[Intraabdominal pressure control by hernia repair]

Area of Science:

• Surgical innovation
• Abdominal pressure dynamics
• Hernia repair techniques

Background:

• Indirect measurement of intraabdominal pressure is crucial for effective hernia repair.
• Current methods may lack precision in assessing pressure gradients during and after repair.
• Optimizing preoperative preparation and surgical tools can improve patient outcomes.

Purpose of the Study:

• To investigate methods for indirect abdominal pressure measurement in hernia repair.
• To develop and evaluate a comprehensive preoperative patient preparation protocol.
• To establish safe intraabdominal pressure gradients post-hernia closure and introduce novel surgical devices.

Main Methods:

• Experimental and clinical studies on indirect abdominal pressure measurement techniques.
• Development of a preoperative patient preparation complex utilizing a pneumobandage.
• Design and implementation of a pressure pad for autodermal transplant preparation.
• Construction of a new device with a dynamometer for wound edge adaptation and repositioning.

Main Results:

• A comprehensive preoperative patient preparation protocol using a pneumobandage was successfully created.
• The safe range for intraabdominal pressure gradients following hernia closure was determined.
• A novel pressure pad and a dynamometer-equipped device for wound edge management were developed and integrated into surgical practice.

Conclusions:

• The developed pneumobandage preparation complex enhances patient readiness for hernia repair.
• Defined safe intraabdominal pressure gradients aid in preventing complications post-hernia closure.
• The new surgical instruments improve the adaptation and repositioning of wound edges, potentially leading to better surgical outcomes.