COMPARATIVE ANALYSIS OF THE EFFECT OF DIFFERENT COMBINATIONS OF LASER IRRADIATION TO FORMATION OF SULFUR AFTER PROSTHETIC HERNIOPLASTY

It is known that the problem of treatment of postoperational and recurrent ventral hernias appeared simultaneously with the progress in abdominal surgery and still remains one of the most common, acute and urgent problems for surgeons. Postoperative recurrent ventral hernias are currently considered not as a local pathological process, but as a complex, multifaceted disease that poses a serious problem. [6] Hernia of the anterior abdominal wall is one of the most common surgical diseases, they affect 3-4% of the world's population, accounting for 8 to 18.3% of the total surgical patients. However, some authors give completely different figures, according to their data, the prevalence of hernias of the anterior abdominal wall reaches 24%. [2] Surgical interventions for hernias of the anterior abdominal wall take the second place among the planned surgical operations. Every year, more than 20 million hernia repairs are performed worldwide, which is up to 15% of all surgical interventions, and almost every eighth operated hernia recurs. [3] From 5 to 25% of hernia repairs are performed on an emergency basis, while mortality reaches 3%. Many years of experience in using only local tissues to close hernia defects (mainly the technique of creating tissue duplication and matching the edges of the aponeurosis) has shown disappointing results - from 25 to 60% of relapses when patients are followed up for more than 5 years. Only during operations for small hernias (hernial orifice 5 cm in diameter), the number of unsuccessful plastics does not exceed 10%. [1] After operations for ventral hernias, wound complications of various spectrum are observed, the frequency of which ranges from 20.9 to 49.2% and depends on many factors [4, 7]. Some authors believe that the use of synthetic materials increases the risk of wound complications, however, supporters of the use of alloplasty observe a decrease in the incidence of RO [5, 8]. The spectrum of wound complications includes wound infiltration, hematoma, seroma, prolonged lymphorrhea, ligature fistulas, wound dehiscence, suppuration, and necrosis of the wound edges. The aim of the study was to study the effect of low-intensity laser irradiation on the formation of seromas after prosthetic repair.

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