[Effectiveness of light strengthened endoprosthesis in the treatment of middle and large ventral hernia].

Autor:	Sukovatikh BS; Kursk state medical university, Kursk, Russia., Blinkov YY; Kursk state medical university, Kursk, Russia., Netyaga AA; Kursk state medical university, Kursk, Russia., Zatolokina MA; Kursk state medical university, Kursk, Russia., Polevoy YY; Kursk state medical university, Kursk, Russia., Zhukovskiy VA; Saint-Petersburg State University of Industrial Technologies and Design, Saint-Petersburg, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2020 (7), pp. 39-44.
DOI:	10.17116/hirurgia202007139
Abstrakt:	Objective: To evaluate an effectiveness of light strengthened polypropylene endoprosthesis in the treatment of patients with middle and large ventral hernias. Material and Methods: Early and long-term outcomes of surgical treatment were analyzed in 60 patients with middle and large ventral hernias. Onlay hernia repair was performed. Patients were divided into two groups by 30 patients. Abdominal wall repair with conventional polypropylene endoprosthesis was performed in the first group, light strengthened endoprosthesis was used in the second group. Results: Application of light strengthened polypropylene endoprosthesis was accompanied by reduced inflammatory response and higher intensity of reparative processes in the area of implantation in early postoperative period. Moreover, we observed better functional state of abdominal rectus muscles in long-term postoperative period in the same group. Improved physical component of health by 4.5% was found in the 2 nd group. As a result, incidence of excellent outcomes increased by 13.3%, good results by 6.7%, incidence of satisfactory results decreased by 20%. Recurrent hernia was absent. Conclusion: Light strengthened endoprosthesis is effective and advisable in patients with middle and large ventral hernia.
Databáze:	MEDLINE
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