MINI-INVASIVE ALLOPLASTY OF UMBILICAL HERNIA COMBINED WITH DIASTASIS RECTI ABDOMINIS
DOI:
https://doi.org/10.32782/2226-2008-2024-6-3Keywords:
umbilical hernia, diastasis of rectus abdominis muscles, allohernioplastyAbstract
Objective. The study aims to increase the effectiveness of surgical treatment of umbilical hernias combined with diastasis of rectus abdominis muscles by using advanced retromuscular alloplasty. Materials and methods. 126 patients were involved: 95 women and 31 men. The age of patients is from 20 to 75 years. The average age is (42±1.3) years. In the I group (n=64) surgical treatment was performed according to the improved mini-invasive retromuscular technique. In the II group (n=62) surgical treatment was performed according to the SCOLA method. Results and their discussion. In the postoperative period, immediate and long-term results were evaluated in patients of groups I and II. Among the complications from the surgical wound in patients of the I group, hematoma in 2 (3.1%), seroma in 4 (6.2%), wound infection was not observed, chronic postoperative pain in 2 (3.1%); in the II group hematoma was observed in 6 (9.7%), seroma in 10 (16.1%), wound infection in 3 (4.8%), chronic postoperative pain in 6 (9.7%). Recurrences of diastasis recti in group II occurred in 7 (11.3%), and among 34 patients in group I after 1 (1.5%), which corresponds to a reduction in the relative risk of recurrence OR=0.12 (0.01–0.99).
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