[Preventive abdominal wall reconstruction in patients with risk factors of eventration undergoing emergency abdominal surgery]. / Preventivnoe endoprotezirovanie bryushnoi stenki u ekstrennykh bol'nykh s riskom razvitiya eventratsii.

OBJECTIVE: To prevent eventration via preventive abdominal wall reconstruction in patients with risk factors of eventration undergoing emergency abdominal surgery. MATERIAL AND METHODS: Treatment results in 120 patients with risk factors of eventration undergoing emergency abdominal surgery were retrospectively analyzed. Patients were divided into 2 groups by 60 people. In the first group, traditional layer-by-layer suturing of the abdominal wall was performed. Preventive abdominal wall reconstruction with a standard polypropylene prosthesis was applied in the second group. We assessed postoperative complications and mortality. RESULTS: The following risk factors of eventration were detected: elderly and senile age (82.5%), long laparotomy (72.5%), decompensated comorbidities (62.5%), widespread peritonitis (52.5%), intestinal obstruction (42.5%), severe internal bleeding (12.5%), disseminated cancer (12.5%), obesity grade 3-4 (10%). In the first group, postoperative morbidity and mortality were 61.7% (n=37) and 13.3%, in the second group - 25% (n=15) and 8.3%, respectively. CONCLUSION: Preventive abdominal wall reconstruction is advisable in patients with risk factors of eventration.

[The efficiency of antiadhesive means with "mezogel" having a barrier effect after dissection of the adhesions in patients with acute adhesive intestinal obstruction].

An antiadhesive absorbable means "Mezogel" produced by the firm "Lintex" (St. Petersburg) after intraperitoneal administration to animals in experiments was shown to reliably effectively reduce the degree of a recurrent adhesion process, and in 40% of the cases to completely prevent repeated formation of adhesions in the abdominal cavity. The use of "Mezogel" for intraperitoneal administration after dissection of adhesions in patients with acute adhesive intestinal obstruction results in relieving the course of the nearest and long term postoperative periods and reducing the number of recurrences, thus improving quality of life of the patients.