General Surgery

doi: 10.25005/2074-0581-2022-24-4-532-540
SURGICAL WOUND SUPPURATIVE COMPLICATIONS AFTER TENSION-FREE HERNIOPLASTY

M.Kh. Malikov1, F.B. Bokiev2, N.A. Makhmadkulova3, I.T. Khоmidov1, O.M. Khudoydodov1, A.N. Kamolov1

1Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Department of Endoscopic Surgery, Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
3Department of Topographic Anatomy and Operative Surgery named after Professor M.K. Karimov, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Objective: Analysis of surgical site suppurative complications after correction of large and giant ventral hernias.

Methods: Various types of hernioplasty were performed on 220 patients with large and giant ventral hernias. Among the total number of patients, tension-free hernioplasty was performed in 123 patients, which accounted for 56% of the total number of patients. Various types of mesh implants were used, as well as different techniques of mesh placement in the area of the hernia ring.

Results: Surgical site suppuration in the postoperative period occurred in 7 patients, which amounted to 5.6%. Partial removal of the mesh polymer implant was carried out only in one case. Timely diagnosis of the complications and adequate sanitation of the surgical site in 6 cases showed a good effect, and the implants did not necessitate removal. In one observation with necrosis of the edges of the wound and suppuration of the surgical site, after partial removal of the implant, a hernia recurrence was noted in the area of the removed mesh. In 6 other cases, there was no recurrence of the pathology during the long-term follow-up.

Conclusion: Surgical site suppurative inflammation in the postoperative period, negatively affecting the outcome of the operation, can contribute to hernia recurrence. Timely diagnosis of complications and adequate sanitation of surgical site in most cases give satisfactory results.

Keywords: Large and giant ventral hernias, hernia recurrence, tension-free hernioplasty, suppurative inflammation.

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Authors' information:


Malikov Mirzobadal Khalifaevich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
Researcher ID: ABG-2983-2021
Scopus ID: 21934165100
ORCID ID: 0000-0002-7816-5521
Author ID: 375497
E-mail: mmirzobadal@mail.ru

Bokiev Fatkhullo Bakhhshuloevich
Candidate of Medical Sciences, Head of the Department of Endoscopic Surgery, Republican Scientific Center for Cardiovascular Surgery
Researcher ID: ABD-4776-2020
ORCID ID: 0000-0003-2807-2324
SPIN: 5254-1132
E-mail: fathullo-@mail.ru

Makhmadkulova Nigora Akhtamovna
Candidate of Medical Sciences, Assistant of the Department of Topographic Anatomy and Operative Surgery named after Professor M.K. Karimov, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-4269-6611
E-mail: malikovanigora@mail.ru

Khomidov Ilkhomiddin Toirovich
PhD Student, Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
E-mail: Khomidov.1991@list.ru

Khudoydodov Oyatullo Makhmadulloevich
PhD Student, Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
E-mail: doctoroyatullo@mail.ru

Kamolov Amrullo Nazrievich
Candidate of Medical Sciences, Assistant of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University
Scopus ID: 24329687200
Author ID: 336632
E-mail: amrullokamolov20@gmail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:


Malikov Mirzobadal Khalifaevich
Doctor of Medical Sciences, Associate Professor, Head of the Department of Surgical Diseases № 2 named after Academician N.U. Usmanov, Avicenna Tajik State Medical University

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

Tel.: +992 (907) 305060

E-mail: mmirzobadal@mail.ru

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