RESUMO
The results of complex clinical and ultrasonic investigation of abdominal wall and following surgical treatment in 60 women with umbilical and postoperative large ventral hernias combined with abdomen ptosis were analyzed. Patients were divided into 2 groups with 30 people per group. Endoprosthetic replacement of abdominal wall defect using standard polypropylene prosthesis was applied in the 1st group, endoprosthetic replacement with musculoaponeurotic tissues lifting in hypogastric area using original super lightweight polypropylenepolyvinylidenefluoride prosthesis--in the 2nd group. Polypropylene endoprosthesisconsist of main flap 15×15 cm with roundish edges and additional flap 5×40 cm in the form of wide stripe placed at the lower edge of main flap transversely to its direction. It was revealed increased physical health component in 1.8 times, psychic--in 2.5 times in the 2nd group. Thus number of excellent results increased on 33.3% and amount of satisfactory outcomes reduced on 30%.
Assuntos
Parede Abdominal/cirurgia , Hérnia Umbilical/cirurgia , Hérnia Ventral/cirurgia , Herniorrafia/métodos , Complicações Pós-Operatórias/cirurgia , Telas Cirúrgicas , Adulto , Idoso , Feminino , Hérnia Ventral/etiologia , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Desenho de Prótese , Estudos RetrospectivosRESUMO
It was analyzed the results of clinical and ultrasound examination of the abdominal wall in 180 patients with different surgical diseases of the abdominal cavity. All patients were divided into 3 groups of 60 persons on the basis of the preoperative examination results. The first group included patients without clinical and ultrasound disorders, the second and the third - with mild and severe anatomical and functional failure of the abdominal wall. 20% of patients from the first group had single strain of the abdominal wall after operation without the development of postoperative hernias. 3.3% of patients in the second group had defects and 15% of patient from the same group had severe thinning of the abdominal wall. 45% of patients in the third group had postoperative hernias. Relative and absolute indications for preventive replacement of the abdominal wall were defined.
Assuntos
Músculos Abdominais/fisiopatologia , Parede Abdominal/fisiopatologia , Procedimentos Cirúrgicos do Sistema Digestório/efeitos adversos , Hérnia Ventral/etiologia , Contração Muscular/fisiologia , Complicações Pós-Operatórias/etiologia , Músculos Abdominais/diagnóstico por imagem , Músculos Abdominais/patologia , Parede Abdominal/diagnóstico por imagem , Parede Abdominal/patologia , Adulto , Idoso , Feminino , Seguimentos , Hérnia Ventral/epidemiologia , Hérnia Ventral/fisiopatologia , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/fisiopatologia , Prognóstico , Estudos Retrospectivos , Federação Russa/epidemiologia , UltrassonografiaRESUMO
The study (on 27rabbits) of postponed tissue reaction of abdominal wall was done after web space plasty of standard, light and superlight polypropylene endoprostheses on 30th, 60th and 120th days. It was stated, that the standard polypropylene prosthesis was the most suitable for endoprosthesis replacement of abdominal wall in strangulated ventral hernia. The light polypropylene endoprosthesis should be used in the uncomplicated hernia. The superlight polypropylene prosthesis should be applied for preventive endoprosthesis replacement of abdominal wall in its anatomico-functional insufficiency.
