scholarly journals THE USE OF MESH ENDOPROSTHESIS IN SURGICAL TREATMENT OF VENTRAL HERNIA

2019 ◽  
Vol 21 (1) ◽  
pp. 122-125
Author(s):  
V A Ragimov ◽  
Sh I Ragimli
Keyword(s):  
Surgical Treatment ◽  
Polypropylene Mesh ◽  
Long Term Results ◽  
Wound Complications ◽  
Linea Alba ◽  
Inguinal Hernias ◽  
Mesh Endoprostheses ◽  
Mesh Endoprosthesis ◽  
Ventral Hernias

Surgical treatment of patients with ventral hernias remains an urgent problem in abdominal surgery. More than 20 million operations are performed annually in the world for hernias. The urgency and complexity of the problem is based on the fact that inadequately performed surgery leads to a recurrence of the disease in 14-54% of cases. The aim of the work is to study the results of surgical treatment of patients with ventral hernias using mesh endoprostheses. The results of a retrospective analysis of 437 hernioplasty performed with hernias of various localizations for the period from 2010 to 2014 were used. Patients were classified by hernia localization and divided into groups depending on the methods of alloplasty. The duration of observation of patients operated by using polypropylene mesh ranged from 6 month to 3 years. An analysis of the complications that developed after alloplasty of the inguinal, postoperative, umbilical hernias and hernias of the linea alba was carried out. Our clinical experience confirms that the operation of Liechtenstein is rightly considered to be the “gold standart” for the treatment of inguinal hernias. However, the use of polypropylene mesh in the treatment of inguinal hernias leads to the development of postsurgical wound complications. Placed next to the polypropylene mesh peritoneum flap plays the role of internal drainage, prevents the development of seromas in the wound. The use of a new inguinal alloplasty technique reduced the number of postoperative complications. Also, the best immediate and long-term results are obtained by alloplasty using a sublay method. In patients with postoperative hernias operated by sublay method, no recurrences were observed and they showed the best quality of life.

scholarly journals Immediate and long-term results of laparoscopic hernioplasty in inguinal hernias with and without mesh endoprosthesis fixation

2020 ◽  
Vol 179 (4) ◽  
pp. 22-28
Author(s):  
O. V. Zaitsev ◽  
A. V. Koshkina ◽  
D. A. Khubezov ◽  
V. A. Yudin ◽  
V. V. Barsukov ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Postoperative Period ◽  
Mesh Fixation ◽  
Long Term Results ◽  
Control Group ◽  
Inguinal Hernioplasty ◽  
Inguinal Hernias ◽  
Laparoscopic Hernioplasty ◽  
Mesh Endoprosthesis

The objective of this study was to conduct comparative analysis of the immediate and long-term results of laparoscopic inguinal hernioplasty performed with and without fixation of the mesh endoprosthesis.Methods and materials. The base group included 77 patients who underwent laparoscopic inguinal hernioplasty without fixation of the mesh by herniostepler. The control group included 76 patients who underwent laparoscopic inguinal hernioplasty with mesh fixation by herniostepler. To assess the postoperative period, the following criteria were studied: the severity of postoperative pain on a Visual Analog Scale; postoperative complications on the Clavien-Dindo scale; an early recurrence of inguinal hernias determined by ultrasound.Results. In both groups, the severity of postoperative complications did not exceed grade I. Among the entire list of complications, there were observed: pain in the area of surgery, an increase in body temperature above 38.5 °C, acute urinary retention, swelling and hematoma of the scrotum, seroma. There were no cases of conversion, intraoperative damage to internal organs and vascular structures. Complications in both groups do not differ significantly and do not depend on the method of laparoscopic inguinal hernioplasty: with fixation of the endoprosthesis by herniostepler or without fixation. The level of pain in the early postoperative period in patients operated by laparoscopic inguinal hernioplasty with mesh fixation was significantly higher. During control examinations of patients on the day after surgery, at the time of discharge and 6 months after surgery, no cases of dislocation of mesh endoprosthesis and relapse of inguinal hernia were detected.Conclusion. The obtained data indicate the effectiveness of laparoscopic hernioplasty in inguinal hernias with polypropylene mesh without fixing with herniostepler.

