Anastasia Karpova
Petrovsky National Research Centre of Surgery, Russian FederationTitle: Multi-slice computed tomography in assessing mesh titanium implant after prosthetic inguinal hernioplasty
Abstract
Objective: To assess the capabilities of multi-slice computed tomography (MSCT) to identify complications of inguinal hernia repair surgery and to calculate the percentage of titanium mesh shrinkage in the postoperative period.
Material and methods. The comparative assessment of the results of treatment in 90 patients with inguinal hernias was performed using MSCT. In 36 (40%) patients of Group 1 the titanium implant was used in Lichtenstein hernia repair surgery. In Group 2, 54 (60%) patients were operated by laparoscopic hernia repair surgery. On day 3 and 3 months after surgery every patient underwent MSCT with subsequent determination of the implant square and analysis of complications and typical postoperative manifestations.
Results. Postoperative complications in patients after prosthetic inguinal hernioplasty using titanium endoprostheses occur in 7.7% of cases. It has also been shown that the nature of complications depends on the type of surgery. The percent of titanium mesh shrinkage 3 months after surgery according to MSCT was 7.1% in Lichtenstein hernia repair group, and 8.9% in laparoscopic hernia repair group. According to Kruskal-Wallis test, there were no statistic differences of this indicator between two groups (p = 0,577).
Conclusion. The analysis of results of inguinal hernia repair surgery with titanium mesh implants showed that MSCT made it possible to identify postoperative complications in patients after hernioplasty with high efficiency. Also using MSCT in long-term period has proved that implant square significantly decreases 3 months after surgery. There were no significant differences in implants shrinkage regarding the type of surgery.
Biography
Anastasia Karpova graduated from the South Ural State Medical University in 2010. Since 2010 until 2012 she completed a clinical residency at the Department of Radiation Diagnostics and Radiation Therapy of the South Ural State Medical University. Since 2019 she has been working as a radiologist in the Radiology Department of Petrovsky National Research Centre of Surgery Scientific Clinical Centre ?2, Moscow, Russian Federation (formerly called the Central Clinical Hospital of the Russian Academy of Sciences, Moscow). Anastasia Karpova is a Radiology postgraduate student in the Russian Scientific Center of Roentgenoradiology. She has Diploma of the Ministry of Science and Higher Education of the Russian Federation “For significant labor merits and personal contribution to the fight against the new coronavirus infection COVID-19”. She is a current member of the European Society of Radiology and the Russian Society of Radiologists. She has attended conferences and courses dedicated to Radiology.
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