Sherstiuk S. O., Gaft K. L., Panov S. I., Nakonechna S. A., Khramova T. O., Zotova A. B., Sydorenko R. V.

ANALYSIS OF COMPLICATIONS OF ALLOPLASTY FOR ANTERIOR ABDOMINAL WALL HERNIAS IN ANATOMICAL AND PHYSIOLOGICAL ASPECTS

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About the author:

Sherstiuk S. O., Gaft K. L., Panov S. I., Nakonechna S. A., Khramova T. O., Zotova A. B., Sydorenko R. V.

Heading:

MORPHOLOGY

Type of article:

Scientific article

Annotation:

This article presents a comparative evaluation of hernia defect repair using a specialized polypropylene mesh implant, which ensures the elasticity of the abdominal wall and significantly reduces the risk of hernia recurrence compared to repair using local tissues. The article emphasizes the main principles of anterior abdominal wall her- nia treatment, including minimal invasiveness, reduction of recurrence risk, patient comfort, and rapid recovery. Therefore, modern hernia surgery aims to identify the most suitable defect closure techniques for each patient using minimally invasive laparoscopic methods. The aim of the study – to analyze the nature and clinical cases of complications following anterior abdominal wall alloplasty in patients operated on using various techniques, and to determine the long-term outcomes of different plastic surgery methods for the abdominal wall. This study includes an analysis of surgical treatment outcomes in patients operated on over a three-year obser- vation period for various abdominal wall defects. All patients were divided into groups based on age and the type of rectus diastasis. They underwent allohernioplasty using Inlay or Sublay techniques with mesh placement, or purely laparoscopic methods. The study concludes that postoperative complications constitute a complex symptom complex of bodily changes in operated patients that may pose a threat to health or life. Classical alloplasty techniques enable the elimination of most abdominal wall defects. The identified early postoperative complications include acute cardiopulmonary insufficiency, pneumonia, increased intra-abdominal pressure, prolonged mechanical ventilation, and pulmonary artery thromboembolism. Alloplasty is the method of choice for surgical treatment of abdominal hernias, due to a significant reduction in recurrence rates and improved postoperative outcomes in patients with comorbid conditions.

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Bibliography:

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Publication of the article:

«Bulletin of problems biology and medicine», Issue 2,177, 437-445 pages, index UDC 617.55-001.7-089.844-06

DOI:

10.29254/2077-4214-2025-2-177-437-445