Advantages and faults of laparoscopic operations in treatment of ventral hernias

Keywords: laparoscopic hernioplasty; ventral hernias; laparoscopic separational hernioplasty, the net implants; function of muscles o anterior abdominal wall.

Abstract

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.

Author Biographies

V. V. Grubnik, Odessa National Medical University

Grubnik Volodymyr V. - MD, DSci (Med), Professor,
Head of Department of Surgery №1,
Odessa National Medical University
26 Zabolotnogo Str., 65025, Odesa, Ukraine
+38 094 947 28 29
surgery1@i.ua
orcid.org/0000-0003-4389-908X

R. P. Nikitenko, Odessa National Medical University

Nikitenko Raisa P. - PhD (Med),
Docent of Department of Surgery №1,
Odessa National Medical University
26 Zabolotnogo Str., 65025, Odesa, Ukraine
+38 096 236 33 03
nikitenkoraja@rambler.ru
orcid.org/0000-0003-1002-7015

O. M. Stepanovichus, Odessa National Medical University

Stepanovichus Olena M- PhD (Med),
Docent of Department obstetrics and gynecologe №1,
Odessa National Medical University
26 Zabolotnogo Str., 65025, Odesa, Ukraine
+38 097 939 47 47
StepanovichusEN@i.ua
orcid.org/0000-0003-3940-1234

K. O. Vorotyntseva, Odessa National Medical University

Vorotyntseva Kseniya O. - PhD (Med),
Assistant of Department of Surgery №1, Odessa National Medical University
35 Prospect Nebesnoi Sotni Str., 65121, Odesa, Ukraine
+38 093 985 59 96
drvorotyntseva@ukr.net
orcid.org/0000-0003-1002-7015

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Published
2020-06-26
How to Cite
Grubnik, V. V., Nikitenko, R. P., Stepanovichus, O. M., & Vorotyntseva, K. O. (2020). Advantages and faults of laparoscopic operations in treatment of ventral hernias. Klinicheskaia Khirurgiia, 87(3-4), 35-39. https://doi.org/10.26779/2522-1396.2020.3-4.35
Section
General Problems of Surgery