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Treatment of hernias with alloplasty (postoperative hernias, hernias of the anterior abdominal wall, inguinal and femoral hernias)
Treatment of hernias with alloplasty (postoperative hernias, hernias of the anterior abdominal wall, inguinal and femoral hernias)
Hernia repair is a surgical operation, which consists in the elimination of a hernial protrusion and plastic strengthening of a weak spot in the abdominal wall.
Methods of surgical treatment of hernias of the anterior abdominal:
1. Plastic by own tissues
2. plastic using additional materials.
To date, there are a huge number of modifications and improvements to traditional hernioplasty.
In our clinic, preference is given to "non-stretch" plastic or hernial sac repair with minimal use of own tissues. In non-tension plasty, to close the hernial defect, tension-free stitching of dissimilar tissues is not performed, but synthetic implants are used. There are incomparably fewer recurrences in tension-free plastic surgery, pain syndrome is less pronounced in the postoperative period, the patient gets the opportunity to be discharged from the hospital 2-3 days after the operation. The total period of postoperative rehabilitation is 4-5 days.
Laparoscopic transabdominal preperitoneal hernioplasty is currently recognized as the least traumatic intervention for inguinal and femoral hernias. It is performed from a laparoscopic approach (without dissection of the integumentary tissues). Through 3 small punctures (with a diameter of 10 mm or less), with the help of special equipment, a synthetic (usually polypropylene or Teflon) mesh is fixed at the site of hernia formation. This method is technically more difficult and more expensive, but it is preferable in the treatment of recurrent, bilateral hernias, as well as in cases where it is necessary to achieve a good cosmetic effect. The activation of the patient begins immediately after the operation.
TREATMENT
Treatment of postoperative ventral hernias remains an urgent task of abdominal surgery. This disease occurs in 2–20% of patients undergoing laparotomy and is second in frequency after inguinal hernias. In modern herniology, synthetic materials are more often used.
The frequency of wound complications after plastic surgery of the anterior abdominal wall for postoperative ventral hernia varies from 20.9 to 67%. There is an opinion that the use of mesh prostheses increases the incidence of wound complications.
The main disadvantage of plasty with a mesh prosthesis is the development of postoperative complications: suppuration, seroma, hematoma, rejection of the prosthesis, the formation of intestinal adhesions and fistulas.
These circumstances prompted us to look for a way to improve the results of the treatment of postoperative ventral hernias, reducing the number of postoperative complications.
You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. Gatling Med Clinic will make you feel confident in yourself and in your health!
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