Advantages and faults of laparoscopic operations in treatment of ventral hernias
Objective. To conduct a comparison analysis of modern open, classic laparoscopic and separation laparoscopic hernioplastic procedures in treatment of ventral and postoperative ventral hernias.
Materials and methods. During 2009 - 2019 yrs on the base of Odessa Regional Clinical Hospital 193 patients, suffering ventral and postoperative ventral hernias were operated. Depending on the hernioplasty method applied all the patients were divided on two groups. In the first one 100 patients were exposed to laparoscopic hernioplasty, including 91 patients - the standard laparoscopic operations. In the second group in 93 patients open hernioplasty was performed.
Results. In the first group while using a standard laparoscopic procedures of hernioplasty the average duration of operation have constituted (114.0 ± 7.4) min, recurrence was revealed in 7 patients with large hernias (W3). In the second group the operation duration have constituted (130.0 ± 6.1) min, and recurrence was revealed in 8 patients.
Conclusion. The operation method choice ought to be individually adjusted, taking into account the patient general status and age, presence of concurrent pathology, as well as the hernia defect dimensions and localization, in particular.
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