The aim of the study is to improve the quality of treatment of ventral hernias in patients with obesity by improving the tactical and technical aspects and optimizing the choice of hernioplasty method. Materials and research methods. The study is based on a clinical and laboratory examination of 121 patients with ventral hernias who were operated on in the surgical department of the 1st clinic of the Samarkand State Medical University for the period from 2012 to 2021. Research results. The use of an improved pneumatic bandage allowed to significantly improve the quality of preoperative preparation of patients with ventral hernia and morbid obesity, reduce the risk of developing intra-abdominal hypertension after hernioplasty, achieve an improvement in the patient's condition at an earlier date and, accordingly, reduce the incidence of postoperative extra- abdominal complications from 7.4% to 4.5% . Conclusions. The application of the proposed algorithm, taking into account the improved tactical and technical aspects of surgical treatment of ventral hernias in patients with morbid obesity, made it possible to reduce the overall incidence of postoperative complications from 14.8% to 8.9% (p=0.045), including wound complications from 11.1% to 4.5%, as well as significantly reduce the duration of surgical treatment and rehabilitation periods after various types of hernioplasty and abdominoplasty.
| Mualliflar | SHERBEKOV Ulugbek Akhrarovich, KHADAROVA Laylo Olimjonzoda, ABDURAXMANOV Diyor Shukurullaevich |
|---|---|
| Jurnal | Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali |
| Nashr sanasi | 2023-08-17 |
| Jild | 8 |
| Son | 3 |
| Til | Rus |
Вентральные грыжи, морбидное болезнь, внутрибрюшинный гипертензи, герниопластика, операция, Ventral hernias, morbid obesity, intra-abdominal hypertension, hernioplasty, abdominoplasty, Ventral churralar, semizlik, qorin bo‘shlig‘i gipertenziyasi, gernioplastika, abdominoplastika
The results of treatment of 171 elderly and old patients with complicated cholelithiasis configurations are presented. Factor consideration determined that a larger proportion of mortality, purulent-septic and…
Objective: To improve the techniques of performing strumectomy in patients with toxic forms of goiter. Methods: The study is based on the results of treatment of 112 patients with toxic forms of goiter who were admitted…
Object: study of the causes of skin prosthetic fistulas after implantation of prosthetic mesh and methods of treatment of this category of patients. Methods: The study included a retrospective analysis of 13 patients…
The review discusses the methods for ensuring the main tasks of preventive and individualized premedication in gynecological patients during the perimenopause, the use of various groups of pharmacological agents as a…
This article deals with the complex treatment of one of the problems of modern medicine - complications of gastroesophageal reflux disease (GERD) on the mucous membrane in the esophagus. The data of the study and…
Purpose: To study the possibility of using and evaluating the effectiveness of combined spinal- epidural anesthesia in simultaneous gynecological surgeries. Methods:75 patients who underwent combined spinal-epidural…
The review describes modern methods of plasty of postoperative ventral hernias. The spectrum of complications characteristic of each type of plastic surgery, as well as the frequency of hernia recurrence, is presented…
Purpose of the study. To assess the initial state of the function of external respiration in proctological patients, depending on the degree of obesity in the preoperative period. Methods: The study included 76 patients…
510 patients aged 60-92 with deep burns had been under the observation of the authors 100 burnt patients were admitted in a shock state. They demonstrated stable hypotony, elevated CIT (Central Intraocular tension) the…
Objective: to determine the relationship of hyperplastic processes with premenopausal age and their manifestations in the form of abnormal uterine bleeding. Materials and Methods: The study was conducted on 50…
Journal of Biomedicine and Practice – Biomeditsina va amaliyot jurnali — barcha maqolalar