Email this article Application of the Developed Mechanical Methods for the Treatment of Patients with Wound Complications of Postoperative Ventral Hernias Prosthetic Repair
- Authors: Izmailov S.G.1, Lukoyanychev E.E.1, Leontev A.E.1, Izmailov A.G.1, Mezinov A.V.1, Panushkin A.V.1, Koloshein N.A.1, Abdulkerimov E.M.1, Tsyrenzhapov A.Z.1
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Affiliations:
- State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
- Issue: Vol 15, No 3 (2022)
- Pages: 236-243
- Section: Experience
- URL: https://journal-vniispk.ru/2070-478X/article/view/233342
- DOI: https://doi.org/10.18499/2070-478X-2022-15-3-236-243
- ID: 233342
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Abstract
Introduction. Until now, the treatment of postoperative ventral hernias and their complications remains a difficult task of abdominal surgery. Patients with extensive wound defects of the abdominal wall complicated by a purulent-inflammatory process of soft tissues are of particular difficulty for treatment; an attempt to stitch these tissues together in the II phase of the wound process using conventional options results in unnecessary trauma and makes it much more difficult, and sometimes impossible, to accurately match homogeneous layers.
The aim of the study was to demonstrate the potential of successful use of the developed adaptive instruments for mechanical treatment of the wound surface and closure of a large defect in the soft tissues of the anterior abdominal wall, formed during suppuration of the surgical wound and rejection of the endoprosthesis after prosthetic repair of the hernia ring.
Results. Two clinical cases of successful use of the developed adaptive instruments for mechanical treatment of the wound surface and hardware decompression suturing of wounds in the treatment of deep wound infection in postoperative ventral hernias prosthetic repair were presented. Healing of wound defects after wound suppuration and implant rejection was achieved in both cases.
Conclusion. The data obtained demonstrated the safety and clinical efficacy of a staged surgical treatment with mechanical debridement of the wound, followed by vacuum therapy and the implementation of a hardware decompression technique for closing the wound defect; this creating optimal conditions for wound healing according to the type of primary intention.
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##article.viewOnOriginalSite##About the authors
Sergei Gennad`evich Izmailov
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: izi28082009@yandex.ru
ORCID iD: 0000-0001-7998-9277
M.D., Professor, City Clinical Hospital №7 of Leninsky district of Nizhny Novgorod named after E.L. Berezov
Russian Federation, 603011, st. October Revolution 66a, Nizhny Novgorod, RussiaEgor Evgen`evich Lukoyanychev
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: egor-lukoyanychev@yandex.ru
ORCID iD: 0000-0001-6392-2692
Scopus Author ID: 625639
Ph.D., Associate Professor, City Clinical Hospital №7 of Leninsky district of Nizhny Novgorod named after E.L. Berezov
Russian Federation, 603011, st. October Revolution 66a, Nizhny Novgorod, RussiaAndrey Evgen`evich Leontev
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: leontjeff@mail.ru
ORCID iD: 0000-0001-6510-3391
Ph.D., Associate Professor, City Clinical Hospital №7 of Leninsky district of Nizhny Novgorod named after E.L. Berezov
Russian Federation, st. October Revolution 66a, Nizhny Novgorod, Russia, 603011Alexander Gennadievich Izmailov
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: izmailov_alex@mail.ru
ORCID iD: 0000-0001-8005-6538
Ph.D., Associate Professor, City Clinical Hospital №7 of Leninsky district of Nizhny Novgorod named after E.L. Berezov
Russian Federation, st. October Revolution 66a, Nizhny Novgorod, Russia, 603011Andrey Valer`evich Mezinov
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: mezinov.andre@yandex.ru
ORCID iD: 0000-0003-2445-2979
Head of the Department of Purulent Surgery, City Clinical Hospital №7 of Leninsky District of Nizhny Novgorod named after E.L. Berezov
Russian Federation, 603011, st. October Revolution 66a, Nizhny Novgorod, RussiaAlexey Vyacheslavovich Panushkin
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: panalex1008@gmail.com
ORCID iD: 0000-0002-7903-7206
Head of the Department of Surgery, City Clinical Hospital №7 of Leninsky district of Nizhny Novgorod named after E.L. Berezov
Russian Federation, st. October Revolution 66a, Nizhny Novgorod, Russia, 603011Nikita Anatol`evich Koloshein
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: n.koloshein@mail.ru
ORCID iD: 0000-0002-4563-5478
surgeon
Russian Federation, st. October Revolution 66a, Nizhny Novgorod, Russia, 603011E`l`dar Magomedsherifovich Abdulkerimov
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Email: abdulkerimov.eldar.18@bk.ru
ORCID iD: 0000-0002-7534-6992
surgeon
Russian Federation, st. October Revolution 66a, Nizhny Novgorod, Russia, 603011Agvan-Cyden Zhargalovich Tsyrenzhapov
State Budgetary Institution of public health "City clinical hospital №7 of the Leninsky District of Nizhny Novgorod named after E.L. Berezova"
Author for correspondence.
Email: agvan.czyrenzhapov@mail.ru
ORCID iD: 0000-0002-9208-1439
resident physician
Russian Federation, st. October Revolution 66a, Nizhny Novgorod, Russia, 603011References
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