Verification of the systematic approach to performing simultaneous operations on the abdominal organs and abdominal wall in patients with ventral hernia
DOI:
https://doi.org/10.11603/2414-4533.2020.3.11027Keywords:
ventral hernia, abdominal cavity, simultaneous pathology, simultaneous operations, quality of life of patientsAbstract
The aim of the work: to improve the quality of treatment of patients with ventral hernia by reducing the frequency and severity of complications after simultaneous and reconstructive surgery on the abdominal organs and abdominal wall.
Materials and Methods. The study included the results of treatment of 197 patients with simultaneous pathology of the abdominal cavity and abdominal wall, admitted to the Surgical Department of the Clinic No. 1 of the Samarkand State Medical Institute.
Results and Discussion. In 197 patients, normal gastrointestinal function remained after the operation, only 4 patients (3 and 1 patient in the study groups) had intestinal paresis, which was stopped by medication. Abdominal complications were observed in 10 (5.1 %) patients. In the early postoperative period, abdominal complications after simultaneous operations can be divided into two: complications from the main stage of the operation and complications from the simultaneous stage of the operation. From the side of the main stage of the operation, 5 (2.5 %) patients (3 in the comparison group and 2 in the main group) had intestinal paresis after hernioalloplasty, and 1 (0.5 %) patient from the comparison group also had urinary retention after hernioalloplasty. In 2 (2.1 %) patients from the comparison group, the cause of intestinal paresis and urinary retention was increased intra-abdominal pressure.
The use of an improved modified scale for predicting perioperative complications made it possible to significantly improve the quality of preoperative preparation of patients with hepatitis C associated with simultaneous surgical diseases of the abdominal organs, to improve the patient’s condition at an earlier date and, accordingly, reduce the frequency of postoperative outside abdominal complications from 10.7 % to 2.8 %.
References
Sadchikov, D.V., Prigorodov,, M.V.,& Vartanyan, T.S. (2012). Perioperatsionnye oslozhneniya u patsiyentov vysokogo anesteziologo-operatsionnogo riska (obzor, ch. II) [Perioperative complications in patients with high anesthetic and operational risk (review, part II)]. Saratovskiy nauch.-med. zhurn. – Saratov Scientific and Medical Journal, 8 [in Russian].
Sukhovatykh, B.S. (2016). Profilaktika posleoperatsionnykh ventralnykh gryzh: sovremennoye sostoyaniye problem [Prevention of incisional ventral hernias: current state of the problem]. Khirurgiya. Zhurnal im. N.I. Pirogova – Surgery. Journal named after N.I. Pirogov, 76-80 [in Russian].
Peleshkov. V.H., & Ahafonov, O.I. (2009). Postoperative incisional hernias-undecided problems. Journal of Experimental and Clinical Surgery, 2 (3), 248-255.
Pushkin, S.Yu. (2011). Otsenka oslozhneniy u bolnykh s gryzhami v zavisimosti ot stepeni operatsionogo riska i tyazhesti travmy [Assessment of complications in patients with hernias depending on the degree of operational risk and the severity of injury]. Tolyatinskiy med. kons. – Togliatti Medical Council, 3-4, 154-167 [in Russian].
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