Literature Reviews

doi: 10.25005/2074-0581-2020-22-1-134-140
FEATURES OF PROSTHETIC REPAIR FOR POSTOPERATIVE VENTRAL HERNIA

R.R. Rakhmatulloev1, Sh.B. Polvonov2, Sh.K. Nazarov3, S.G. Ali-zade3

1Varorud Medical and Diagnostic Center, Tursunzade, Republic of Tajikistan
2Department of Surgery, Tajik National University, Dushanbe, Republic of Tajikistan
3Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

The article provides an overview of literature on the surgical treatment of postoperative ventral hernias (POVH), development trends and controversial questions of the problem. Today, according to many researchers, the frequency of POVH is up to 20-26% of the total number of external hernias of the abdomen, which give way to the primacy only to groin hernias. The recurrence rates of POVH remain high, reaching between 4.5-90% after the use of autoplasty methods and 3-19.5% after alloplasty methods. Incomplete satisfaction with the results of surgical treatment of POVH has helped to find new ways of hernioplasty using prosthetics, which allows increase the effectiveness of surgical treatment and reduces the incidence of complications. Increased intraabdominal pressure is the most common etiological factor in the development of purulent-inflammatory complications, leads to relapse, and increases the numbers of fatalities among patients with large POVH. The great interests among abdominal surgeons are issues of improving the quality of hernioplasty using prosthetic materials and methods of prevention of development inflammatory complications in the area of surgical wound.

Keywords: Postoperative ventral hernia, hernioplasty, laparotomy, purulent complications.

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Authors' information:


Rakhmatulloev Rakhimdzhon Rakhmatulloevich
Doctor of Medical Sciences, Director of the Varorud Medical and Diagnostic Center
ORCID ID: 0000-0002-9868-3377
Author ID: 1054883
SPIN: 6565-7441
E-mail: rakhmatulloyev64@inbox.ru

Polvonov Shukurullo Boboevich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Surgery, Tajik National University
ORCID ID: 0000-0003-4081-3391
Author ID: 411402
SPIN: 5902-9936
E-mail: pshkruIlo@mail.ru

Nazarov Shokhin Kuvvatovich
Doctor of Medical Sciences, Full Professor, Head of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0003-2099-2353
Researcher ID: C-4033-2019
Author ID: 845034
SPIN: 1817-7089
E-mail: shohin67@mail.ru

Ali-zade Sukhrob Gaffarovich
Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-2456-7509
Researcher ID: B-6807-2019
Author ID: 258253
SPIN: 6854-5343
E-mail: suhrob_a@mail.ru

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The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Ali-zade Sukhrob Gaffarovich
Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: +992 (928) 217755

E-mail: suhrob_a@mail.ru