Technical aspects of performing a transumbilical midline laparotomy

Author:

Vanzha Yana E.ORCID,Vertyankin Sergei V.ORCID

Abstract

Aim to present a new midline approach technique with dissection of the navel and umbilical ring, that allows to reduce the number of postoperative ventral hernias after median laparotomy. Material and methods. The study involved 230 patients operated using the median approach with the transumbilical technique and with the traditional technique of midline laparotomy with a bypass of the umbilical ring on the left. The observation period lasted from 2016 to 2021. Results. The observation helped to assess the course of the postoperative period and the long-term outcome in the area of the surgical intervention on the abdominal wall. The advantages of the proposed technique were determined. Conclusion. When performing an access with a dissection of the umbilical ring, a strict compliance with the sequence of actions of suturing the laparotomic wound is of great importance. For the prevention of postoperative ventral hernias, it is important to combine the methods of access and suturing of the median laparotomic wound.

Publisher

FSBEI of Higher Education SamSMU of Ministry of Health of the Russian Federation

Reference10 articles.

1. Fedoseev AV, Muraviev SYu, Budarev VN, et al. Some features of the white line of the abdomen, as the harbingers of post-operative hernia. I.P. Pavlov Russian Medical Biological Herald. 2016;24(1):109–15. (In Russ.). [Федосеев А.В., Муравьев С.Ю., Бударев В.Н., и др. Некоторые особенности белой линии живота, как предвестники послеоперационной грыжи. Российский медико-биологический вестник им. академика И.П. Павлова. 2016; 24(1):109–15]. https://doi.org/10.17816/PAVLOVJ20161109-115

2. Reilly MJ, Larsen NK, Agrawal S, et al. Selected conditions associated with an increased incidence of incisional hernia: A review of molecular biology. The American Journal of Surgery, 2021;221(5):942–949. https://doi.org/10.1016/j.amjsurg.2020.09.004

3. Fortelny RH. Abdominal Wall Closure in Elective Midline Laparotomy: The Current Recommendations. Front Surg. 2018;5(34):1–8. https://doi.org/10.3389/fsurg.2018.00034

4. Bravo-Salva A, Argudo-Aguirre N, González-Castillo AM, et al. Long-term follow-up of prophylactic mesh reinforcement after emergency laparotomy. A retrospective controlled study. BMC Surg. 2021;21(1). https://doi.org/10.1186/s12893-021-01243-x

5. Feleshtynsky YP, Lerchuk OM, Smishchuk VV, Hudyma YM. Laparoscopic preperitoneal alloplasty of postoperative ventral hernias. Klinicheskaia khirurgiia. 2020;87(5–6):50–54. https://doi.org/10.26779/2522-1396.2020.5-6.50

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3