The features of surgical treatment of ventral hernias after gunshot wounds of the addomen.

Authors

  • M. A. Kashtalian
  • O. S. Herasimenko
  • R. B. Yenin
  • K. R. Muradian
  • Ya. I. Haida

DOI:

https://doi.org/10.26641/2307-0404.2018.4(part1).145673

Keywords:

ventral hernia, gunshot wound to the abdomen, surgical treatment

Abstract

The results of treatment of 21 patients with postoperative ventral hernias, formed as a result of surgical treatment for gunshot wounds of the abdomen were analyzed. All patients are men aged 21-48 years. 3 patients underwent laparoscopic allohernioplasty according to the IPOM method with Teflon allograft, 10 patients underwent allohernioplasty with a prolenic mesh graft by the sub lay method, 7 patients underwent alloplasty using the on lay method and 1 – autoplastywith local tissues. Suppuration of wounds was not noted. The average bed-day after laparoscopic hernioplasty was 9.5 days, after open operations - 16.2 days. The advantage of laparoscopic hernioplasty over open operations was noted.

Author Biographies

M. A. Kashtalian

Odessa National Medical University
Valikhovsky Lane, 2, Odessa, 65028, Ukraine

O. S. Herasimenko

Odessa National Medical University
Valikhovsky Lane, 2, Odessa, 65028, Ukraine

R. B. Yenin

Odessa National Medical University
Valikhovsky Lane, 2, Odessa, 65028, Ukraine

K. R. Muradian

Military Medical Clinical Center of the Southern Region
Pyrohovska str., 2, Odessa, 65044, Ukraine

Ya. I. Haida

Military Medical Clinical Center of the Southern Region
Pyrohovska str., 2, Odessa, 65044, Ukraine

References

Itani KM, Hur K, Kim LT, Anthony T, Berger DH, Reda D, Neumayer L. Comparison of laparoscopic and open repair with mesh for the treatment of ventral incisional hernia: a randomized trial. Arch Surg. 2010;145:322-8.

Melvin WS, Renton D. Laparoscopic ventral hernia repair. World J Surg. 2011;35:1496-9.

Eker HH, Hansson BM, Buunen M, Janssen IM, Pierik RE, Hop WC, Bonjer HJ, Jeekel J, Lange JF. Lapa­roscopic vs. open incisional hernia repair: a randomized clinical trial. JAMA Surg. 2013;148:259-63.

Perrone JM, Soper NJ, Eagon JC, Klingensmith ME, Aft RL, Frisella MM, Brunt LM. Perioperative outcomes and complications of laparoscopic ventral hernia repair. Surgery. 2005;138:708-15.

Jenkins ED, Yom V, Melman L, Brunt LM, Eagon JC, Frisella MM, Matthews BD. Prospective eva­luation of adhesion characteristics to intraperitoneal mesh and adhesiolysis-related complications during laparo­scopic re-exploration after prior ventral hernia repair. Surg Endosc. 2010;24:3002-7.

Sajid MS, Parampalli U, McFall MR. A meta-analysis comparing tacker mesh fixation with suture mesh fixation in laparoscopic incisional and ventral hernia repair. Hernia. 2013;17:159-66.

Rogmark P, Petersson U, Bringman S, Eklund A, Ezra E, Sevonius D, Smedberg S, Osterberg J, Montgo­mery A. Short-term outcomes for open and laparoscopic midline incisional hernia repair: a randomized multicenter controlled trial: the ProLOVE (prospective randomized trial on open versus laparoscopic operation of ventral eventrations) trial. Ann Surg. 2013;258:37-45.

Turner PL, Park AE. Laparoscopic repair of ven­tral incisional hernias: pros and cons. Surg Clin North Am. 2008;88(1):85-100. [PubMed].

How to Cite

1.
Kashtalian MA, Herasimenko OS, Yenin RB, Muradian KR, Haida YI. The features of surgical treatment of ventral hernias after gunshot wounds of the addomen. Med. perspekt. [Internet]. 2018Dec.3 [cited 2024Nov.7];23(4(part1):84-6. Available from: https://journals.uran.ua/index.php/2307-0404/article/view/145673

Issue

Section

CLINICAL MEDICINE