Title: rational management of patients after the operation for abdominal hernia using composite allotransplants the objectives of the study was to improve the early and long-term treatment outcome in patients with post-operative abdominal hernia.The results of treatment of 50 patients, to whom anterior abdominal alloplastic hernioplasty was done, using ultrapro light-weighted large-pore composite mesh (ethicon), were analyzed postoperatively pathogenetically substantiated prophylaxis of early and remote complications.The comparative group included 62 patients, to whom anterior abdominal wall alloplasty was performed, using prolene polypropylene mesh (ethicon).In the ultrapro composite mesh group, reported complications included seroma (n-8), infiltrates (n-5), hematoma (n-2), foreign body sensation (n-2), chronic pain in the implantation site (n-4), restriction of anterior abdominal wall mobility (n-3), granuloma of the anterior abdominal wall (n-1), and recurrence of hernia (n-1).In the prolene polypropylene mesh group, reported complications included seroma (n-17), infiltrates (n-7), hematoma (n-3), foreign body sensation (n-8), chronic pain in the implantation site (n-9), restriction of anterior abdominal wall mobility (n-8), skin-prosthetic fistula (n-2), granuloma of the anterior abdominal wall (n-5), and recurrence of hernia (n-3).Alloplasty of the anterior abdominal wall using composite allotransplants with large pores is an effective way of treating patients with postoperative abdominal hernias and improves the long-term results of surgical intervention without increasing the incidence of recurrences.The individualized administration of combined drug therapy, pathogenetically based approaches to post-operative management of patients, magnetic therapy, magnetic-laser effects or low-frequency electrotherapy helped to reduce the incidence of complications after alloplasty of the abdominal wall, and, if they were detected, it helped rapidly eliminate these complications, reduce the duration of rehabilitation period in the patients, improve their life quality.
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