Complications, caused by application of the net implants in the hiatal hernias plasty
Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
V. V. Grubnik [verfasserIn] Ya. S. Bereznytskyi [verfasserIn] V. V. Ilyashenko [verfasserIn] V. V. Grubnyk [verfasserIn] D. V. Korchovyi [verfasserIn] O. M. Kiosov [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Russisch ; Ukrainisch |
| Erschienen: |
2022 |
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| Schlagwörter: |
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| Übergeordnetes Werk: |
In: Клінічна хірургія - Liga-Inform ltd., 2018, 89(2022), 3-4, Seite 35-39 |
|---|---|
| Übergeordnetes Werk: |
volume:89 ; year:2022 ; number:3-4 ; pages:35-39 |
| Links: |
Link aufrufen |
|---|
| DOI / URN: |
10.26779/2522-1396.2022.3-4.35 |
|---|
| Katalog-ID: |
DOAJ089429516 |
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| 520 | |a Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. | ||
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10.26779/2522-1396.2022.3-4.35 doi (DE-627)DOAJ089429516 (DE-599)DOAJ76687471f88b42a089718f1380356577 DE-627 ger DE-627 rakwb rus ukr RD1-811 V. V. Grubnik verfasserin aut Complications, caused by application of the net implants in the hiatal hernias plasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. hiatal hernia the net implants complications Surgery Ya. S. Bereznytskyi verfasserin aut V. V. Ilyashenko verfasserin aut V. V. Grubnyk verfasserin aut D. V. Korchovyi verfasserin aut O. M. Kiosov verfasserin aut In Клінічна хірургія Liga-Inform ltd., 2018 89(2022), 3-4, Seite 35-39 (DE-627)1694820319 25221396 nnns volume:89 year:2022 number:3-4 pages:35-39 https://doi.org/10.26779/2522-1396.2022.3-4.35 kostenfrei https://doaj.org/article/76687471f88b42a089718f1380356577 kostenfrei https://hirurgiya.com.ua/index.php/journal/article/view/1017 kostenfrei https://doaj.org/toc/0023-2130 Journal toc kostenfrei https://doaj.org/toc/2522-1396 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 89 2022 3-4 35-39 |
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10.26779/2522-1396.2022.3-4.35 doi (DE-627)DOAJ089429516 (DE-599)DOAJ76687471f88b42a089718f1380356577 DE-627 ger DE-627 rakwb rus ukr RD1-811 V. V. Grubnik verfasserin aut Complications, caused by application of the net implants in the hiatal hernias plasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. hiatal hernia the net implants complications Surgery Ya. S. Bereznytskyi verfasserin aut V. V. Ilyashenko verfasserin aut V. V. Grubnyk verfasserin aut D. V. Korchovyi verfasserin aut O. M. Kiosov verfasserin aut In Клінічна хірургія Liga-Inform ltd., 2018 89(2022), 3-4, Seite 35-39 (DE-627)1694820319 25221396 nnns volume:89 year:2022 number:3-4 pages:35-39 https://doi.org/10.26779/2522-1396.2022.3-4.35 kostenfrei https://doaj.org/article/76687471f88b42a089718f1380356577 kostenfrei https://hirurgiya.com.ua/index.php/journal/article/view/1017 kostenfrei https://doaj.org/toc/0023-2130 Journal toc kostenfrei https://doaj.org/toc/2522-1396 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 89 2022 3-4 35-39 |
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10.26779/2522-1396.2022.3-4.35 doi (DE-627)DOAJ089429516 (DE-599)DOAJ76687471f88b42a089718f1380356577 DE-627 ger DE-627 rakwb rus ukr RD1-811 V. V. Grubnik verfasserin aut Complications, caused by application of the net implants in the hiatal hernias plasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. hiatal hernia the net implants complications Surgery Ya. S. Bereznytskyi verfasserin aut V. V. Ilyashenko verfasserin aut V. V. Grubnyk verfasserin aut D. V. Korchovyi verfasserin aut O. M. Kiosov verfasserin aut In Клінічна хірургія Liga-Inform ltd., 2018 89(2022), 3-4, Seite 35-39 (DE-627)1694820319 25221396 nnns volume:89 year:2022 number:3-4 pages:35-39 https://doi.org/10.26779/2522-1396.2022.3-4.35 kostenfrei https://doaj.org/article/76687471f88b42a089718f1380356577 kostenfrei https://hirurgiya.com.ua/index.php/journal/article/view/1017 kostenfrei https://doaj.org/toc/0023-2130 Journal toc kostenfrei https://doaj.org/toc/2522-1396 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 89 2022 3-4 35-39 |
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10.26779/2522-1396.2022.3-4.35 doi (DE-627)DOAJ089429516 (DE-599)DOAJ76687471f88b42a089718f1380356577 DE-627 ger DE-627 rakwb rus ukr RD1-811 V. V. Grubnik verfasserin aut Complications, caused by application of the net implants in the hiatal hernias plasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. hiatal hernia the net implants complications Surgery Ya. S. Bereznytskyi verfasserin aut V. V. Ilyashenko verfasserin aut V. V. Grubnyk verfasserin aut D. V. Korchovyi verfasserin aut O. M. Kiosov verfasserin aut In Клінічна хірургія Liga-Inform ltd., 2018 89(2022), 3-4, Seite 35-39 (DE-627)1694820319 25221396 nnns volume:89 year:2022 number:3-4 pages:35-39 https://doi.org/10.26779/2522-1396.2022.3-4.35 kostenfrei https://doaj.org/article/76687471f88b42a089718f1380356577 kostenfrei https://hirurgiya.com.ua/index.php/journal/article/view/1017 kostenfrei https://doaj.org/toc/0023-2130 Journal toc kostenfrei https://doaj.org/toc/2522-1396 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 89 2022 3-4 35-39 |
