A METHOD OF INTRA-ABDOMINAL FIXATION OF COMBINED IMPLANT

Nikol'skiy Valeriy Isaakovich, Doctor of medical sciences, professor, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), pmisurg@gmail.com
Titova Ekaterina Valer'evna, Candidate of medical sciences, associate professor, sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), kineta@yandex.ru
Feoktistov Yaroslav Evgen'evich, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia),feoctistovi@gmail.com
Fedorova Mariya Gennad'evna, Candidate of medical sciences, associate professor, sub-department of clinical morphology with a course of oncology, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), marusa101@rambler.ru

617.55-007

10.21685/2072-3032-2017-2-3

Background. Prosthetic hernioplasty takes an important place in the treatment of postoperative ventral hernias. Intra-abdominal placement and fixation of the prosthesis has several advantages over other methods. The purpose of the study is toexperimentally study biointegration features of the combined ernioprosthesis fixed in the abdomen.
Materials and methods. The implant consists of the xenopericardial plate "Kardioplant", which has been widely used in herniology and polyester mesh. We have developed a method for fixing the combined intraperitoneal prosthesis and studied its interaction with the tissues of the anterior abdominal wall of rabbits in the experiment.
Results. For the entire period of observation there were no cases of graft rejection, infection or other complications. The adhesion of internal organs from the smooth surface of the implant was not observed. The granulation tissue with neoformed blood vessels was observed around the prosthesis in 60 days after implantation.

The first results of the experimental study have proved the method of fixation of the combined prosthesis to be safe for the intra-abdominal closure of abdominal wall defects

1. Egiev V. N. Gerniologiya [Herniology]. 2006, no. 2 (10), pp. 5–10.
2. Zhebrovskiy V. V. Khirurgiya gryzh zhivota i eventratsiy [Surgery of abdominal hernia and eventration]. Moscow: MIA, 2009, 440 p.
3. Nelyubin P. S., Galota E. A., Timoshin A. D. Khirurgiya [Surgery]. 2007, no. 7,pp. 9–74.
4. Yurasov A. V., Shestakov A. L., Kurashvili D. N., Abovyan L. A. Vestnik eksperimental'noĭ i klinicheskoĭ khirurgii [Bulletin of experimental and clinical surgery]. 2014, no. 4 (7), pp. 405–413.
5. Nikol'skiy V. I., Kalmin O. V., Titova E. V., Venediktov A. A., Fedorova M. G. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki [University proceedings. Volga region. Medical sciences]. 2012, no. 1 (21), pp. 11–17.
6. Belyaev A. N. Kurs lektsiy po obshchey khirurgii [A course of general surgery lectures]. Saransk: Mordovskiy gos. un-t im. N. P. Ogareva, 2005.
7. Mitroshin A. N., Sivakon' S. V., Mozerov S. A., Abdullaev A. K., Mitroshin M. A. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki [University proceedings. Volga region. Medical sciences]. 2010, no. 3 (15), pp. 35–43.
8. Nikol'skiy V. I., Titova E. V., Samorodova A. A., Feoktistov Ya. E. Novosti khirurgii [Surgical news]. 2016, no. 1, pp. 19–25
9. Vlasov A. P., Saraev V. V., Deryabin A. N. Khirurgiya–2004: V Rossiyskiy nauchnyy forum [Surgery-2004: V Russian Scientific Forum]. Moscow: MEDIEkspo, 2004, pp. 33–34.
10. Timoshin A. D., Yurasov A. V., Shestakov A. L. Khirurgicheskoe lechenie pakhovykh i posleoperatsionnykh gryzh bryushnoy stenki [Surgical treatment of inguinal and postoperative hernia of the abdominal wall]. Moscow: Triada-Kh, 2003, 144 p.
11. Gostevskoy A. A. Vestnik khirurgii [Bulletin fo surgery]. 2007, vol. 166, no. 4, pp. 114–117.
12. Moshkova T. A., Vasil'ev S. V., Oleynik V. V., Morozov A. B. Vestnik khirurgii im. I. I. Grekova [Bulletin fo surgery named after I.I. Grekov]. 2007, vol. 166, no. 2, pp. 78–81.
13. Khubutiya M. Sh., Yartsev P. A., Rogal' M. L., Lebedev A. G., Raskatova E. V. Khirurgiya [Surgery]. 2011, no. 4, pp. 9–12.