OC-013 INDIVIDUAL STRATEGY FOR PATIENTS WITH ABDOMINAL WALL EVENTRATION – DIFFERENT COMPONENTS SEPARATION TECHNIQUE WITH MESH AUGMENTATION

Abstract Aim To present individual approach for patients with abdominal wall eventration using various anterior component separation techniques (aCST) mesh augmentation. Materials and Methods Between January 2008 April 2022, 194 underwent surgery by single surgeon. Surgical treatment consists: a) enlargement of the cavity different aCST (Ramirez CST, modified CST in presence enterostomies, “open book” modification “method wide myofascial release” or combination these techniques); b) augmentation (sublay onlay hernioplasty); c) prolonged muscle relaxation mechanical respiratory support intensive care unit. Results Type reconstruction: 143 Ramirez 35 11“open modification, 5 release”, 159 hernioplasty sublay hernioplasty. Mean hernia defect size was 255 cm2 (100–750). During mean follow-up 31 months, 78 (40%) had one more complications: intraabdominal hypertension 8 (4,1%), seroma 13 (6,7%), hematoma 10 (5,1%), wound/mesh infections 21 (10,8%), skin necrosis 40 (20,6%), pain 3 (1,6%), recurrence (2,6%). There were (5,1%) postoperative deaths. The cause dead significant comorbidity compartment syndrome two. Conclusion Eventration disease is a complex surgical problem its associated complications. Individual strategy each patient based on multidisciplinary may improve results.