DETECTION OF HIGH-RISK PATIENTS IN THE PREVENTION OF POSTOPERATIVE HERNIA
Keywords:
postoperative hernia, risk factors, re-laparotomy, fascial decay, preventive grid.Abstract
The purpose of the study is to improve the quality of the life of patients by identifying the patients of the high-risk group, which can develop hernia in the postoperative period.
The development of postoperative hernias (PO) is a serious problem after abdominal operations, which leads to a decrease in the quality of life of patients and an increase in health costs. In our opinion, there are cases that deserve attention and requiring special attention: urgent laparotomy, repeated laparotomy, degree of contamination and removal of stoma. In our opinion, when closing the front abdominal wall during emergency laparotomy, re-laparotomy, contaminated or connected with a stoma operation, two points should be taken into account: the level of contamination and risk factors for the patient. We recommend considering the possibility of using the fascial dressings (FP) and the preventive mesh (PS) for prevention (PO) in a surgically contaminated or infected surgical field with focal sepsis in patients with Development Risk (PO). At least if the PS is not used, surgeons should try to gently close the laparotomy.
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