METHOD FOR SELECTING POSTOPERATIVE MANAGEMENT APPROACH IN PATIENTS AFTER PLASTIC SURGERY OF POSTOPERATIVE VENTRAL HERNIA USING MESH IMPLANTS Russian patent published in 2020 - IPC A61B8/08 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to surgery, and can be used to select a postoperative management approach to postoperative ventral hernia repair using mesh implants. Ultrasound examination of a postoperative wound is performed with puncture emptying of the liquid clusters. If postoperative wound drained in postoperative period is less than 30 ml, drainages are removed. In 6 days after drainage removal, postoperative wound ultrasound is used to determine volume of fluid accumulation (FA). If observing FA ≤ 30 ml fluid with such symptoms as wound pain, pulling discomfort, wound asymmetry, or asymptomatic FA more than 30 ml, puncture emptying fluid accumulations. After 6 days, a postoperative wound ultrasound is used to determine the volume of the FA. If the FA is detected in a volume of ≥ 30 ml, the FA is puncture emptied, followed by ultrasonography 6 days after the puncture emptying to determine the volume of the FA and until the asymptomatic FA of less than 30 ml is detected. Thereafter, the postoperative control ultrasound is examined 9 days later to determine the volume of the FA. If observing asymptomatic FA volume less than 30 ml or FA in wound is not present, ultrasound of postoperative wound is stopped. Drainage is stopped by 21 postoperative days.

EFFECT: method provides reducing the frequency of postoperative wound complications ensured by using an ultrasound monitoring algorithm for the state of the postoperative wound.

1 cl, 2 ex