Preventive abdominal wall repair in high-risk groups of postoperative ventral hernia

Abstract

Aim — to identify the most important predictors of postoperative hernia and to determine the indications for preventive surgical repair of abdominal wall. Material and methods. Prospective analysis included 398 medical records of patients who underwent median laparotomy. Experimental tensiometry was applied to determine strength of intact fascia. Results. The main predictors of postoperative hernia are age over 60 years, obesity, upper median laparotomy, connective tissue insufficiency. Combination of factors increases the risk of hernia. The most «intense» foci of aponeurosis is middle portion of epigastric and initial part of mesogastric areas. You need to consider this features during laparotomy closure. Conclusion. Preventive repair may be an effective method for prophylaxis of postoperative hernia after median laparotomy.