Peculiarities of Wound Complications Prophylaxy at Alloplasty of Strangulated Postoperative Ventral Hernias

摘要

Aim of the study was to improve the results of surgical treatment of strangulated ventral hernias by enhancement of tactical and technical approaches to preventing the development of postoperative complications. Material and methods. The authors conducted a study of 147 patients with strangulated ventral hernias operated on an emergency basis in the surgery department of the Andijan State Medical Institute clinics for the period from 2015 to 2020. All patients were divided into two groups: the main group included 56 patients with the indicated diagnosis; the comparison group included 91 patients. The age of the patients varied from 23 to 83 years. The mean age was 53.5 ± 1.3 years in the comparison group and 54.5 ± 1.4 years in the main group.The authors used a method for the prevention of wound purulent-inflammatory complications at alloplasty of strangulated postoperative ventral hernias, including the introduction of a drug into the operation wound. After fixation of the synthetic implant, Redon-type drainage systems were placed in the operating wound; 50 ml of “FarGALS” solution in a ratio of 1: 3 was used as a drug. Conclusion. The authors concluded that during the entire postoperative period statistically better indicators of the pain syndrome point scale were observed in the main group of patients (t = 2.43-3.18; p <0.05).