Current trends in diagnostic and treatment tactics in patients with strangulated ventral hernias

Authors

DOI:

https://doi.org/10.14739/2310-1210.2021.4.232565

Keywords:

strangulated ventral hernia, herniorraphy, implant, treatment tactics

Abstract

The aim of the work. To analyze the world achievements in modern diagnostic and treatment tactics in patients with strangulated ventral hernias, as well as to outline promising and pragmatic directions for further research.

The literature review presents current trends and views on the choice of individual components of the integrated diagnostic approach in patients with strangulated ventral hernias, and focuses on various principles of therapeutic tactics. The need to further improve the examination methods of abdominal organs, anterior abdominal wall, hernia contents (polypositional roentgenoscopy or roentgenography, ultrasound, CT, MRI) is emphasized and prospects of allohernioplasty and videolaparoscopic technologies with an integrated approach in choosing the method for correction or reconstruction of abdominal wall depending on the prognostic risk factors of postoperative complications are substantiated. Comparison of individual priorities of planned hernia surgery provided the opportunity to define the main directions in terms of urgent medical treatment features for patients with strangulated ventral hernias, taking into account a phasal nature of the pathological process and the availability and applicability of various synthetic implants.

The literature analysis allowed for enough critical evaluation of the current state of tension-free allohernioplasty – the main fundamental principle of modern urgent surgery for ventral hernias and determining the main pragmatic directions of a selective approach in choosing the therapeutic tactics for patients with infected surgical wound.

Conclusions. Urgent surgery of strangulated ventral hernias requires adequate and timely provision of individual and differentiated approaches in choosing the volume and method of surgery. Improvement of methods for predicting and preventing complications in patients with strangulated ventral hernias will expand the indications for the use of advanced types of tension-free hernioplasty.

Author Biographies

B. I. Slonetskyi, Bohomolets National Medical University, Kyiv, Ukraine

MD, PhD, DSc, Professor of the Surgery Department of the Dental Faculty

М. I. Tutchenko, Bohomolets National Medical University, Kyiv, Ukraine

MD, PhD, DSc, Professor, Head of the Surgery Department of the Dental Faculty

I. V. Verbytskyi, Shupyk National Healthcare University of Ukraine, Kyiv

MD, PhD, Associate Professor of the Department of Emergency Medicine

V. O. Kotsiubenko, Kyiv City Clinical Emergency Hospital, Kyiv, Ukraine

Surgeon

References

Ivanov, Y. V., Tеrekhin, A. A., Shablovsky, O. R., & Panchenkov, D. N. (2017). Laparoskopicheskaya allogernioplastika posleoperatsionnykh ventral'nykh gryzh [Allohernioplasty Laparoscopic Postoperative Ventral Hernias]. Vestnik eksperimental'noi i klinicheskoi khirurgii, 10(1), 10-20. https://doi.org/10.18499/2070-478X-2017-10-1-10-20 [in Russian].

Legros-Lefeuvre, A., Clair, C., Schwarz, J., Schäfer, M., Demartines, N., & Mantziari, S. (2020). Hernie inguino-fémorale chez les femmes : spécificités de prise en charge [Groin hernia in female patients: sex-specific management]. Revue medicale suisse, 16(699), 1305-1309.

Mnari, W., Hmida, B., Maatouk, M., Zrig, A., & Golli, M. (2019). Strangulated obturator hernia: a case report with literature review. Pan African Medical Journal, 32, Article 144. https://doi.org/10.11604/pamj.2019.32.144.14846

Tebala, G. D., Yee, J., & Kola-Adejumo, A. (2019). Laparohernioscopic right colectomy for bowel ischaemia within a strangulated inguinal hernia. Annals of the Royal College of Surgeons of England, 101(5), e125-e127. https://doi.org/10.1308/rcsann.2019.0043

Axman, E., Holmberg, H., Nordin, P., & Nilsson, H. (2020). Chronic pain and risk for reoperation for recurrence after inguinal hernia repair using self-gripping mesh. Surgery, 167(3), 609-613. https://doi.org/10.1016/j.surg.2019.11.011

Schneeberger, S. J., Kraft, C. T., & Janis, J. E. (2020). No-Touch Technique of Mesh Placement in Ventral Hernia Repair: Minimizing Postoperative Mesh Infections. Plastic and Reconstructive Surgery, 145(5), 1288-1291. https://doi.org/10.1097/PRS.0000000000006767

Hope, W. W., Cobb, W. S., & Adrales, G. L. (Eds.). (2017). Textbook of Hernia. Springer International Publishing. https://doi.org/10.1007/978-3-319-43045-4

Bakker, W. J., Aufenacker, T. J., Boschman, J. S., & Burgmans, J. (2020). Lightweight mesh is recommended in open inguinal (Lichtenstein) hernia repair: A systematic review and meta-analysis. Surgery, 167(3), 581-589. https://doi.org/10.1016/j.surg.2019.08.021

