The use of polymer meshes in hernia surgery
In the normal state, each of the internal organs has its place precisely within them cavity. But when it is present in the natural physiological or pathological hole, the element may partially protrude through it into a neighboring cavity. This forms the hernia. It leads to the infringement of the prolapsed part of the body, degenerative changes in tissues and nerve endings, as well as destructive effect on adjacent organs. One of the methods of treatment of hernias is surgery, the purpose of which is not only the release of the clamped part of the body, but the fixation in its normal physiological position. For this purpose, the auxiliary polymer retainers .
Views method grids
the Result of any operation on the hernia is to fix the problem of authority in a designated cavity. Since there is a physiological or defective hole in the cavity, the risk of relapse will be no less high than previously. Until recently this problem was solved by overlapping hernial own tissues of the patient. Their forced contraction in the long term leads to the development of complications, ulcers, nesrastanii and local divergence.
When using the grid, the organs and tissues remain in a natural position and quickly resume their functions. In practice, there are two groups of such polymeric materials:
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the
- non-absorbable. This group of polypropylene mesh, which are mounted internally in the cavity of the body by means of sutures or a special adhesive mass. The material is biologically inert against the involved tissues and provided proper rehabilitation in the postoperative period, no discomfort, side effects and recurrence was observed; the
- Biodegradable. These cladding are made of special material that after a certain time completely dissolved and eliminated from the body with waste products. This period can last for as long as is necessary for the growth of the tissues in the area of the gate. Since individual characteristics of the organism are different, and the number of newly formed tissues can be various, sometimes even inadequate, which leads to the re-development of a hernia.
How implanted mesh?
At this stage of development of medicine, use two practical methods of implantation
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the
- open surgery. In this case, a large incision, enabling broad access to the problem area. Is only when you experience the villas vypaivanija. Obviously, this approach is fraught with possible infection, difficult healing and residual scar. Its use is justified only in case if there is a hernia of the big sizes the
- Laparoscopic intervention. This is one of the most popular minimally invasive methods, in which a small cut is made into which is inserted a working tool type of the probe with handling bodies. In this case, all the consequences of surgery are minimized.
Translated by "Yandex.Translate": translate.yandex.ru.