Dehiscence of Laparotomy Wound, Gangrenous Postoperative Ventral Hernia (Diagnosis)
Conditions
Keywords
Postoperative ventral hernia, eventrat, defects of the fascia, laparotomic wound suture, preventive prosthetics of a laparotomic wound
Brief summary
The research is aimed at identifying factors of herniation after median laparotomy and developing surgical methods for preventing postoperative ventral hernias and eventrations.
Detailed description
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.
Interventions
PROCEDURESuturing of a laparotomic wound with modified methods
Suturing the white line of the abdomen with the help of developed techniques aimed at preventing hernias and eventrations
Sponsors
Ryazan State Medical University
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
1. Patients of both sexes aged 18 years and older who are expected to perform median laparotomy on a planned or emergency basis. 2. Patients who have signed an informed consent to participate in the study, after the purpose and meaning of the study have been explained to them. 3. Patients who follow the doctor's instructions.
Exclusion criteria
1. The death of the patient. 2. Stage IV cancer 3. Hernia repair with hernioplasty, including simultaneous surgery 4. Refusal of the patient to cooperate with the researcher.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Wound complications | 2 weeks | Frequency of wound complications in the early postoperative period. |
| Eventration | 2 weeks | Frequency of events in the early postoperative period |
| Pain syndrome | 2 year | The severity of pain syndrome in the postoperative scar after midline laparotomy using a verbal scale of pain syndrome |
| Postoperative ventral hernia | 2 year | Frequency of postoperative ventral hernia in the late postoperative period |
| Defects in the aponeurosis | 2 year | Frequency of aponeurosis defects in the late postoperative period |
Countries
Russia
Outcome results
None listed