Ran, K., Wang, X., & Zhao, Y. (2020). Open tensionless repair techniques for inguinal hernia: a meta-analysis of randomized controlled trials. Hernia, 24(4), 733-745. https://doi.org/10.1007/s10029-019-02106-4

Abalyan, A. K., Aydemirov, A. N., Vafin, A. Z., Mashurova, E. V., & Aydemirova, E. A. (2019). Nash opyt lecheniya posleoperatsionnykh ventral'nykh gryzh [Our experience of treatment of incisional ventral hernias]. Meditsinskii vestnik Severnogo Kavkaza, 14(1.1), 19-21. https://doi.org/10.14300/mnnc.2019.14039 [in Russian].

Pyatnochko, V. I. (2017). Nevyrisheni pytannia khirurhichnoho likuvannia khvorykh na pisliaoperatsiinu ventralnu hryzhu za umov komorbidnosti [Outstanding issues of surgical treatment of postoperative ventral hernias under comorbidity]. Visnyk naukovykh doslidzhen, (1), 11-15. https://doi.org/10.11603/2415-8798.2017.1.7348 [in Ukrainian].

Degovtsov, E. N., Kolyadko, P. V., Kolyadko, V. P., & Satinov, A. V. (2018). Rezul'taty khirurgicheskogo lecheniya bol'nykh s bol'shimi i slozhnymi posleoperatsionnymi gryzhami perednei bryushnoi stenki v usloviyakh mnogoprofil'nogo statsionara [The results of surgical treatment of patients with large and complex incisional hernias of the anterior abdominal wall in a multidisciplinary hospital]. Byulleten' sibirskoi meditsiny, 17(3), 35-44. https://doi.org/10.20538/1682-0363-2018-3-35-44 [in Russian].

Perez, A. J., Strassle, P. D., Sadava, E. E., Gaber, C., & Schlottmann, F. (2020). Nationwide Analysis of Inpatient Laparoscopic Versus Open Inguinal Hernia Repair. Journal of Laparoendoscopic & Advanced Surgical Techniques, 30(3), 292-298. https://doi.org/10.1089/lap.2019.0656

Öberg, S., Andresen, K., Nilsson, H., Angenete, E., & Rosenberg, J. (2020). Chronic pain after two laparoendoscopic inguinal hernia repairs compared with laparoendoscopic repair followed by the Lichtenstein repair: an international questionnaire study. Surgical Endoscopy, 34(2), 946-953. https://doi.org/10.1007/s00464-019-06853-4

Kotaška, K., Polák, M., Brisuda, A., & Průša, R. (2020). Polycyanoacrylate (super glue) as bladder concretion in a patient after bilateral inguinal hernioplasty. Annals of Clinical Biochemistry, 57(4), 328-331. https://doi.org/10.1177/0004563220916758

Edelman, D. S. (2020). Robotic Inguinal Hernia Repair. Surgical Technology International, 36, 99-104.

Saito, T., Fukami, Y., Uchino, T., Kurahashi, S., Matsumura, T., Osawa, T., Arikawa, T., Komatsu, S., Kaneko, K., & Sano, T. (2020). Preliminary results of robotic inguinal hernia repair following its introduction in a single-center trial. Annals of Gastroenterological Surgery, 4(4), 441-447. https://doi.org/10.1002/ags3.12341

Olavarria, O. A., Bernardi, K., Shah, S. K., Wilson, T. D., Wei, S., Pedroza, C., Avritscher, E. B., Loor, M. M., Ko, T. C., Kao, L. S., & Liang, M. K. (2020). Robotic versus laparoscopic ventral hernia repair: multicenter, blinded randomized controlled trial. BMJ, 370, Article m2457. https://doi.org/10.1136/bmj.m2457

Voeller, G. (2018). Comment to: What is the evidence for the use of biologic or biosynthetic meshes in abdominal wall reconstruction. F. Köckerling, N. N. Alam, S. A. Antoniou, I. R. Daniels, F. Famiglietti, R. H. Fortelny, M. M. Heiss, F. Kallinowski, I. Kyle-Leinhase, F. Mayer, M. Miserez, A. Montgomery, S. Morales-Conde, F. Muysoms, S. K. Narang, A. Petter-Puchner, W. Reinpold, H. Scheuerlein, M. Smietanski, B. Stechemesser, C. Strey, G. Woeste, N. J. Smart. Hernia, 22(2), 271-272. https://doi.org/10.1007/s10029-018-1736-x

Pandey, H., Thakur, D. S., Somashekar, U., Kothari, R., Agarwal, P., & Sharma, D. (2018). Use of polypropylene mesh in contaminated and dirty strangulated hernias: short-term results. Hernia, 22(6), 1045-1050. https://doi.org/10.1007/s10029-018-1811-3

Minnullin, M. M., Krasilnikov, D. M., Zaynullin, I. V., & Tolstikov, A. P. (2016). Khirurgicheskaya taktika pri ushchemlennykh posleoperatsionnykh ventral'nykh gryzhakh, oslozhnennykh kishechnoi neprokhodimost'yu [Surgical tactics in strangulated postoperative ventral hernias complicated with intestinal obstruction]. Innovatsionnye tekhnologii v meditsine, 1(4), 130-133. [in Russian].

