The Role of Comorbidity as a Prognostic Factor in the Early and Long-Term Postoperative Period and R Ecurrences of Ventral Hernias

Objective. To investigate the influence of comorbidity as a risk factor affecting the course of the postoperative period in patients operated on for ventral hernias with the aim of reducing the number of complications in the early postoperative period, improving treatment outcomes, preventing recurrence, and preserving social adaptation. Materials and methods. The study is based on a retrospective analysis of the treatment results of the 71st patient operated on for postoperative ventral hernias of various localizations. The analysis included patients operated on in the period from 2015 to 2019. Studying comorbidity, it was found that the most common factor occurring in patients was obesity (43.66%). Diseases of the cardiovascular system, gastrointestinal tract organs, respiratory and endocrine systems were also prevalent. The studied patients were divided into groups depending on the sum of points according to the comorbidity index, and in these groups, the frequency and number of complications after surgical intervention were studied. Conclusions. The study of comorbidity factors in patients with ventral hernias showed that the postoperative period is accompanied by complications from the surgical wound, cardiovascular and respiratory systems, and prolongs the process of reparative regeneration during healing in patients with high Charlson index scores.