Modified transaponeurotic method of allograft fixation in plastic surgery of median ventral hernias
https://doi.org/10.30629/0023-2149-2023-101-1-50-54
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).
About the Authors
V. G. Chernykh
Central Military Clinical Hospital named after P.V. Mandryka of the Ministry of Defense of Russia
Russian Federation
Russian Federation
Chernykh Victor G.
107014, Moscow
A. V. Simonenko
Central Military Clinical Hospital named after P.V. Mandryka of the Ministry of Defense of Russia
Russian Federation
Russian Federation
Simonenko Andrey V.
107014, Moscow
M. V. Belov
Central Military Clinical Hospital named after P.V. Mandryka of the Ministry of Defense of Russia
Russian Federation
Russian Federation
Belov Mikhail V.
107014, Moscow
A. V. Chernykh
Krasnogorsk city Hospital, "Emerald Hills" Polyclinic
Russian Federation
Russian Federation
Chernykh Anna V.
143409, Krasnogorsk
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Review
For citations:
Chernykh V.G., Simonenko A.V., Belov M.V., Chernykh A.V. Modified transaponeurotic method of allograft fixation in plastic surgery of median ventral hernias. Clinical Medicine (Russian Journal). 2023;101(1):50-54. (In Russ.) https://doi.org/10.30629/0023-2149-2023-101-1-50-54
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