The role of tension plasty in surgical treatment of vast and gigantic postoperative ventral hernias
Pavelets, K.V.; Vavilova, O.G.; Lobanov, M.I.
Vestnik Khirurgii Imeni I. I. Grekova 169(5): 80-82
2010
ISSN/ISBN: 0042-4625 PMID: 21137267 Document Number: 647475
An experience with treatment of 106 patients with vast and gigantic postoperative ventral hernias is summarized who were subjected to tension plasty of the abdominal wall with supraapo-neurotic fixation of a synthetic reticulate prosthesis. Monitoring of the mean calculated pressure in the pulmonary artery was made in 84 (79%) patients, in 34 (32%)--the intra-abdominal pressure. Local complications were registered in 13 (12.3%) of the operated patients, general ones--in 2 (1.9%). There were no lethal outcomes. Long-term results were studied in terms up to 9 years, no recurrent hernias were detected. A conclusion was made that the method of plasty was safe, effective and gave stable good immediate and long-term results.