Abstract: Currently, in healthcare around the world, including Uzbekistan, the gold standard for surgical treatment of combined diseases of the abdominal organ proved to be simultaneous operations using endovideosurgical technologies. The purpose of this scientific work was to evaluate the effectiveness of simultaneous endovideosurgical operations in patients with combined diseases of the abdominal organs in adolescence and young adulthood. Material and methods: Work based on 48 adolescents and young men of both genders aged 12-20 years with combined surgical diseases of the abdominal organs: Chronic calculous cholecystitis (CCСH) + solitary liver cyst (SLC) -9, CCCH + echinococcal cyst (EC)-19, CCCH + umbilical hernia (UH)-12andCCCH +inguinal hernia (IH) -8. All patients underwent laparoscopic cholecystectomy (LCC) at the first stage, followed by correction of combined pathology. The surgical intervention was performed in an endovideosurgical surgical room using an endovideosurgical stand manufactured by Karl Storz (Germany), under multicomponent balanced intravenous anesthesia in the condition of artificial ventilation. In (9) patients with a solitary liver cyst after LCE, laparoscopic resection of the liver cyst was performed. The protruding part of the cyst shell was excised after preliminary puncture aspiration of its contents. We install thoracoports as with LCE in (19) patients undergoing laparoscopic echinococcectomy from the liver; in the right hypochondrium in place of 5 mm we install thoracoport of 20 mm in size. After removal of the echinococcal cyst, treatment of the residual cavity in (17) patients with a greater omentum, and a “mini” laparotomy was used in 2 patients in the projection of the residual cavity using the “capitonage” method according to Delbe due to the impossibility of packing with an omentum. Herniotomy with plastic surgery of the anterior abdominal wall using the Mayo method from a “mini” access was applied in 12 patients with an umbilical hernia and inguinal ring repair was performed using a swaddle mesh and a two-composite mesh in 8 patients with inguinal hernias.Results and discussions: All operated patients did not require narcotic analgesics in the postoperative period. No suppuration of postoperative wounds was observed. The average duration of the operation was 60±10 minutes, the average hospital bed day was 4.5±05 days, the average rehabilitation period was 12-14 days. The drainage tubes were removed the next day after ultrasound control. Conclusions: Performing simultaneous laparoscopic operations for correction the combined surgical diseases of the abdominal organs is appropriate and justified, since combined surgical pathology is eliminated within the framework of one surgical intervention and anesthesia. SLO is accompanied by a cosmetic, aesthetic and economic effect, a minimal incidence of complications, a short period of stay for patients in the hospital and a short period of rehabilitation.
| Mualliflar | Khodzhimatov , Gulomidin, Egitov , Ayubkhon, Ходжиматов , Гуломидин, Егитов, Аюбхон, Khodjimatov , Gulomidin, Egitov , Ayubxon |
|---|---|
| Jurnal | Халқаро илмий педиатрия журнали |
| Nashr sanasi | 2024-01-31 |
| Jild | 3 |
| Son | 1 |
| Betlar | 445-449 |
| Til | Rus |
| DOI | 10.56121/2181-2926-2024-3-1-445-449 |
DOI: 10.56121/2181-2926-2024-3-1-445-449 · Maqolaning asl sahifasi
девочки и мальчики подросткового и юношеского возраста, желчнокаменная болезнь, сопутствующая патология, эндовидеохирургическая технология, симультанные операции, girls and boys of adolescence and young age, cholelithiasis, combined pathology, endovideosurgical technology, simultaneous operations, O'smirlik va balog’at yoshdagi qizlar va o'g'il bolalar, o’t tosh kasalligi, hamroh jarrohlik patologiyasi, endovideojarrohlik texnologiyasi, simultan jarrohlik
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