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Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
Published on: December 23, 2022
[СOMPARISON OF LAPAROSCOPIC CRURORAPHY AND PLASTY, USING LIGHTWEIGHT NET TRANSPLANT IN LARGE HIATAL HERNIAS: REMOTE
Abstract:
Two procedures of laparoscopic plasty of large hiatal hernias (HH): cruroraphy (group I) and a two—layered plasty, using lightweight partially absorbable net (LPAN) Ultrapro (group II) were compared in prospective randomized investigation. The results of treat* ment were studied in terms from 24 to 27 mo, (24.4 ± 0.72) mo at average. The pure symptomatic anatomical recurrences rate, including those in conjunction with function* al recurrences, were trustworthily less in group II; duration of functional dysphagia (without stricture) did not differ in the groups trustworthily. Тhus, in large HH a two—lay* ered plasty conduction, using LPAN, permits to reduce the anatomical recurrences rate, not enhancing the complications rate, and it may be considered the operation of choice.
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