Aloplasty of umbilical hernias with polypropilene mesh modified by antiseptic and carbon nanotubes
Journal Title: Хірургія України - Year 2019, Vol 0, Issue 3
Abstract
The aim — to improve the treatment results of umbilical hernias surgery with modified polypropylene mesh. Materials and methods. The surgical treatment results analysis of 106 patients with umbilical hernias (UH) has been performed. Patients were divided into 2 groups depending on the mesh type used during surgery. In 53 (50 %) patients of Group I the polypropylene mesh modified by antiseptic and by carbon nanotubes was used, in the 74 (50 %) patients of II group the classic polypropylene mesh was used. Results and discussion. Statistically significant results were obtained in patients of Group I compared to Group II: seroma was revealed in 7 (13.2 ± 1.4 %) patients from Group II compared to 1 (1.9 ± 0.6 %) in Group I (p < 0.05), the suppuration of the postoperative wound — in 3 (5.7 ± 0.6 %) vs 1 (1.9 ± 0.6 %) (p < 0.05), respectively. The terms of stay in group II on inpatient treatment were 12.3 ± 2.2 days, in group II — 7.5 ± 1.5 days. Ligature fistulas of the anterior abdominal wall were detected in 2 (4.0 ± 0.6 %) patients (р < 0.05), meshoma — in 1 (2.0 ± 0.3 %) patient of group II (p > 0.05) in 1 — 5 years. The chronic pain in the abdominal wall in 6 — 8 months after surgery was observed in 3 6.1 ± 0.6 % patients in group II and in 1 (2.0 ± 0.4 %) in group I (p > 0.05), recurrences of hernia were found in 3 (6.1 ± 0.6 %) patients vs 1 2.0 ± 0.3 % (p < 0.05), respectively. Conclusions. Surgical treatment of umbilical hernias with polypropylene mesh modified by polyhexamethyleneguanidine chloride antiseptic and by carbon nanotubes are more effective than the one with simple polypropylene mesh, evidenced by the reduced seroma frequency from 13.2 ± 1.4 % to 1.9 ± 0.6 % suppurations of postoperative wounds — from 5.7 ± 0.6 % to 1.9 ± 0.6 %, inflammatory infiltrates — from 5.7 ± 0.6 % to 1.9 ± 0.4 %, ligature fistulas of the anterior abdominal wall — from 4.0 ± 0.6 % to 0 %, meshoma — from 2.0 ± 0.3 % to 0 %, chronic postoperative pain — from 6.1 ± 0.6 % to 2.0 ± 0.4 %, recurrence of hernia — from 6.1 ± 0.6 % to 2.0 ± 0.3 %.
Authors and Affiliations
R. A. Lutkovskyi
Keywords
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- EP ID EP670235
- DOI 10.30978/SU2019-3-26
- Views 130
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