Z.M. MUKHTAROV¹, I.S. MALKOV^1,2, O.T.ALISHEV¹

¹Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation, 420012

²Municipal Clinical Hospital № 7, 54 Chuykova St., Kazan, Russian Federation, 420136

Mukhtarov Z.M. — postgraduate student of the Surgery Department, tel. +7-927-672-40-70 e-mail: zm704@mail.ru¹

Malkov I.S. — D. Med. Sc., Professor, Head of the Surgery Department, tel. +7-965-594-40-07, e-mail: ismalkov@yahoo.com^1,2

Alishev O.T. — postgraduate student of the Surgery Department, tel. +7-906-113-25-91, e-mail: alishev-omur@mail.ru¹

This article describes the modern principles of prevention of wound complications after treatment of postoperative ventral hernias where mesh implants were used. There is described the experimental basis and clinical efficiency of vacuum therapy that helps to reduce the incidence of wound complications in patients with postoperative hernias. The effectiveness of the vacuum therapy is analyzed and evaluated by special device designed in the clinic, that can reduce the frequency of the local pyoinflammatory complications by 2.4 times.

Key words: vacuum therapy, wound complications, endoprosthesis, polypropylene implantat, hernia repair.

REFERENCES

1. Chistyakov A.A., Bogdanov D.Yu. Khirurgicheskoe lechenie posleoperatsionnykh ventral’nykh gryzh [Surgical treatment of postoperative ventral hernias]. Moscow: MIA, 2005. 104 p.

2. Conze J., Kingsnorth A.N., Flament J.B. et al. Randomized clinical trial comparing lightweight composite mesh with polyester or polypropylene mesh for incisional hernia repair. Br. J. Surg., 2005, vol. 12, pp. 1488-1493.

3. Nelyubin P.S., Galota E.A., Timoshin A.D. Surgical treatment of patients with postoperative and recurrent ventral hernias. Khirurgiya, 2007, no. 7, pp. 69-74 (in Russ.).

4. Samoylov A.V. Complications of prosthetic ventroplastiki. Vestnik gerniologii, 2006, iss. II, pp. 168-171 (in Russ.).

5. Mirzabekyan Yu.R., Dobrovol’skiy S.R. Prediction and prevention of wound complications after plastic anterior abdominal wall on the postoperative ventral hernia repair. Khirurgiya, 2008, no. 1, pp. 66-71 (in Russ.).

6. Korenkov M., Paul A., Sauerland S. et. al. Classification and surgical treatment of incisional hernia. Results of an experts’ meeting. Langenbeck’s Archives of Surgery, 2001, vol. 386, pp. 65-73.

7. Lehr S.C., Schuricht A.L. A minimally invasive approach for treating postoperative seromas after incisional hernia repair. JSLS, 2001, vol. 5, no. 3, rr. 267-271.

8. Mikhaylichenko P.P. Osnovy vacuum-terapii: teoriya i praktika [Fundamentals of vacuum therapy: theory and practice]. Moscow: AST; SPb.: Sova, 2005. 317 p.