[Prevention of eventration in diffuse suppurative processes in small pelvis]

Area of Science:

• Gynecological surgery
• Surgical complications
• Abdominal wall closure

Background:

• Postoperative eventration is a significant complication in gynecological surgery.
• Managing severe pelvic infections, such as purulent uterine disease with diffuse peritonitis, presents surgical challenges.
• Standard abdominal wall closure techniques may be insufficient in high-risk patients.

Purpose of the Study:

• To evaluate the efficacy of coaptation removable sutures in preventing postoperative eventrations.
• To assess a novel operative technique for abdominal wall closure in complex gynecological cases.
• To reduce the incidence of wound complications in patients with severe pelvic infections.

Main Methods:

• Application of coaptation removable sutures during operations for severe pelvic infections.
• Suturing technique involving all layers of the abdominal wall.
• Prospective evaluation of 39 patients undergoing these procedures.

Main Results:

• No instances of postoperative eventration were observed in the study cohort.
• Zero cases of surgical wound abscesses were reported among the 39 patients.
• The advanced suturing technique demonstrated high efficacy in preventing incisional complications.

Conclusions:

• Coaptation removable sutures are an effective method for preventing postoperative eventrations in gynecological practice.
• The advanced operative technique for abdominal wall closure is highly efficacious in high-risk patients.
• This approach significantly reduces the risk of eventration and wound abscesses following complex gynecological surgeries.