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[Treatment of postoperative ventral hernias with the use of mesh implants made of titanium thread]
R H Azimov1, T Z Akhmedov2, F S Kurbanov2
1Central Clinical Hospital of the Russian Academy of Sciences, Moscow, Moscow, Russia.
Aim:
Study of the results of the use of titanium thread mesh implants in the treatment of postoperative ventral hernias.
Methods:
The study included 84 patients with postoperative ventral hernias. All performed open-access prosthetic hernioplasty. 2 groups were formed: the main group consisted of 32 patients who used a mesh implant made of titanium thread as an implant, the comparison group consisted of 52 patients whose hernioplasty was performed using a polypropylene mesh implant. There were no statistically significant differences between groups of patients by age, gender, average body mass index, risk class of anesthesia (ASA), size and location of hernias.
Results:
The frequency of postoperative complications in the main group was 6.2%, in the comparison group - 3.8%. There were no statistically significant differences in this indicator between the groups. At the time of discharge from the hospital, the level of plasma C-reactive protein in patients of the main group was significantly lower than in patients of the comparison group.
Conclusion:
The use of titanium thread mesh implants in the treatment of postoperative ventral hernias is accompanied by a less inflammatory response of the body to the implant and does not lead to an increase in the frequency of postoperative complications.
