Use of absorbable polymers for plastic repair of postoperative ventral hernias
Rol'shchikov, I.M.; Kravtsov, I.A.; Grigoriuk, A.A.; Kovalev, V.A.; Sichinava, Z.A.
Khirurgiia 4: 43-45
2001
ISSN/ISBN: 0023-1207 PMID: 11490492 Document Number: 526797
In surgical clinic of Vladivostok State Medical University 48 patients were operated for postoperative ventral hernias with use of absorbable polymers. In group 1 (42 patients) the explant "Carbonicus-I" was used (period of absorption-2 years). 6 patients of group 2 underwent plastic repair with suture-glue duplication of aponeurosis of abdominal white line. The analysis of the results demonstrated that explants "Carbonicus-I" and tissue glue "MK-7M" can be used for plasty of hernial ring on anterior abdominal wall in large ventral hernias. Polymers with long period of absorption (over 2 years) form dense scar which prevents recurrence of hernia. At the same time polymers with short period of absorption (4-6 months) reduce possibility of early reaction of explant rejection.