Профилактика ранних послеоперационных осложнений при эндопротезировании вентральных грыж

Objectives. To analyze the early postoperative complications at the endoprosthesis of ventral hernias. Methods. The treatment results of 245 patients with ventral hernias, who were operated on using mesh synthetic endoprostheses are presented. Endoprosthesis fixation in the position “onlay” was performed in 220 (90%) patients, in the position “sublay” in 21 (9%), in the position “inlay” in 4 (1%). To prevent the wound complications using the “onlay” and “inlay” methods in the main group (n=122) aponeurosis was sewed on and fixed with the vertical Pstitches to the prosthesis and the bottom of the wound. The wound drainage was performed in 4 patients (3,3%). In the control group (n=102) we carried out drainage and wound layer-wise stitch without wide taking and fixation of subcutaneous tissue. Drainage was made in 83 patients (81,4%). Results. The application of the postoperative wound closure technique, at which wide taking and fixation of subcutaneous tissue to the prosthesis and the bottom of the wound by means of the vertical Pstitches as well as limiting of indications to the wound drainage has decreased the incidence of complications at the early postoperative period. In the main group the formation of clinically significant fluid accumulations was observed in 9 (7, 4%) patients; in the control group – in 28 (27, 5%) patients. Differences are statistically significant (p