Alloplasty for complex abdominal hernias in patients with an increased risk of wound infection

Abstract

Aim: Improvement the effectiveness of the use of alloplasty of complex abdominal hernias in patients with an increased risk of developing wound infection by substantiating a wider introduction of primary alloplasty and reducing the number of postoperative complications. Material and methods: A retrospective clinical analysis of the results of surgical treatment of 252 patients with complex abdominal hernias, who were operated on by the open method for the period 2010-2020, was carried out. Infringement was occurred in 146 (57.9%) patients, eventration - in 3 (1.2%) patients, stoma - in 3 (1.2%), fistulas - in 9 (3.6%). Obesity was diagnosed in 159 (63.0%) patients, diabetes mellitus - in 27 (10.7%) patients, and steroid use - in 13 (5.2%) patients. In 223 (88.5%) patients, concomitant pathology was found that required combined surgical treatment. Results: In the early postoperative period, early complications were observed in 21 (8.3%) cases: seroma - in 9 (3.6%) patients, inflammatory infiltrate - in 6 (2.4%), hematoma - in 3 (1.2%), necrosis of the wound edges - in 2 (0.8%), wound suppuration - in 1 (0.4%). Conclusions: The using of primary alloplasty of complex abdominal hernias in patients with an increased risk of developing wound infection by a special methodology can increase its effectiveness, improve treatment results and reduce the number of complications.