[REGIONAL LASER THERAPY IN TREATMENT OF PATIENTS WITH STRANGULATED VENTRAL HERNIA]

Area of Science:

• Surgical Innovation
• Medical Technology
• Regenerative Medicine

Context:

• Strangulated hernias of the anterior abdominal wall present significant surgical challenges.
• Postoperative complications and prolonged recovery impact patient morbidity and healthcare costs.
• Optimizing treatment strategies for these complex cases is crucial.

Purpose:

• To evaluate the efficacy of low-intensive laser radiation (LILR) combined with prosthetic hernioplasty in treating strangulated anterior abdominal wall hernias.
• To compare outcomes between patients receiving LILR and conventional treatment.
• To assess the role of computed thermography in monitoring postoperative wound complications.

Summary:

• A study of 265 patients with strangulated anterior abdominal wall hernias compared prosthetic hernioplasty with and without LILR.
• The LILR group (n=138) showed significantly reduced infectious complications (8.9% vs. 15.7-53.4%), shorter drainage times (4.2 vs. 8.1 days), and reduced hospital stays (6.2 vs. 11.6 days) compared to the control group (n=127).
• Computed thermography aided in early detection of wound complications, and no recurrences were observed in the LILR group.

Impact:

• LILR combined with prosthetic hernioplasty significantly improves both immediate and long-term results for strangulated hernias.
• This approach can reduce postoperative complications, pain, and recovery time, potentially achieving outcomes similar to elective surgeries.
• The findings support the integration of LILR and advanced diagnostics like computed thermography into surgical protocols for anterior abdominal wall hernias.