ROLE OF THE PROSTHETIC MEDICAL DEVICES IN MANAGEMENT OF ABDOMINAL PARIETAL DEFECTS
Keywords:
ABDOMINAL WALL DEFECTS; HERNIA; INCISIONAL HERNIA; PROSTHETIC MEDICAL DEVICESAbstract
Management of abdominal parietal defects is a major public health concern, both nationally and internationally, due to morbidity, mortality, loss of function, decreased quality of life and loss of work capacity. The aim of this retrospective study is driven by the current possibility of treating abdominal parietal defects by prosthetic medical devices with various high-performance synthetic materials. Material and methods: The approach is from a statistical and multifactorial point of view in patients with abdominal parietal defects treated with prostheses in the I and II Surgery Clinics of “Sf. Spiridon” County Clinical Emergency Hospital Iaşi for a period of 15 years. The information was retrospectively obtained from the register of the hospital secretary and from the observation sheets, analyzing the cases on the basis of the multiple criteria. Results: The statistical analysis of the selected cases revealed that at a number of 5865 of abdominal wall defects surgeries that were performed in our clinics between 01.01.2006–01.07.2021 we recorded 3029 inguinal hernias (52%), 220 femoral hernias (4%), 796 umbilical hernias (13%) and 1820 incisional hernia (31%). The information on the main diagnosis associated with the 1820 subjects shows that most patients were hospitalized with the diagnosis of ventral hernia, 1122 cases without occlusion or gangrene (61.64%), 522 cases with obstruction (28.68%) and 176 cases with gangrene (9.6%). Obesity was the most common factor of risk for an abdominal wall defect with an index of 29%. The highest incidence of the develop of an incisional is reported on the midline, respectively 74%. Conclusions: Management of abdominal parietal defects is a major public health concern. Early diagnosis, easily accessible health facilities and health education are important to prevent complications and improve quality of life.
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