RESULTS OF EFFECTIVE POSTOPERATIVE WOUND DRAINAGE IN LARGE AND COMPLEX VENTRAL HERNIA

Abstract

This article analyses mainly results of effective postoperative wound drainage in large and complex ventral hernia. In order to avoid complications after surgery, it is necessary to improve the method of adequate drainage of the wound after surgery and introduce it into surgical practice. To accomplish the goal, the previously known method of drainage has been improved, that is, when draining the wound after surgery in large and complex ventral hernias, both ends of the silicone tube are pushed out through a separate incision. In this improved method, the result of postoperative wound drainage was positive and no complications were encountered, local use of glucocorticoid drastically reduced seroma output, resulting in a much shorter risk of relapse. Local use of antibiotics through a drainage tube reduced the duration of the patient's stay in the hospital, reducing infectious complications. As a result of improving the method of actively controlled drainage, the healing process of patients with surgery with a huge and complex ventral hernia smoothly passes.

The use of this method dramatically reduces seroma separation in postoperative trauma, significantly reducing infectious complications, and leaving patients without re-operationalization.