Podoluzhny, V. I., Shabalina, O. V., Oorzhak, O. V., & Lesnikov, S. M. (2017). Kharakteristika dinamiki ob"emov i struktury khirurgicheskogo lecheniya bol'nykh s ushchemlennymi gryzhami zhivota [Characteristics of the dynamics of the volumes and structure in surgical treatment of patients with strangulated abdominal hernia]. Sibirskoe meditsinskoe obozrenie, (3), 38-42. https://doi.org/10.20333/2500136-2017-3-38-42 [in Russian].

Koyama, M., Miyagawa, Y., Yamamoto, Y., Kitazawa, M., Suzuki, A., Ishizone, S., & Miyagawa, S. (2017). Surgery for chronic mesh infection occurred 10 years after sacrectomy - Mesh resection and mesentric leaf repair: A case report. International Journal of Surgery Case Reports, 30, 215-217. https://doi.org/10.1016/j.ijscr.2016.10.057

Karimov, Sh. I., Khakimov, M. Sh., Berkinov, U. B., Sattarov, O. T., & Imamov, A. A. (2017). Vozmozhnosti videolaparoskopii v diagnostike i lechenii pakhovykh gryzh v ekstrennoi khirurgii [Scope of videolaparoscopy in the diagnosis and treatment of inguinal hernia in emergency surgery]. Vestnik ekstrennoi meditsiny, 11(3), 34-37. [in Russian].

Sigua, B. V., Zemlyanoy, V. P., Petrov, S. V., Rutenburg, G. M., & Kozobin, A. A. (2017). Puti uluchsheniya rezul'tatov lecheniya patsientov s ushchemlennymi pakhovymi gryzhami [Methods of improvement of treatment results in patients with strangulated inguinal hernias]. Vestnik khirurgii, 176(4), 83-86. https://doi.org/10.24884/0042-4625-2017-176-4-83-86 [in Russian].

Vorovskiy, O. O., Shaprynskyі, V. O., Yatskov, D. A., & Zaki, N. N. (2016). Laparoskopichna hernioplastyka u likuvanni zashchemlenykh hryzh u khvorykh pokhyloho ta starechoho viku [Laparoscopic hernioplasty in the treatment of patients with strangulated hernia in elderly and people old]. Shpytalna khirurhiia. Zhurnal imeni L. Ya. Kovalchuka, (2), 81-84. https://doi.org/10.11603/2414-4533.2016.2.6419 [in Ukrainian].

Kafadar, M. T., & Gök, M. A. (2018). Laparoscopic transabdominal preperitoneal repair of strangulated femoral hernia: Superiority of an unusual emergency surgical approach due to a case. Annals of Medicine and Surgery, 36, 110-112. https://doi.org/10.1016/j.amsu.2018.10.014

Joe, C., Gowda, V., & Koganti, S. (2019). Laparoscopic assisted repair of strangulated obturator hernia - Way to go. International Journal of Surgery Case Reports, 61, 246-249. https://doi.org/10.1016/j.ijscr.2019.07.029

Leuchter, M., Klar, E., & Philipp, M. (2020). Die demografische Perspektive auf maßgeschneiderte Therapieansätze: Eine Analyse der Lebensqualität am Beispiel der Leistenhernie. Der Chirurg, 91(1), 60-66. https://doi.org/10.1007/s00104-019-01049-x

Lubowiecka, I., Tomaszewska, A., Szepietowska, K., Szymczak, C., & Śmietański, M. (2020). In vivo performance of intraperitoneal onlay mesh after ventral hernia repair. Clinical Biomechanics, 78, Article 105076. https://doi.org/10.1016/j.clinbiomech.2020.105076

Scaravonati, R., Diaz, E., Roche, S., Bertone, S., & Brandi, C. (2020). Strategies for follow up after hernia surgery during COVID 19 Pandemia. International Journal of Surgery, 79, 103-104. https://doi.org/10.1016/j.ijsu.2020.05.051

Published

2021-07-01

How to Cite

1.
Slonetskyi BI, Tutchenko МI, Verbytskyi IV, Kotsiubenko VO. Current trends in diagnostic and treatment tactics in patients with strangulated ventral hernias. Zaporozhye medical journal [Internet]. 2021Jul.1 [cited 2024Mar.29];23(4):583-9. Available from: http://zmj.zsmu.edu.ua/article/view/232565

Issue

Section

Review