Ultrasound Therapy for the Prevention of Ventral Hernia Complications: A Dynamic Evaluation of Humoral Bioregulators
Аннотация
Objectives: This study aimed to assess the effectiveness of ultrasound therapy in preventing complications associated with ventral hernias and to enhance the quality of clinical data collected at participating research centers. Methods: An open-label, retrospective-prospective study design was used, with retrospective data forming the comparison group and prospectively collected data used for the intervention group. Patients were randomized based on hernia location, size, and the type of surgical repair (allohernoplasty) performed. The study included 219 patients with both primary and recurrent abdominal wall hernias who were treated between 2018 and 2023 at two healthcare facilities in the Khorezm region. Results: In the comparison group, a dormant encapsulated abscess developed in one patient. In contrast, no cases of dormant occluded abscesses were observed in the intervention group, where ultrasound therapy was applied postoperatively. Conclusion: To effectively reduce the risk of early postoperative complications following allohernia repair, a multimodal prevention strategy is recommended. This includes the local application of low-frequency ultrasound therapy and continuous use of an abdominal binder for the first 48 hours to ensure immobilization of the subcutaneous tissue.