[Preventive abdominal wall reconstruction in patients with risk factors of eventration undergoing emergency abdominal surgery].

Autor:	Sukhovatykh BS; Kursk State Medical University, Kursk, Russia., Blinkov YY; Kursk State Medical University, Kursk, Russia., Valuyskaya NM; Kursk State Medical University, Kursk, Russia., Dubonos AA; Kursk City Emergency Hospital, Kursk, Russia., Shchekina II; Kursk City Emergency Hospital, Kursk, Russia., Gevorkyan RS; Kursk City Emergency Hospital, Kursk, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2021 (12), pp. 81-86.
DOI:	10.17116/hirurgia202112181
Abstrakt:	Objective: To prevent eventration via preventive abdominal wall reconstruction in patients with risk factors of eventration undergoing emergency abdominal surgery. Material and Methods: Treatment results in 120 patients with risk factors of eventration undergoing emergency abdominal surgery were retrospectively analyzed. Patients were divided into 2 groups by 60 people. In the first group, traditional layer-by-layer suturing of the abdominal wall was performed. Preventive abdominal wall reconstruction with a standard polypropylene prosthesis was applied in the second group. We assessed postoperative complications and mortality. Results: The following risk factors of eventration were detected: elderly and senile age (82.5%), long laparotomy (72.5%), decompensated comorbidities (62.5%), widespread peritonitis (52.5%), intestinal obstruction (42.5%), severe internal bleeding (12.5%), disseminated cancer (12.5%), obesity grade 3-4 (10%). In the first group, postoperative morbidity and mortality were 61.7% ( n =37) and 13.3%, in the second group - 25% ( n =15) and 8.3%, respectively. Conclusion: Preventive abdominal wall reconstruction is advisable in patients with risk factors of eventration.
Databáze:	MEDLINE
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