СРАВНИТЕЛЬНАЯ ОЦЕНКА ЭФФЕКТИВНОСТИ НЕНАТЯЖНОЙ И ТРАДИЦИОННОЙ ГЕРНИОПЛАСТИКИ

Abstract

Surgical treatment of hernias of the anterior abdominal wall remains an urgent problem, since hernia-bearing occurs in 4-7% of the world’s population and there is no tendency to reduce the number of such patients. The aim of the study is to conduct a comparative analysis of traditional and non-tight methods of hernioplasty with hernias of the anterior abdominal wall, improve hernioplasty methods, the frequency of relapses and  complications in the near and long-term postoperative periods. The work was performed at two medical bases of the Department of Hospital Surgery, Faculty of Medicine,  Kabardino-Balkarian State University named after H.M. Berbekov and the surgical department (Department of Angiosurgery) of the Republican Clinical Hospital. The study was conducted on the basis of a retrospective study of case histories of 258 patients who were between 2010 and 2019. performed non-tension and tension hernioplasty for hernias of the anterior abdominal wall. As a result of this study, it was revealed that unrestricted herniopalastic surgery using a polypropylene mesh is the  method of choice, especially for gigantic and complicated hernias, which is confirmed by earlier activation of patients, shorter hospital stay, the absence of severe pain syndrome, stopping only with narcotic analgesics, less complications and the frequency of infection of postoperative wounds. The use of endovideo surgical methods also yielded positive results, but in the case of gigantic postoperative and recurrent ventral hernias, especially with a complicated course, their use is not always possible. In this connection, open surgical methods of hernioplasty remain relevant and their further improvement is required. The use of non-tension hernioplasty has not only a good clinical effect, but also economic feasibility.