Prevention of Postoperative Wound Complications in Rappeded Abdominal Hernia

Abstract

The results of surgical treatment of 225 patients for strangulated abdominal hernia were analyzed, including 127 in the main group and 98 in the control group. In order to prevent postoperative wound complications, the authors for the first time used the method of photodynamic debridement of the wound during the operation with the photosensitizer of methylene blue. In the control group, dioxidine solution was used for the rehabilitation of the surgical wound. The optimal concentration of methylene blue, exposure time, LED radiation modes were determined. The developed method of prophylaxis made it possible to reduce postoperative wound complications, to shorten the average length of hospital stay. The proposed method allowed the authors to use prosthetic hernia repair with a polypropylene mesh in case of a strangulated hernia in conditions of infection. The optimal surgical tactics were proposed depending on the duration of the infringement and the presence of risk factors for the occurrence of postoperative complications.