Досвід впровадження протоколу eras в хірургічну практику лікування післяопераційних вентральних гриж

Abstract

Summary. This article presents the results of surgical treatment of 122 patients with ventral incisional hernias, in which 24 (20%) operations on the anterior abdominal wall were performed laparoscopically (the studied group), and 98 (80%) by the open surgery (the control group). The experience of implementation elements of guideline of enhanced recovery after surgery to the surgical treatment of patients was studied. Such elements included the use of a multimodal program for both patient groups at all stages of treatment aimed at quick and easy recovery of the patient in the postoperative period. On the basis of the statistical data analysis it can be shown that it is beneficial to introduce ERAS elements for the surgical treatment of ventral incisional hernias, especially when using laparoscopic hernioplasty.