Novosti
Khirurgii

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Year 2018 Vol. 26 No 6

GENERAL & SPECIAL SURGERY

S.V. SHALASHOV 1, L.K. KULIKOV 2, A.L. MIKHAILOV 1, O.A. BUSLAEV 1, I.A. EGOROV 1, E.M. YURKIN 1, O.B. EREMENKO 1, V.E. SECRETAREV 2

COMPARATIVE ANALYSIS OF SUBMUSCULAR AND TC-REPAIR IN POSTOPERATIVE MIDLINE VENTRAL HERNIAS

Road Clinical Hospital at the Station of Irkutsk-Passenger 1,
Irkutsk State Medical Academy of Postgraduate Education 2, Irkutsk,
The Russian Federation

Objective. To investigate the treatment results of patients with the postoperative medial ventral hernias in the submuscular location of the mesh and TC-repair(two-cordlike).
Methods. The prospective study was carried out including 136 patients with postoperative mid-ventral hernias. Repair with submuscular mesh location was performed in 69 patients who made up the clinical comparison group (CCG). TC-repair surgery was applied in 67 cases. These are the patients of the main group (MG). In terms of 1 year and 2 years, the results of surgical treatment were evaluated in 62 patients from MG and 64 from CCG. Evaluation criteria were the duration of the operation and the number of postoperative complications, the timing of evaluation – one and two years.
Results. It was registered that the duration of the operation decreased significantly. During the operation in the CCG, the time of the operation made up 90.2±15.2 min (p <0.05). When using TC-repair surgery the duration was – 40.3±12.1 min. In the CCG, the complications occurred in 8 (11.6%) patients. In MG, in 3 cases (4.5%), seromas were formed, which were eliminated by a puncture method. One case of suppuration occurred in the CCG. It can be concluded that with the use of less traumatic TC repair, there is a decrease in the number of postoperative complications. Lethal outcomes are not registered. One recurrence was detected in the CCG, no late complications were noted. Relapse and complications in the later periods after surgery in the MG were not observed.
Conclusions. ÒC-repair, being an effective treatment method of patients with medial postoperative ventral hernias, has a number of serious advantages in comparison to submuscular techniques in patients with submuscular location of the mesh. TC-repair demands less time, it has less traumatism, which leads to the reduction of the postoperative complications number.

Keywords: postoperative midline ventral hernia, hernia repair, synthetic mesh, retromuscular repair, ÒC-repair
p. 655-662 of the original issue
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Address for correspondence:
664013, The Russian Federation,
Irkutsk, Obraztsov Str., 27,
Road Clinical Hospital
At the Station of Irkutsk-Passenger,
Surgical Unit,
tel. mob: +7(950)069 35 67,
e-mail: Sersha62@gmail.com,
Sergey V. Shalashov
Information about the authors:
Shalashov Sergey V., PhD, Surgeon of the Surgical Unit, Road Clinical Hospital at the Station of Irkutsk-Passenger, Irkutsk, Russian Federation.
https://orcid.org/0000-0002-2771-6418
Kulikov Leonid K, MD, Professor of the Surgery Department, Irkutsk State Medical Academy of Postgraduate Education, Irkutsk, Russian Federation.
https://orcid.org/0000-0003-2632-0355
Mikhailov Alexander L., Surgeon of the Surgical Unit, Road Clinical Hospital at the Station of Irkutsk-Passenger, Irkutsk, Russian Federation.
https://orcid.org/0000-0001-8406-5730
Buslaev Oleg A., PhD, Deputy Chief Physician for Surgery, Road Clinical Hospital at the Station of Irkutsk-Passenger, Irkutsk, Russian Federation.
https://orcid.org/0000-0001-8948-4897
Egorov Ivan A., Head of the Surgical Unit, Road Clinical Hospital at the Station of Irkutsk-Passenger, Irkutsk, Russian Federation.
https://orcid.org/0000-0001-9970-0901
Yurkin Evgeniy M., Surgeon of the Surgical Unit, Road Clinical Hospital at the Station of Irkutsk-Passenger, Irkutsk, Russian Federation.
https://orcid.org/0000-0001-8569-6657
Eremenko Oleg B., Head of the Resuscitation Unit, Road Clinical Hospital at the Station of Irkutsk-Passenger, Irkutsk, Russian Federation.
https://orcid.org/0000-0002-9666-1190
Sekretarev Vadim E., Clinical Intern, Irkutsk State Medical Academy of Postgraduate Education, Irkutsk, Russian Federation.
https://orcid.org/0000-0002-1230-1981
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