Verification of the systematic approach to performing simultaneous operations on the abdominal organs and abdominal wall in patients with ventral hernia

Authors

  • S. S. Davlatov Samarkand State Medical Institute, Republic of Uzbekistan, Samarkand
  • B. A. Mardanov Samarkand State Medical Institute, Republic of Uzbekistan, Samarkand

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11027

Keywords:

ventral hernia, abdominal cavity, simultaneous pathology, simultaneous operations, quality of life of patients

Abstract

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].

Downloads

Published

2020-10-22

How to Cite

Davlatov, S. S., & Mardanov, B. A. (2020). Verification of the systematic approach to performing simultaneous operations on the abdominal organs and abdominal wall in patients with ventral hernia. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 11–16. https://doi.org/10.11603/2414-4533.2020.3.11027

Issue

No. 3 (2020)

Section

ORIGINAL INVESTIGATIONS

License

Authors who publish their work in Hospital Surgery. Journal by L. Ya. Kovalchuk agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.  
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).