Analysis of complications and quality of life in patients who underwent posterior separation plastic surgery with a follow-up period of 5 years

Автор: Kuliyev S.A., Evsyukova I.V., Protasov A.V., Fomina M.N.

Журнал: Московский хирургический журнал @mossj

Рубрика: Абдоминальная хирургия

Статья в выпуске: 1 (79), 2022 года.

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Introduction. Despite the improvement of surgical treatment methods, the formation of postoperative incisional hernias remains a fairly frequent complication afer laparotomy.Aim. To evaluate the results of treatment, complications and the quality of life in patients afer posterior component separation.Material and methods. Te article presents an analysis of complications and quality of life in 95 patients with giant incisional hernia who underwent posterior component separation. Te characteristics of patients, polypropylene mesh, fxation method, as well as complications and quality of life are described. Te Clavien-Dindo scale was used to classify and detail complications in the frst 30 days. Te patients ' quality of life was assessed using the EuraHS Quality of Life score questionnaire.Results. Wound complications were 2.1 %, General complications (pneumonia, lower limb vascular thrombosis) 7.4 %, hernia recurrence 3.1 %, and death 1.0 %. In most patients, 3 months afer surgery, there is a signifcant decrease in the intensity of pain, satisfaction with appearance, and an increase in physical activity.Conclusion. Te results of the study showed a low percentage of wound complications, relapse, and a signifcant improvement in the quality of life.

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Postoperative ventral hernia, separation plastic, posterior component separation, complications of hernioplasty

Короткий адрес: https://sciup.org/142234538

IDR: 142234538

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