DIAGNOSIS AND PREVENTION OF EARLY POSTOPERATIVE WOUND COMPLICATIONS IN PATIENTS WITH LARGE VENTRAL HERNIAS
The investigation aimed at the improvemenыt of results of medical treatment of patients with large ventral hernias (LVH) by developing and using new methods of diagnostics and prevention of postoperative wound complications. 52 patients being operated for LVH have been examined. Depending on the type of subcutaneous fat processing and postoperative wound drainage, they were divided into 2 (two) groups. The main group included 14 patients, who underwent hernioplasty; the subcutaneous fat in them was processed by argon plasma coagulation and postoperative wound was drained with a low vacuum system «UnoVac». Depending on the type of hernioplasty all patients were again divided into two groups. The first basic group included 10 (ten) patients, who underwent hernioplasty by Belokonev method. The second comparison group included 42 (forty two) patients undergone hernioplasty by method Sublay, Inlay.The complex treatment program for patients with large ventral hernias must include up-to-date prevention of early postoperative wound complications. The study proved that it helped to reduce their occurrence from 86.8% to 35.7%, including seroma from52.6% to 21.4% ( p< 0,05), hematomas from 28.9% to 7.1% (p <0,05) and shorten hospital stay.The use of thermography with thermal imager ThermaCAM P65 provides objective information on the development of postoperative complications after herniotomy for LVH.