Method for the prevention of postoperative ventral hernias during surgical interventions on the anterior abdominal wall
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Department of Surgeons with Anesthesiology and Intensive Care, Kazakh-Russian Medical University, Almaty, Kazakhstan
Department of General Surgery, Kazakh-Russian Medical University, Almaty, Kazakhstan
Valentine Madyarov   

Department of Surgeons with Anesthesiology and Intensive Care, Kazakh-Russian Medical University, 050004, 71 Torekul Str., Almaty, Republic of Kazakhstan
Submission date: 2020-01-23
Final revision date: 2020-06-23
Acceptance date: 2020-06-23
Online publication date: 2020-09-09
Pol. Ann. Med. 2020;27(2):103–107
ostoperative ventral hernia (PVH) is a protrusion of the abdominal organs (intestinal loops, omentum, etc.) beyond the abdominal wall through a postoperative space or a scar. Prevention and treatment of external abdominal hernias is one of the urgent problems of modern surgery. PVH is a serious late complication following surgery found in 5%–14% of patients.

The aim of the study was to define the most important measures to prevent the occurrence of ventral hernia relapses, as well as to predict the occurrence or relapse by determining collagen content.

Material and methods:
The main objective of the study was to formulate the main preventive measures of ventral hernia relapses using a method to determine collagen content. Ultrasound examination of the abdominal cavity was used as one of the safest and most advanced diagnostic methods for PVH diagnostics. During the study, a retrospective analysis of 277 case records was used to determine the main causes of ventral hernia relapses and justify the need to prevent PVH relapses.

Results and discussion:
In this study, the authors try to develop a scheme for optimal postoperative rehabilitation of the patients to prevent ventral hernia relapses, ways to prevent PVH recurrences in the experiment and to determine the relationship between the risk of PVH and relapses associated with collagen. A comprehensive study consisting of three stages was conducted.

As a result, a conceptual model was developed to improve the prevention of PVH and its relapses.

Authors declare that they have no conflict of interest.
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