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Khirurgii

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Year 2009 Vol. 17 No 2

GENERAL AND SPECIAL SURGERY

PLESHKOV V.G., AFANASYEV V.N., AGAFONOV O.I.

DISTANT RESULTS OF TREATMENT AND QUALITY OF LIFE IN PATIENTS AFTER HERNIOPLASTY CAUSED BY POST-OPERATIVE ABDOMINAL HERNIAS

The long-term results of treatment and quality of life were studied in 84 patients, in whom hernioplasty caused by the post-operative abdominal hernias had been performed at the surgical department of Smolensk regional clinical hospital during the period since 1997 to 2007. The hernioplasty with acellulated skin graft had been performed in 49 patients (the main group) and the polypropylene mesh had been impalantated in 35 patients (the control group). The distant results were studied up to the period of 9 years. The recurrence rate made up 10,2% in the main group and 11,4% in the control one. No reliable difference was revealed between these groups.
The quality of life was evaluated according to the methods of European society for study of life’s quality (EQ-5D). The quality of life was found out to be significantly higher in the main group firstly due to less marked pains in the region of operation. On the basis of the obtained data it was concluded that acellulated skin graft plasty could be considered a method of choice in the treatment of the post-operative abdominal hernias.

Keywords: post-operative hernia, skin graft, quality of life
p. 38 - 43 of the original issue
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