; the absence of postoperative complications in the main group; 2 cases (7.1%) of the postoperative wound hematoma in the control group (the differences are statistically significant); the reduction of the average length of hospital stay after surgery in the main group to 7.0 ± 0.2 days, and in the control group — 8.0 ± 0.1 days (the differences are statistically significant).

Publisher

Medical Informational Agency Publishers

Subject

General Medicine

Reference16 articles.

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