COST EFFECTIVE REIAIR OF MASSIVE ABDOMINAL WALL DEFECTS USING COMBINED IMMERSING TECHNIQUE mikkofliss@gmail.com

PW07-12

COST EFFECTIVE REIAIR OF MASSIVE ABDOMINAL WALL DEFECTS USING COMBINED IMMERSING TECHNIQUE

4

Russia

Oral or Poster

Massive injuries to the anterior abdominal wall are relevant both in peacetime and wartime. The ways of developing a universal approach to the reconstruction of the anterior abdominal wall with minimization of costs for consumables and maintaining the effectiveness of plastic surgery remain relevant. At the same time, the technique should be easily reproducible in conditions of various levels of surgical care.

59 patients with postoperative hernias M2-4W4 were operated on a planned basis from 2022 to 2024, using original plastic surgery. Access to the sheath of the rectus abdominis muscles, opening of their anterior leaves, immersion of the hernial protrusion with a continuous oblique suture, without opening the hernial sac, installation of a retromuscular mesh implant over the posterior leaves of the sheath of the rectus abdominis muscles, suturing of the anterior leaves of the rectus abdominis muscles with a continuous oblique suture were performed. During the surgical intervention, 2 PDS-2 threads and one 10x15 cm mesh implant were used.

The hospital stay was 6+-3 days. In 6% of cases, postoperative complications were observed in the form of seroma of the postoperative wound, patients left the hospital with recommendations to limit physical activity for 1.5 months. During the postoperative observation period, recurrent hernial defects were noted in 4 patients.

Original repair of anterior abdominal wall using the technique of immersion of the hernial sac, installation of a mesh implant retromuscularly is a reliable and effective way to eliminate defects of the anterior abdominal wall.