TY - JOUR

T1 - Сравнительная оценка результатов открытой и эндовидеохирургической ретромускулярной герниопластики вентральных грыж

AU - Коптеев, Никита Романович

AU - Овчинников, Тимофей Сергеевич

AU - Лодыгин, Александр Владимирович

AU - Кащенко, Виктор Анатольевич

PY - 2023

Y1 - 2023

N2 - The objective: to conduct a comparative analysis of the immediate and long-term results of open and endovideosurgical retromus-cular hernioplasty for primary and postoperative ventral hernias. Material and methods. A prospective single-center study was carried out based on Sokolov North-Western Regional Scientific and Clinical Center. The study included 97 patients with ventral hernias (primary — 48 patients and postoperative — 49 patients) who underwent open Sublay hernioplasty and eTEP access. Hernioplasty in the volume of eTEP-RS was performed in 50 patients, and open Sublay hernioplasty was performed in 47 patients. Results. Endovideosurgical retromuscular hernioplasty takes much more time than open surgery. The length of stay in the hospital after the eTEP technique was less than bed-days than after open surgery. Assessing the pain syndrome on the NRS scale after applying the minimally invasive technique using the eTEP access, patients noted less pain syndrome in the postoperative period than after the Sublay operation. According to the results of comparison of postoperative complications, the use of endovideosur-gical technique is associated with a lower incidence of complications than open surgery. In the group of patients with endovideo-surgical operation, the recovery of functional abilities occurred much faster, and pain after discharge was practically not observed. The endovideosurgical technique is associated with a lower recurrence rate than open Sublay surgery. Conclusions. The use of eTEP RS technology, compared with traditional open hernioplasty, is a safe and promising technique in ventral hernia surgery. Further research is needed to more accurately determine the place of eTEP technology in herniological practice.

AB - The objective: to conduct a comparative analysis of the immediate and long-term results of open and endovideosurgical retromus-cular hernioplasty for primary and postoperative ventral hernias. Material and methods. A prospective single-center study was carried out based on Sokolov North-Western Regional Scientific and Clinical Center. The study included 97 patients with ventral hernias (primary — 48 patients and postoperative — 49 patients) who underwent open Sublay hernioplasty and eTEP access. Hernioplasty in the volume of eTEP-RS was performed in 50 patients, and open Sublay hernioplasty was performed in 47 patients. Results. Endovideosurgical retromuscular hernioplasty takes much more time than open surgery. The length of stay in the hospital after the eTEP technique was less than bed-days than after open surgery. Assessing the pain syndrome on the NRS scale after applying the minimally invasive technique using the eTEP access, patients noted less pain syndrome in the postoperative period than after the Sublay operation. According to the results of comparison of postoperative complications, the use of endovideosur-gical technique is associated with a lower incidence of complications than open surgery. In the group of patients with endovideo-surgical operation, the recovery of functional abilities occurred much faster, and pain after discharge was practically not observed. The endovideosurgical technique is associated with a lower recurrence rate than open Sublay surgery. Conclusions. The use of eTEP RS technology, compared with traditional open hernioplasty, is a safe and promising technique in ventral hernia surgery. Further research is needed to more accurately determine the place of eTEP technology in herniological practice.

KW - Sublay

KW - Ventral hernia

KW - eTEP

KW - retromuscular mesh placement

UR - https://www.mendeley.com/catalogue/5f5e6c5c-fbbf-3a6f-8ab0-a81bf5e0187d/

U2 - 10.17116/endoskop20232903115

DO - 10.17116/endoskop20232903115

M3 - статья

VL - 29

SP - 15

EP - 22

JO - Endoscopic Surgery

JF - Endoscopic Surgery

SN - 1025-7209

IS - 3

ER -