[Prospects of combined anterior prosthetic hernia repair in treatment of large and giant ventral hernias].

Autor:	Belokonev VI; Chair of Surgical Diseases #2 of Samara State Medical University of Healthcare Ministry of Russia, Samara, Russia., Ponomareva YV; Institute of Experimental Medicine and Biotechnology, Samara State Medical University of Healthcare Ministry of Russia, Samara, Russia., Pushkin SY; Seredavin Samara Regional Clinical Hospital, Samara, Russia., Kovaleva ZV; Chair of Surgical Diseases #2 of Samara State Medical University of Healthcare Ministry of Russia, Samara, Russia., Gubsky VM; Chair of Surgical Diseases #2 of Samara State Medical University of Healthcare Ministry of Russia, Samara, Russia., Terekhin AA; Federal Scientific and Clinical Center for Specialized Medical Care and Medical Technologies of FMBA of Russia, Moscow, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2018 (5), pp. 45-50.
DOI:	10.17116/hirurgia2018545-50
Abstrakt:	Aim: To evaluate clinical efficacy of combined anterior prosthetic hernia repair in treatment of large and giant ventral hernias. Material and Methods: Patients with large and giant hernias have been analyzed. In the main group (n=675) combined methods of hernia gates repair were applied, in control group (n=257) - stretching repair including prosthesis deployment. Surgeons (n=22) were interviewed for learning curve, safety, limitations and reliability of combined methods. Results: Combined method of hernia repair in patients with large and giant hernias reduces overall postoperative morbidity (p<0.001), wound complications (p<0.05) and incidence of recurrent hernia (p<0.001). Questionnaire data showed the possibility of learning for the method by the most of surgeons to treat these patients. As a result, some practical recommendations are presented for successful procedures and satisfactory results of treatment.
Databáze:	MEDLINE
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