Evaluation of the effectiveness using nanomodified polipropilene meshes at laparoscopic operations of a hernia of a stomach
DOI:
https://doi.org/10.12775/JEHS.2020.10.07.036Keywords
abdominal hernia, nanomodified polypropylene mesh, postoperative wound complicationsAbstract
In laparoscopic surgical treatment of incisional abdominal hernia (AH) of great sizes, using polypropylene mesh, buth this is accompanied by a fairly high freguency of postoperative complications from the postoperative wound.
In our view, the use of a polypropylene mesh modified by carbon nanotubes and an antiseptic of polyhexamethleneguanidme chloride the results of surgical treatment of AH.
Aim – to improve the results of laparoscopic surgical treatment of incisional abdominal hernias of great proportions by using in combination with nanomodified polypropylene mesh.
Materials and methods. The analysis of laparoscopic surgical treatment of 240 patients with AH of great sizes has been performed. Depending on the type of mesh used during laparoscopic surgical treatment, patients were divided into 2 groups. In 120 (50%) of Group I patients, the component aloplasty with the use of a nanomodified polypropylene mesh. In the 2nd group, 120 (50%) patients used the aloplasty with the use of a classic polypropylene mesh.
Results and discussion. Statistically significant results were obtained in patients of Group I compared to Group II: seroma was in 17 (7.0±1.2%) in Group II compared to 4 (1.8±0.3%) in Group I (p<0.05). Chronic pain in the abdominal wall in 6 – 8 months after surgery was observed in 13 (5.3±0.4)% patients in group II and in 0 group I (p>0.05), recurrences of hernia were found in 13 (5.3±0.4%) patients of group II, in group I – in 4 (1.8±0.6)% (p<0.05). The terms of stay of patients of group II on inpatient treatment – 5,3±2,1 days group I – 2,1±1,2 days.
Conclusion. Laparoscopic operacione treatment of UH using nanomodified polypropylene mesh antiseptic the use of the classical polypropylene mesh, namely, reducing the freguency of seroma from 7.0±1.2% in the II group of patients to 1.8±0.3% in group I, chronic postoperative pain – from 5.3±0.4% to 0, recurrence of hernia–from 5.3±0.4% to 1.8±0.6%.
References
Bendik N.I., Rucavzev G.I. (2003) Zastosuvannja vitchusnjanoi chirurgichnoi polipropilenovoi sitku [Application of domestic surgical polypropylene mesh]. Kyiv: Klinichna chirurgia, 11, 8 [in Ukrainian].
Lutkovskyi R.A. (2019) Operativne likuvannja pisljaoperacijnich grig givota velikogo rosmiru pri vikoristanni polipropilenovoi sitki modifikovanoi vuglezevumi nanotrubkami ta antisepticom [Surgical treatment of largesized postoperative abdominal hernias using polypropylene mesh modified with carbon nanotubes and antiseptic]. Poltava: Visnik problem biologii i medicine, 1, 167-170 [in Ukrainian].
Lutkovskyi R.A. (2017) Reakcija tkanin na polipropilenovi sitchasti implantati [Response of tissues to polypropylene mesh implants]. Vinnica: Visnik morfologii, 2, 295-299 [in Ukrainian].
Lutkovskyi R.A. (2018) Morfologichnij ta morfometrichnij analis smin v tkaninach pri implantacii sitchastich implantativ s polipropilenu modifikovanogo vuglecevumu nanotrubkamu ta antisepticom [Morphological and morphometric analysis of tissue changes in implantation of mesh implants made of carbon nanotube modified polypropylene and antiseptic]. Vinnica: Visnik Vinnickogo nacionalnogo medichnogo universitetu, 1, 19-23 [in Ukrainian].
Mirsabekjan J.R., Dobrovolskij S.R. (2008) Prognos i profilactica ranevich oslognenij posle plastici perednej brjushnoj stenki po povodu posleoperacionnoj ventralnoj grigi [Prediction and prevention of wound complications after plastic surgery of the anterior abdominal wall regarding postoperative ventral]. Kyiv: Chirurgia, 1, 66-71 [in Russian].
Netjaga A.A., Begin A.I. (2010) Endoprotezirovanie brjuschnoj stenki v lechenii i profilactici narugnich grig givota [Endoprosthetics of the abdominal wall in the treatment and prevention of external abdominal sugeries]. Vinnica: Materialu XXII zizdu xirurgiv Ukraini 57-58 [in Russian].
Lutkovskyi RA, Feleshtynskiy JP, Viltsanuk OA, Rezanova NM, vinachidniki. Vinnuckuj nazionalnuj medichnij universitet imeni M.I.Pirogova patentovlasnik. Sposib aloplastiki pisljaoperazijnuch ventralnich grug s vikoristannjam nanomodifikovanoi polipropilenovoi sitku. Patent Ukrainu na korusnu model №132818. 2019 Ver 11. [inUkrainian].
Saenko V.F., Beljanskij L.S., Manojlo N.N. (2001) Sovremenie napravlenie otkritoj plastiki grigi brjuschnoj stenki [The modern direction of open plastic abdominal wall surgeries]. Kyiv: Klinichna chirurgia, 6, 59-63 [in Russian].
Feleschtinskij J.P., Smischuk V.V., Prepodobnij V.V., Malenda O.D. (2011) Vubir sposobu aloplastici pri chirurgichnomu licuvanni pupcovich grig [Choosing a method of alloplasty in the surgical treatment of umbilical hernias]. Kyiv: Chirurgia Ukraini, 3, 146-147 [in Ukrainian].
Feleschtinskij J.P.(2012) Pisljaoperacijni grigi givota [Postoperative abdominal hernias]. Kyiv: TOV «Bisnes-Logika» [in Ukrainian].
Millbourn D., Cengiz Y., Israelsson L.A. Risk factors for wound complications in midline abdominal incisions related to the size of stitches // Hernia. – 2011. – Vol. 15. – P. 261 – 266.
Perrakis E., Velimezis G., Vezakis A. et al. A new tension-free technique for the repair of umbilical hernia, using the Prolene hernia system: early results from 48 cases // Hernia. – 2003. – № 7(4). – P. 178 – 180.
Sanders D.L., Kingsnorth A.N. From ancient to contemporary times: a concise history of incisional hernia repair // Hernia. – 2011. – Vol. 16. – P. 1 – 7.
Downloads
Published
How to Cite
Issue
Section
License
The periodical offers access to content in the Open Access system under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0
Stats
Number of views and downloads: 616
Number of citations: 0
