Novosti
Khirurgii
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Year 2020 Vol. 28 No 6

REVIEWS

DOI: https://dx.doi.org/10.18484/2305-0047.2020.6.714   |  

.V. SAZHIN, .M. LOBAN, G.B. IVAKHOV, V.A. PETUKHOV, N.S. GLAGOLEV, A.V. ANDRIYASHKIN, R.R. AKHMEDOV

CURRENT CONCEPTS OF VENTRAL HERNIA SURGERY

Pirogov Russian National Research Medical University, Moscow,
The Russian Federation

Herniology is one of the most ancient branches of surgery and, it continues to develop quickly. New technology adds to arsenal of surgeons constantly recently, which have found their place also in hernia surgery. Despite the rapid development of herniology the optimal method for surgical repair of ventral hernia still remains to be determined. The role of preoperative examination methods in the algorithm for choosing a treatment option has not been defined. There is no single opinion concerning different spaces in which the mesh is placed, and expediency of the minimally invasive techniques application. In addition, there is no consensus on the terminology used in current herniology. This article touches upon the epidemiological and historical aspects of surgery for ventral hernias, discusses the anatomy of the anterior abdominal wall, analyzed current terminology and classifications, describes the methods of preoperative patient evaluation and indications for surgical treatment, so as consideres the current diagnostic and therapeutic surgical options. Since several controversial issues still remain in the management of patients with ventral hernia today is relevant to search the most physiological and functional methods of of treatment that ensure the minimum risk of recurrence and complications and improving patient quality of life.

Keywords: ventral hernia, hernia repair, anterior abdominal wall, surgical mesh, minimally invasive hernia repair, component separation
p. 714-729 of the original issue
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Address for correspondence:
117997, Russian Federation,
Moscow, Ostrovityanov Str., 1,
Pirogov Russian National Research
Medical University of MH of RF,
the Department of the Faculty Surgery
No1 of the Medical Faculty,
tel.: +7 916 292 6268,
e-mail: doctor.loban@gmail.com
Loban Konstantin M.
Information about the authors:
Sazhin ALexandr.V., Corresponding Member of RAS, MD, Professor, Head of the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
http://orcid.org/0000-0001-6188-6093
Loban Konstantin M., Post-Graduate Student, Laboratory Assistant of the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-8333-2398
Ivakhov Georgy B., PhD, Associate Professor, the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-9773-4953
Petukhov Vitaly A., MD, Professor, the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0003-1807-9864
Glagolev Nikolay S., PHD, Assistant of the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0003-1057-705X
Andriyashkin Andrey V., PhD, Associate Professor, the Department of the Faculty Surgery No1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-4170-9521
Akhmedov Ramil R., Clinical Intern of the Department of the Faculty Surgery 1 of the Medical Faculty, Pirogov Russian National Research Medical University, Moscow, Russian Federation.
https://orcid.org/0000-0002-0846-1616
Contacts | ©Vitebsk State Medical University, 2007