ABSTRACT
AIM: To define optimal surgical approach for middle primary and postoperative ventral hernias. MATERIAL AND METHODS: We have presented the first results of endoscopic retro-muscular alloplasty in 8 patients with umbilical hernia and postoperative ventral hernia combined with rectus abdominis muscles diastase. RESULTS: One patient had seroma above mesh implant that was evacuated under ultrasonic control. Absent hernial protrusion and reduced diastase were noted in all patients. There were no symptoms of recurrence, purulent-septic complications and venous thromboembolic complications. Mortality was absent. CONCLUSION: Further experience and analysis of long-term results are necessary to determine the role of this technique in anterior abdominal wall hernias management.
Subject(s)
Hernia, Ventral/surgery , Herniorrhaphy , Incisional Hernia/surgery , Postoperative Complications , Seroma , Surgery, Computer-Assisted/methods , Abdominal Wall/surgery , Drainage/methods , Female , Hernia, Ventral/etiology , Herniorrhaphy/adverse effects , Herniorrhaphy/instrumentation , Herniorrhaphy/methods , Humans , Male , Middle Aged , Postoperative Complications/etiology , Postoperative Complications/surgery , Seroma/etiology , Seroma/surgery , Surgical Mesh , Treatment Outcome , Ultrasonography/methodsABSTRACT
AIM: to define the incidence of abdominal wall hernias among ethnically homogeneous population older than 10 years within single locality. MATERIAL AND METHODS: One-stage investigation of abdominal wall hernias incidence was performed in June-July 2015 in the Kryukovskoye rural settlement of the Borisovskiy district of the Belgorod region. Citizens were examined in FAPs or at home. Specially designed questionnaire was used for every person. Presence of hernia was confirmed by clinical signs or anamnestic data about previous abdominal wall repair. RESULTS AND DISCUSSION: 783 (86.6%) persons were surveyed. There were 298 (38%) men and 485 (62%) women among them aged 10-90 years. Clinical signs or anamnestic data were revealed in 164 (20.9%) persons. Inguinal (n=80, 10.2%) and umbilical (n=65, 8.3%) hernias were predominant. Postoperative ventral hernia was diagnosed in 19 (2.4%) humans. CONCLUSION: Incidence of abdominal wall hernias was 20.9% in our study.
