PREVENTION OF THE POSTOPERATIVE ABDOMINAL HERNIAS

Abstract

Aim. To improve the result of the abdominal hernias surgery by efficient implementation of the polypropylene endoprostheses. Materials and methods. Results of the complex diagnosis and treatment of 120 patients with abdominal hernia were analyzed. All patients were divided into 2 groups. The first group included 58 (48,3%) patients that should have received radical operative intervention on organs of the abdominal cavity. The second group included 62 (51,7%) patients, that should have received surgery on organs of the retroperitoneal cavity. Results and discussion. Results of the complex clinical examination show that patients of first and second groups had anatomic and functional insufficiency of II - III stage in the abdominal and lateral walls of the abdomen in 42% and 67% cases respectively, which was a precursor of postoperative abdominal hernia. Conclusion. One of the ways to optimize postoperative abdominal hernia prevention is a wider and more efficient implementation of minimally invasive methods that are not followed by high traumatic interventions and injury of the neuromuscular structures of the lower back and anterior abdominal wall.