ANALYSIS OF POSTOPERATIVE COMPLICATIONS IN REPAIR OF INCISIONAL VENTRAL HERNIAS USING ALLO- AND AUTOGRAFTS

The article provides a multicenter retrospective analysis of postoperative complications in patients after ventral hernias repair. The study went on for 10 years and included 628 patients divided into 2 groups. The first group included 510 patients operated on using polypropylene implants (mesh density 60g/m(2)). In the second group (118 patients) a de-epithelized autodermal graft prepared according to the authors' technology was applied. Clavien-Dindo classification was used to describe postoperative complications. The total number of complications in the first group was 22.2%, in the second group - 2.5% (p < 0.01). In the analysis of complications in all patients operated on using both allo- and autograft, the most frequent complications in the form of seroma were noted when implants using the one lay technique - 22.3% (p < 0.05) were installed. The autodermal de-epithelized graft used in ventral hernia plastics, regardless of their localization and size, especially in relapses after alloplasty, may be a good alternative to synthetic grafts.

Authors
Protasov A. 1 , Topchiev A.2 , Parshin D.2 , Brusnev L.3 , Emkuzhev K.4 , Mukhtarov I.2
Publisher
EUROPAISCHE WISSENSCHAFTLICHE GESELLSCHAFT EV
Number of issue
4
Language
English
Pages
107-109
Status
Published
Volume
10
Year
2020
Organizations
  • 1 Peoples Friendship Univ Russia, Moscow, Russia
  • 2 Astrakhan State Med Univ, Astrakhan, Russia
  • 3 Stavropol State Med Univ, Stavropol, Russia
  • 4 Branch Volgograd State Med Univ, Pyatigorsk Med Pharmaceut Inst, Pyatigorsk, Russia
Keywords
incisional hernia; postoperative complications; abdominal wall repair; mesh implants; autodermal graft; recurrent hernia
Date of creation
20.04.2021
Date of change
20.04.2021
Short link
https://repository.rudn.ru/en/records/article/record/73208/
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