ABSTRACT
The authors analyze the results of experimental and clinical investigations for comparative studying a new meshed implant of polyvinylidene fluoride as an endoprosthesis of the anterior abdominal wall with postoperative hernias. It was shown that the polyvinylidene fluoride prosthesis is a good alternative of polypropylene prosthesis. Its physico-chemical properties allow reliable prostheses of the abdominal wall, and its biological compatibility is higher as compared with polypropylene prosthesis.
Subject(s)
Hernia, Abdominal/surgery , Polyvinyls , Prosthesis Implantation/instrumentation , Surgical Mesh , Animals , Disease Models, Animal , Female , Follow-Up Studies , Humans , Male , Membranes, Artificial , Middle Aged , Prosthesis Design , Rats , Rats, Wistar , Retrospective Studies , Treatment OutcomeABSTRACT
A new method of operative treatment of postoperative ventral hernias is proposed which provides reliable fixation of the implant along the whole line of the primary scar. It excludes its migration due to profound integration into all layers of the abdominal wall and reliable fixation at different levels and with sufficient distance from the hernia hilus. The method can be used for any size of the hernia hilus. This method of plasty of the anterior abdominal wall is especially indicated for great, inreducible hernias, for great defects of the abdominal wall and incarcerated postoperative hernias when continuous preoperative preparation is impossible. Long-term results of the operative treatment were analyzed in terms from 1 year to 3 years in 16 patients aged from 40 to 73 years of age (mean age 58+/-2.6 years) with great and giant postoperative hernias. No recurrences were noted.
Subject(s)
Biocompatible Materials , Hernia, Ventral/surgery , Polypropylenes , Prosthesis Implantation/instrumentation , Surgical Mesh , Adult , Aged , Female , Follow-Up Studies , Hernia, Ventral/etiology , Humans , Male , Middle Aged , Postoperative Complications , Retrospective Studies , Time FactorsABSTRACT
The article presents the authors' variant of a surgical technique of hernioplasty, the so-called deep multi-layer hernioplasty. This type of hernioplasty is thought by the authors to give best results in patients with recurrent and so-called difficult inguinal hernias when there are true anatomic defects of the musculo-aponeurotic and fascial structures. Long-term results of 35 operations were followed-up. Neither recurrences nor complications were noted.
Subject(s)
Hernia, Inguinal/surgery , Adult , Female , Follow-Up Studies , Hernia, Inguinal/complications , Humans , Ligation/methods , Male , Middle Aged , Recurrence , Suture TechniquesABSTRACT
The authors describe the method of operative treatment of inguinal hernias from the pre-peritoneal access with plasty of the abdominal wall with a lavsan flap. Recidivation of hernias was noted in 4 of 127 patients.
Subject(s)
Abdominal Muscles/surgery , Hernia, Inguinal/surgery , Polyethylene Terephthalates , Surgical Mesh , Adult , Aged , Aged, 80 and over , Female , Humans , Inguinal Canal , Male , Middle Aged , Peritoneum , Recurrence , Suture TechniquesSubject(s)
Abdominal Muscles/surgery , Hernia, Inguinal/surgery , Humans , Methods , Peritoneum , Recurrence , Surgical MeshABSTRACT
Choice of draining operations for treatment of duodenal ulcer by vagotomy is greatly responsible for the evacuatory function of the stomach in the early and remote periods after operation. In patients with stenosis of the duodenum, low localization of ulcer and considerable scarring process in the ulcer area pyloroplasty after Finney and gastroduodenoanastomosis after Jaboulay are considered to be most advantageous draining operations of the stomach. If the operations are not possible technically, shortloop gastrojejunostomy is expedient. Pyloroplasty after Heinicke-Mikulicz is admissible in patients with ulcer of the duodenal bulb in patients with not disturbed evacuation from the stomach.
Subject(s)
Duodenal Ulcer/surgery , Gastric Emptying/physiology , Postoperative Complications/etiology , Vagotomy/methods , Anastomosis, Surgical/methods , Duodenal Ulcer/physiopathology , Duodenum/surgery , Humans , Jejunum/surgery , Postoperative Complications/prevention & control , Pyloric Antrum/innervation , Pyloric Antrum/surgery , Time Factors , Vagotomy/adverse effectsABSTRACT
The work analyzes alterations of gastric secretion in 687 patients subjected to various kinds of vagotomy in combination with or without draining operations on the stomach for ulcer of the duodenum. Draining operations were established to decrease activity of gastric secretion. The Jaboulay gastroduodenal anastomosis proved to be less beneficial since 50% of the patients had the positive insulin test and ulcer recurred almost in 11% of the cases. Results were most favorable after vagotomy in combination with pyloroplasty after Finney and Heineke-Mikulicz. The disease recurred after these interventions in 7 and 8% correspondingly.
