Abstract:
Aim – to analyze the quality of life (QOL) of patients in the surgical treatment of
abdominal hernias using nanomodified polypropylene mesh.
Materials and methods. An analysis of the quality of life of patients in the surgical
treatment of abdominal hernias for the period from 2015 to 2020. 700 patients with abdominal
hernias aged 30 to 75 years in which performed alloplasty. There were 386 women (55.1%)
and 314 men (44.9%). Concomitant pathology was detected in 85.6% of patients. It should be
noted that the majority (64.8%) had cardiovascular pathology and 80 patients suffered from
grade II - III alimentary obesity.
Results and discussion. The results of surgical treatment of abdominal hernias in
patients of the main group and the comparison group were evaluated by analyzing the quality
of life according to the SF - 36 questionnaire.
The difference in quality of life in patients of the main group a year after hernioplasty
compared with those in hospitalization, statistically significant (P<0,01). The rate of FF
increased 1.2 times compared with hospitalization, RF 1.8 times, PF - 1.1 times, GH - 1.4
times, VA - 1.7 times, SF - 1.9 times, RA - 3.1 times, MH - 1.6 times. The quality of life
index (QLI) increased by 59.6% compared to the initial one, ie by more than half.
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The difference in quality of life in patients of the main group 2 years after hernioplasty
compared with those in hospitalization, statistically significant (P<0,01). The index of FF
increased 1.7 times compared with the indicator at hospitalization, RF 2.5 times, PF - 1.5
times, GH - 2.0 times, VA - 2.2 times, SF - 2.4 times, RA - 4.1 times, MH - 1.8 times. The
quality of life index (QLI) increased by 109.2% compared to the initial one, ie by more than
half.
When comparing the QOL at hospitalization and after 24 months. after hernioplasty in
patients of the comparison group not only there is no significant difference in the indicators of
FF, RF, PF, GH, SF and VA, but it should be noted that the indicators of MH and RA, which
had a negative dynamics, the quality of life of patients in the comparison group even
deteriorated. QLI increased by 10.0% compared with hospitalization. The difference in
quality of life in patients of the comparison group at hospitalization and after 24 months. after
surgery did not reach the level of statistical significance (P<0,001).
The difference in QLI in patients of the main group after 24 months. after hernioplasty
compared with this indicator of QLI in patients of the comparison group is statistically
significant (P<0,05).
Conclusions. It was found that in patients who were implanted during surgery with a
nanomodified mesh implant with the antiseptic polyhexamethylene guanidine chloride QLI
was 2.1 times higher than in hospitalization and 1.8 times higher than in patients of the
comparison group. Therefore, it is possible to recognize the effectiveness of surgical
treatment of abdominal hernias using nanomodified polypropylene mesh made of
polyhexamethylene guanidine chloride, given the indicators of QOL in the postoperative
period