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10.26779/2522-1396.2022.3-4.35 doi (DE-627)DOAJ089429516 (DE-599)DOAJ76687471f88b42a089718f1380356577 DE-627 ger DE-627 rakwb rus ukr RD1-811 V. V. Grubnik verfasserin aut Complications, caused by application of the net implants in the hiatal hernias plasty 2022 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. hiatal hernia the net implants complications Surgery Ya. S. Bereznytskyi verfasserin aut V. V. Ilyashenko verfasserin aut V. V. Grubnyk verfasserin aut D. V. Korchovyi verfasserin aut O. M. Kiosov verfasserin aut In Клінічна хірургія Liga-Inform ltd., 2018 89(2022), 3-4, Seite 35-39 (DE-627)1694820319 25221396 nnns volume:89 year:2022 number:3-4 pages:35-39 https://doi.org/10.26779/2522-1396.2022.3-4.35 kostenfrei https://doaj.org/article/76687471f88b42a089718f1380356577 kostenfrei https://hirurgiya.com.ua/index.php/journal/article/view/1017 kostenfrei https://doaj.org/toc/0023-2130 Journal toc kostenfrei https://doaj.org/toc/2522-1396 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ AR 89 2022 3-4 35-39 |
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Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden.</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">hiatal hernia</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">the net implants</subfield></datafield><datafield tag="650" ind1=" " ind2="4"><subfield code="a">complications</subfield></datafield><datafield tag="653" ind1=" " ind2="0"><subfield code="a">Surgery</subfield></datafield><datafield tag="700" ind1="0" ind2=" "><subfield code="a">Ya. S. 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Complications, caused by application of the net implants in the hiatal hernias plasty |
| abstract |
Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. |
| abstractGer |
Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. |
| abstract_unstemmed |
Objective. Studying of complications, connected with application of the net implants in patients with large hiatal hernias. Materials and methods. Retrospective investigation was conducted with objective to study complications, connected with application of the net implants in patients with large hiatal hernias, operated in the clinic during period from 2008 to 2018 yr. Of 1168 patients operated on and suffering gastro-esophageal reflux disease as well as hiatal hernias, 817 have had large hernias. In 353 patients with large hernias for strengthening of cruroraphy sutures the net implants were applied. There were used low-weighted implant-net Ultrapro, the composite net Parietex, self-fixating surgical net ProGrip, absorbable net Vicryl, polytetrafluoroethylene net with nitinol carcass, biological net Bio-A. All the patients symptoms were registered, and the quality of life studied. Results. Complications, caused by the net implants impact, were revealed in 17 (1.5%) patients. In all 17 patients the esophageal structuring have occurred due to pronounced cicatrization in region of the net implant installation. In 6 patients dysphagia due to the net ingrowth into esophageal tissue was observed, and in 2 – chronic inflammatory process in place of the net installation. One patient have had small esophageal perforation with restricted mediastinitis. In 3 patients, in whom the polytetrafluoroethylene nets were installed, their migration into esophageal lumen was revealed. Reoperations were done in all 17 patients. In 7 patients the net was removed completely. In 1 patient the net was removed and mediastinum drained. In 3 patients, in whom polytetrafluoroethylene nets have migrated into esophageal lumen, they were removed endoscopically with further installation of special stents. Results of reoperations were estimated as good in 15 patients. In 2 patients after reoperations dysphagia was observed, which needed a second time balloon dilatation and installation of stent in 1 of them. Conclusion. Nonabsorbable nets ought to be applied with high technical accuracy, it is necessary to prevent their contact with the esophagus. Application of the polytetrafluoroethylene nets with nitinol carcass for plasty of large hiatal hernias must be forbidden. |
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