The Possibilities and Advantages of Sutureless Plasty of Abdominal Wall Using Different Synthetic Meshes in Experimental Study

Accumulated experience on using synthetic endoprostheses enables to analyze in detail the specific problems and complications related to implantation.

The aim of the investigation is to study experimentally the possibilities and advantages of sutureless plasty of abdominal wall using different synthetic meshes.

Materials and Methods. There was performed the simulation of intraperitoneal plasty of abdominal wall by synthetic endoprostheses. The operations were performed on rabbits. The results of two groups were studied in 14, 30, 45, 90, 180 days. The 1st group (n=45) underwent sutureless implantation, and the 2nd (n=51) — traditional endoprosthesis.

Results. The mesh was from different materials and its fixation to the abdominal wall in both groups was strong enough, had no significant differences, being 2.585 and 2.695, respectively (p=0.282). The omentum was soldered to the implant in the basic group in 44.4% of cases, and in the control group — in 66.7% of cases, p=0.03. The large bowel was fixed to the mesh in 8.9% of cases (the basic group), and in 29.4% (the control group), p=0.012. According to Vanderbilt’s scale, the adhesive process in the basic group can be estimated as 2.111, and in the control group — 3.824 (p=0.0005).

Conclusion. Sutureless plasty of abdominal wall using different synthetic meshes has a number of advantages compared to traditional mesh implantation. The technique provides adequate implant fixation to abdominal wall tissues and reduces adhesive process.

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Khodak V.А., Petrov V.V., Dvornikov А.V., Mironov А.А., Baburin А.B., Parshikov V.V., Tsybusov S.N. The Possibilities and Advantages of Sutureless Plasty of Abdominal Wall Using Different Synthetic Meshes in Experimental Study. Sovremennye tehnologii v medicine 2012; (2): 31