Method of internal drainage of seroma after hernioplasty
https://doi.org/10.30629/0023-2149-2021-99-5-6-347-352
Abstract
A method for allohernioplasty of indirect inguinal hernia has been developed, in which an additional layer consisting of the peritoneum of the hernial sac is formed between the spermatic cord and the mesh. The peritoneal flap prevents direct contact between the mesh and the spermatic cord and ensures rapid absorption of inflammatory serous fluid. The manifestations of implant-associate inflammation of the spermatic cord and persistent seromas decrease in the tissues. The method was applied in 25 patients in the period from 2017 to 2021.
About the Authors
V. G. Chernykh
Central Military Clinical Hospital named after Mandrykа P.V. of the Ministry of Defense of Russia
Russian Federation
Russian Federation
Victor Chernykh — MD, PhD, Head of the surgical department
107014, Moscow
P. E. Krainukov
Central Military Clinical Hospital named after Mandrykа P.V. of the Ministry of Defense of Russia
Russian Federation
Russian Federation
107014, Moscow
A. V. Simonenko
Central Military Clinical Hospital named after Mandrykа P.V. of the Ministry of Defense of Russia
Russian Federation
Russian Federation
107014, Moscow
N. V. Bondareva
Central Military Clinical Hospital named after Mandrykа P.V. of the Ministry of Defense of Russia
Russian Federation
Russian Federation
107014, Moscow
K. N. Efremov
Central Military Clinical Hospital named after Mandrykа P.V. of the Ministry of Defense of Russia
Russian Federation
Russian Federation
107014, Moscow
References
1. Egiev V.N., Voskresensky P.K. Hernia. M., Medpractica-M, 2015:69. (in Russian)]
2. Nesterenko Y.A., Gaziev R.M. Inguinal hernias. M., 2009:146. (in Russian)]
3. Protasov A.V., Bogdanov D.J., Matveyev N.L., Kurganov I.A., Kumukov M.B. Thesis XII Congress of Surgeons of Russia, Rostov-on-Don, 2015:209. (in Russian)]
4. Bendavid R. «Dysejaculation»: an unujual complication of inguinal herniorraphy. Postgrad. Gen. Surg. 1992;4:139–141.
5. Aslanov A.D., Bapinayev M.K., Kerimov T.B. et al. Comparative evaluation of the results of surgical treatment of postoperative hernias. Annals of surgery. 2007;4:46–49. (in Russian)]
6. Babadzhanov B.R., Kuryazov B.N., Yakubov F.R. To the issue of comparative evaluation of methods-surgical treatment of postoperative herniated abdominal walls. Topical issues of herniology: Conference materials. M., 2002:10–12. (in Russian)]
7. Belokonev V.I., Pushkin S.Yu., Kovaleva S.V. Abdominal Wall Plastic in Ventral Hernias combined. Surgery. 2000;8:24–26. (in Russian)]
8. Vinnik Y.S., Petrushko S.I., Miller C.B, etc. Application of non-stretch gernioplasty in the surgical treatment of infringed postoperative ventral hernias. Emergency and specialized surgical care: First Congress of Moscow Surgeons: Theses of Reports. M., 2005:248. (in Russian)]
9. Jafarov C.M., Gasimov E.M. Risk Factors for recurrence of herniated abdominal wall hernias. Annals of surgery. 2004;6:69–71. (in Russian)]
10. Egiev V.N., Rudakova M.N., Swatkovsky M.V. Gernioplasty without tissue tension in the treatment of postoperative ventral hernias. Surgery. 2000;6:18–22. (in Russian)]
11. Westphalen A.P., Araújo A.C.F., Zacharias P., Rodrigues E.S., Fracaro G.B., Gaspar de J.L. Repair of large incisional hernias. To drain or not to drain. Randomized clinical trial. Acta Cir. Bras. 2015;30(12):844–851. DOI: 10.1590/S0102-865020150120000009/
12. Vlasov A.V., Kukosh M.V. Problem of wound complications in abdominal wall replacement in relation to ventral hernias. Modern technology in medicine. 2013;5(2):116–124. (in Russian)]
13. Degovtsov E.N., Kolyadko P.V. Diagnosis and treatment of gray after hernioplasty of the anterior abdominal wall using a mesh implant. Surgery. 2018;1:99–102. (in Russian)]
14. Fedorov I.V., Slavin L.E., Kochnev A.V., Voronin A.V., Hasanov N.F. Seroma, as a complication of abdominal hernia surgery. Herniology. 2007;(2):27–29. (in Russian)]
15. Torregrosa-Gallud A., Sancho M.J., Bueno-Lledó J., García P.P., IserteHernandez J., Bonafé-Diana S. et. al. Modified components separation technique: experience treating large, complex ventral hernias at a University Hospital. Hernia. 2017;1–8. DOI: 10.1007/s10029-017-1619-6
16. Rotkin E.A., Aghajian V.V., Krylov Y.M. Hernioplasty postoperative and recurrent ventral hernias with the use of a mesh implant. Buluten VSC SO RAMN. 2010;(5):115–118. (in Russian)]
17. Timerbulatov M.V., Timerbulatov S.V., Gataullina E.S., Valitova E.R. Postoperative Ventral Hernias: Current State of The Problem. Medicinsky vestnik Bashkortostana. 2013;8(5):101–107. (in Russian)]
18. Agrawal A., Ayantunde A.A., Cheung K.L. Concepts of seroma for mation and prevention in breast cancer surgery. ANZ. J. Surg. 2006;76(12):1088–1095. DOI: 10.1111/j.1445-2197.2006.03949.x
19. Plymale M.A., Harris J.W., Davenport D.L., Smith N., Levy S., Roth S.J. Abdominal wall reconstruction: the uncertainty of the impact of drain duration upon outcomes. The Am. Surg. 2016;82(3):207–211.
20. Lee Y.J., Kim H.Y., Han H.H., Moon S.H., Byeon J.H., Rhie J.W. Comparison of dissection with harmonic scalpel and conventional bipolar electrocautery in deep inferior epigastric perforator flap surgery: A consecutive cohort study. J. Plast. Reconstr. Aesthetic Surg. 2017;70(2):222–228. DOI: 10.1016/j.bjps.2016.11.005
21. Petersen S., Henke G., Freitag M., Faulhaber A., Ludwig K. Deep prosthesis infection in incisional hernia repair: predictive factors and clinical outcome. Eur. J. Surg. 2001;167(6):453–457. DOI: 10.1080/110241501750243815
22. Kremer T.M., Kizilates U., Zweemer R., Schreuder H., Rijken M.J. Bedside Ultrasound Confirmation of Incisional Port Hernia. Journal of minimally invasive gynecology. 2017;24(2):190. DOI: 10.1016/j.jmig.2016.04.016
23. Izmaylov S.G. Ultrasonic method of monitoring the course of the wound process in the anterior abdominal wall. Surgery. 2002;6:41–45. (in Russian)]
Review
For citations:
Chernykh V.G., Krainukov P.E., Simonenko A.V., Bondareva N.V., Efremov K.N. Method of internal drainage of seroma after hernioplasty. Clinical Medicine (Russian Journal). 2021;99(5-6):347-352. (In Russ.) https://doi.org/10.30629/0023-2149-2021-99-5-6-347-352
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