CLINICAL STUDY OF A NEW METHOD OF REDUCING INTRAABDOMINAL PRESSURE IN INCISIONAL HERNIA REPAIR BY SUBLAY MESH

Аннотация

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Material and Methods. The clinical study included 20 patients suffered from incisional hernias divided up into two groups (main and control) of 10. Results and Discussion. In the main group (n=10) hernia repair sublay mesh was used together with the original relaxing incision of anterior rectus sheath (RU 2638685) and in the control group (n=10) the classical sublay mesh was used. The level of the intra-abdominal pressure in the end of the surgery was of 11.7±0.6 mm hg.st. and 14.2±0.5 mm hg.st. However, the day after operation the level of intra-abdominal pressure was of 9.8±0.5 mm hg.st. and 12.3±0.4 mm hg.st in the main and in the control group respectively (p=0.05). Postoperative complications in the main group were not observed. In the control group postoperative complications were detected in 20% of patients during the early postoperative course (seroma of the postoperative wound and paresis of the bowel) and 40% patients had postoperative complications during the late postoperative course (chronic pain) (p=0.05). Conclusions. So the results show that the original relaxing incision is simple, time-saving and safe operation. It provides substantial reduction ofintraabdominal pressure and postoperative complications.