Authors
Sukovatykh B.S. 1, Valuiskaya N.M.1, Filipenko T.S.2, Mutova T.V.1, Gunov S.V.1
1 Kursk State Medical University, Kursk
2 Lintex LLC, Saint Petersburg
Abstract
A promising approach to treating eventration is to replace the abdominal wall with a synthetic material. Depending on the specific clinical situation, the prosthesis can be placed above or below the aponeurosis of the rectus abdominis muscles, and in the presence of intra-abdominal hypertension, it can be used to cover the abdominal wall defect without suturing the edges of the aponeurosis. In this case, the prosthesis may come into contact with the abdominal organs, which can lead to the development of intestinal fistulas. The article presents a clinical case of the elimination of recurrent partial eventeration in an elderly cancer patient after resection of the stomach, duodenum, pancreas, and splenectomy. The bottom of the defect was formed by internal organs that were fixed to the edges of the wound and the peritoneum. The eventeration was eliminated by applying skin sutures with additional reinforcement using a domestic polyester prosthesis with a fluoropolymer coating that has anti-adhesive properties. The postoperative wound healed by secondary intention.
Keywords: eventeration; relapse; abdominal wall prosthesis; fluoropolymer-coated prosthesis.
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