Temporary “liquid” Implant for Congenital Glaucoma (long-term results)

2020 ◽  
pp. 49-65
Author(s):  
N Bobrova ◽  
N Trofimova
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Hypotensive Effect ◽  
Congenital Glaucoma ◽  
Long Term Results ◽  
General Will ◽  
Visual Functions ◽  
Advanced Stages ◽  
Intraocular Fluid

The aim of the work was to analyze the long-term results of using a temporary “liquid” implant in the surgery of congenital glaucoma in children. The basis of the developed method of filtrative antiglaucomatous surgery (Patent of Ukraine No. 45099 of 2009) – viscosinusotrabeculotomy – has been set the task of reducing the risk of developing intra- and postoperative complications, reducing the scarring rate and maintaining the newly created ways of the intraocular fluid outflow, which in general will increase the effectiveness of surgical treatment of congenital glaucoma in children. 54 children (91 eyes) with simple congenital glaucoma at the age of 1 to 36 months were operated on average (8.7 ± 8.2) months. The persistent and long-lasting hypotensive effect achieved due to viscosinusotrabeculotomy in children with developed and far-advanced stages of congenital glaucoma stops the processes of stretching of the membranes of the eye and stabilizes their size, which in general allows preserving and visual functions improving, in infancy – creating conditions for their formation.

SIMULTANEOUS ESOPHAGO-GASTRECTOMY WITH COLONIC INTERPOSITION AS A METHOD OF SURGICAL TREATMENT OF GASTROESOPHAGEAL CANCER WITH HIGH INVOLVEMENT OF THE ESOPHAGUS

2017 ◽  
Vol 63 (1) ◽  
pp. 146-152
Author(s):  
Mikhail Ter-ovanesov ◽  
Aleksandr Levitskiy ◽  
E. Lesnidze ◽  
Aram Gaboyan ◽  
Mariya Kukosh ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Esophageal Reconstruction ◽  
Gastroesophageal Cancer ◽  
Colonic Interposition ◽  
Simultaneous Application ◽  
High Involvement ◽  
Surgical Access ◽  
Critical Overview

In the current oncological practice surgical treatment of gastroesophageal cancer with high involvement of the esophagus can extend to total esophago-gastrectomy with colonic interposition as the main method of radical treatment. However the technical complexity and high risk of the intervention are factors in determining the divergent views on the operation itself, testimony for the criteria of patient’s selection, choice of surgical access and the formation of a colonic graft in conjunction with method of esophageal reconstruction. The long-term results of operative intervention depend primarily on the extent of tumor process but obviously higher than after conservative treatment. This article presents a brief critical overview of the main aspects of the simultaneous application of esophago-gastrectomy in surgery of gastroesophageal cancer with high esophageal involvement and our clinical case of successful surgical treatment of a woman with pregnancy-associated gastroesophageal cancer.

scholarly journals Long-term Results of Surgical Treatment for Acromioclavicular Dislocation Using Wolter Clavicular Plate.

2003 ◽  
Vol 52 (2) ◽  
pp. 389-393
Author(s):  
Shinsaku Ogimoto ◽  
Toshio Kitamura ◽  
Takuya Ikuta ◽  
Shuichi Maruta ◽  
Masanobu Hirai ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Long Term Results ◽  
Acromioclavicular Dislocation

Patient and partner satisfaction and long-term results after surgical treatment for Peyronie’s disease

Urology ◽  
2003 ◽  
Vol 62 (1) ◽  
pp. 105-109 ◽  
Author(s):  
Mustafa F Usta ◽  
Trinity J Bivalacqua ◽  
Jose Sanabria ◽  
I.Turker Koksal ◽  
Krishnarao Moparty ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Peyronie’S Disease ◽  
Long Term Results ◽  
Partner Satisfaction ◽  
Peyronie's Disease

Long-term results of surgical treatment of patients with internal endometriosis of the uterus

1985 ◽  
Vol 66 (6) ◽  
pp. 430-433
Author(s):  
M. I. Sabsay ◽  
V. A. Klein ◽  
T. A. Kravchuk ◽  
G. P. Lazaricheva
Keyword(s):  
Surgical Treatment ◽  
Long Term Results

Advances in gynecological endocrinology have significantly narrowed the range of indications for surgical treatment for genital endometriosis.

Long-term results of surgical treatment of patients with internal endometriosis of the uterus

1985 ◽  
Vol 66 (6) ◽  
pp. 471-471
Author(s):  
M. I. Sabsay ◽  
V. A. Klein ◽  
T. A. Kravchuk ◽  
G. P. Lazaricheva
Keyword(s):  
Surgical Treatment ◽  
Comparative Assessment ◽  
Long Term Results

A comparative assessment of the long-term (after 7-10 years) results of surgical treatment of 60 patients with internal uterine endometriosis was carried out.

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