THE DEPENDENCE OF THE CHOICE OF THE ALLOPLASTY COMPLEX ABDOMINAL WALL DEFECTS EXPRESSION OF MORPHOLOGICAL CHANGES OF TISSUES AND RISK OF INCREASED INTRA-ABDOMINAL PRESSURE

Authors:

Abstract:

Results of surgical treatment of 360 patients with complex abdominal wall defects, which carried alloplasty for the period 2005-2015. Choose how alloplasty was individual and was in direct proportion to the size of the defect, morphological changes in the tissues of the abdominal wall, the degree of deficiency of diastase direct abdominal muscles, the possibility of construction without much tension, the risk of increased intra-abdominal pressure, the likelihood of other postoperative complications. Proved that consideration for patients with complex abdominal wall defects degree diastase recti mascles, the degree of tissue deficiency of the anterior abdominal wall, abdominal pressure, which is defined in terms of modeling of the abdomen, as after alloplasty allows more objectively, differentiated determine the optimal method of surgery.

Keywords:

defects abdominal wall alloplasty morphological changes intra-abdominal pressure

References:

1. Detsyik D. A. Optimizatsiya vyibora sposoba plastiki pri rubtsovyih ventralnyih gryizhah bolshih razmerov / D.A. Detsyik // Hirurgiya Ukrayiny. - 2008. – No.2.- S. 26-28.
2. Lyisenko R. B. Opredelenie stepeni defitsita tkaney peredney bryushnoy stenki pri ee defektah / R.B. Lyisenko // Hirurgiya. Vostochnaya Evropa. - 2016.- Tom 5, No.1. - S. 38-43.
3. Feleshtinskiy Ya. P. Pislyaoperatsiyni ventralni grizhi / Ya.P. Feleshtinskiy //– Kiyiv, - 2012. – 200 s.
4. Guérin G. Impact of the defect size, the mesh overlap and the fixation depth on ventral hernia repairs: a combined experimental and numerical approach / G. Guérin, F. Turquier // Hernia. – 2013. - Volume 17. - Р. 647-655.
5. Penttinen R. Mesh repair of common abdominal hernias: a review on experimental and clinical studies / R. Penttinen, J. Gronroos // Hernia. - 2008. - № 12. - Р. 337–344.
6. Slater N. J. Criteria for definition of a complex abdominal wall hernia / N. J. Slater, A. Montgomery, F. Berrevoet [et al.] // Hernia. - 2011. - №12. – Р. 226–237.

Publication:

«World of Medicine and Biology» Vol. 12 No. 57 (2016) , с. 41-44
УДК 617.55-089.844-037:612.339