The research is aimed at identifying factors of herniation after median laparotomy and developing surgical methods for preventing postoperative ventral hernias and eventrations.
At the first stage, an analysis of the prevalence of postoperative ventral hernias in patients after median laparotomies in urgent surgery will be performed, with the identification of factors contributing to the development of postoperative ventral hernias. At the next stage, the investigators will search for the most reliable methods of suturing the white line of the abdomen, taking into account the risk of hernia formation, with their implementation in patients operated in an emergency through median laparotomic access in comparison with traditionally used methods. In conclusion, an algorithm will be developed for selecting the method of surgical prevention of postoperative ventral hernias, taking into account the risk of their development.
Study Type
OBSERVATIONAL
Enrollment
700
Suturing the white line of the abdomen with the help of developed techniques aimed at preventing hernias and eventrations
RyazSMU
Ryazan, Ryazan Oblast, Russia
RyazSMU
Ryazan, Russia
Wound complications
Frequency of wound complications in the early postoperative period.
Time frame: 2 weeks
Eventration
Frequency of events in the early postoperative period
Time frame: 2 weeks
Pain syndrome
The severity of pain syndrome in the postoperative scar after midline laparotomy using a verbal scale of pain syndrome
Time frame: 2 year
Postoperative ventral hernia
Frequency of postoperative ventral hernia in the late postoperative period
Time frame: 2 year
Defects in the aponeurosis
Frequency of aponeurosis defects in the late postoperative period
Time frame: 2 year
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