EVALUATION OF DIFFERENT FACTORS ON THE DEVELOPMENT OF RECURRENCE IN PATIENTS WITH VENTRAL HERNIA
Abstract
Aim. To conduct an assessment of the influence of various factors on the development of recurrence of ventral hernias.
Material and methods. We have analyzed the results of the treatment of 64 patients with ventral hernias. All patients were divided into two clinical groups: group I included 28 patients who underwent mesh transplant; group II included 36 patients who underwent surgery, with the anterior wall strengthened with local tissues.
Research and discussion. Studying the medical history of patients, it was found that in both clinical groups, the mistakes were often made in the selection of indications for using the hernia gate repair method. In the II clinical group (the hernia gate repair group with their tissues), the main reason for the development of relapses was an inadequate examination of the local tissue properties in the intraoperative period.
Conclusion The obtained data show the importance of individualizing the choice of hernia gate repair method for the treatment of relapses, and even in the initial treatment. The stereotyped use of one technique, whether it is a hernia gate surgery using local tissues or a mesh implant, entails the development of relapses and adverse events in this group of patients.
About the Authors
Sh. K. Polvonov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
R. Rakhmatulloyev
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
N. H. Shamsov
Republican Scientific Center for Cardiovascular Surgery
Tajikistan
Tajikistan
N. M. Mirzoev
Republican Scientific Center for Cardiovascular Surgery
Tajikistan
Tajikistan
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Review
For citations:
Polvonov Sh.K., Rakhmatulloyev R., Shamsov N.H., Mirzoev N.M. EVALUATION OF DIFFERENT FACTORS ON THE DEVELOPMENT OF RECURRENCE IN PATIENTS WITH VENTRAL HERNIA. Health care of Tajikistan. 2020;(3):42-46. (In Russ.)
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