PREDICTORS LEADING TO THE DEVELOPMENT OF RELAPSE AFTER ALLOPLASTY OF VENTRAL HERNIAS
Keywords:
Postoperative ventral hernia, surgical treatment, separation hernioplastyAbstract
Purpose: To identify risk predictors influencing the development of recurrence after different methods of hernioalloplasty in patients with postoperative ventral hernia.
Material and Methods: The results of treatment of 107 patients operated on the basis of the Department of Surgery of FPDO Samarkand State Medical University period from 2018 to 2022 were studied.
Results: The results of surgical treatment of patients with POG in the immediate postoperative period were analysed within 30 days after surgical intervention, the long-term results of surgical treatment in these patients were studied within 12 to 36 months. Possible risk factors of ventral and postoperative hernia development were studied. For this purpose, we evaluated potential factors influencing the outcome of hernioplasty in the postoperative period.
Conclusions: The results of reoperative monitoring of intra-abdominal pressure at W3-W4 ≥ 11 substantiate the priority of posterior separation hernioplasty, at ˂11 anterior separation hernioplasty is possible. Optimisation of tactical and technical aspects of surgical treatment of patients with postoperative ventral hernias allowed to reduce the incidence of immediate postoperative complications from 16.1% to 9.1% and recurrence from 10.7% to 4.5% (p˂0.05).
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