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    Lavrenko D. A.

    OPTIMIZATION OF THE METHODS CHOICE OF PLASTICS VENTRAL HERNIA REPAIR IN PATIENTS WITH OBESITY


    About the author: Lavrenko D. A.
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation In the context of the surgical department of a multi-hospital between 2010 and 2015, 146 patients were treated with ventral grizhami and obesity. Of these, 24 (16.4%) men and 122 (83.5%) women. Patients ranged in age from 25 to 82 years. The average age of patients was 53 years. Selection of surgical treatment was planned based on the results of preoperative examinations. In the process of multi-factor studies have established criteria for selecting hernia repair, among which are the dominant component of intra-abdominal pressure and the size of the hernia defect. Thus autoplasty methodology should be applied in plastic small hernias. When the allogernioplastiki advantage should be given to the method of "sublay", the method "іnlay" - forced to use a deficiency of tissue at the site of the hernia defect.
    Tags ventral hernia, obesity, abdominal pressure
    Bibliography
    • Andrushhenko V. P. Dosvіdklіnіki v hіrurgіchnomu lіkuvannі grizh cherevnoї stіnki / V.P. Andrushhenko, V.A. Mel'nikov, A.S Dvorchin // Hіrurgіja Ukraїni. - 2008, № 2 (26).-S. 4- 6.
    • Afanas'єv S. V. Pozitivnі і negativnі naslіdki gernіoplastik "vazhkimi" sіtchatimi transplantantami / S.V. Afanas'єv, D.І. Dzevic'kij, A.V. Snіgar// Hіrurgіja Ukraїni. - 2008, № 2 (26). - S. 9 - 32.
    • Grubnik V.V. Suchasnі metodi plastiki ventral'nih grizh іz zastosuvannjam sintetichnih protezіv / V.V.Grubnik, Parfent'єv, N.D. Venger // Hіrurgіja Ukraїni.-2008, № 2 (26). - S. 22 - 24.
    • Dacenko B. M. Osobenosti diagnostiki i tehnologija allogernioplastiki recedivnyh ventral'nih gryzh / B. M. Dacenko, E. V. Kutepova // HіrurgіjaUkraїni.-2008, № 2 (26). - S. 25 - 26.
    • Zhebrovskij V. V. Atlas operacij pri gryzhah zhivota / V.V. Zhebrovskij, F.N. Il'chenko // Simferopol'. - 2005. - 315 s.
    • Zhebrovskij V. V. Osnovnyeprincipi lechenija gigantskih ventral'nyh gryzh / V.V.Zhebrovskij, A.V. Kosenko, E.B.Chemodanov // Hіrurgіja Ukraїni. -2008, №2(26).-S. 30-33.
    • Usenko A.Ju. Hirurgicheskoe lechenie posleoperacionnyh i pahovih grizh s ispol'zovaniem polipropilenovyh setok / A.Ju.Usenko, A.S.Lavrik, N.V.Manujlo [i dr.] // Hіrurgіja Ukraїni. - 2008, № 2 (26). - S. 123.
    • Saenko V.F. Vybor metoda lechenija gryzhi brjushnoj stenki / V.F.Saenko, L.S. Beljanskij, N.V.Manojlo // Klіn. hіrurgіja. - 2002. - №1. - S.5-9.
    • Jacentjuk M.N. Vlijanie kompleksnoj predoperacionnoj podgotovki na funkciju dyhanija u bol'nyh s bol'shimi i ogromnymi gryzhami / M.N. Jacentjuk, Ja.P. Feleshtinskij // Klin. hirurgija. - 1989. - № 2. - S. 6-9.
    • Amendolara M. Inguinal hernioplasty: current trends / M.Amendolara, S. Perri, E. Breda // J. di Chirurgia. - 1995. - Vol.l6. - N5. - P.239-244.
    • Bang R.L. Repair of large, multiple, and recurrent ventral hernias an analysis of 124 cases / R.L. Bang, A.I. Behbehani // Europ. J. Surg. - 1997. - Vol.163 - № 2. - P.107-114.
    • Bauer J.J. Rives-Stoppa procedure for repair of large incisional hernias: experience with 57 patients / M.T. Harris, S.R. Gorfine, I. Kreel // Hernia. - 2002. - Vol. 6, N 3. P. 120-123.
    • Garcia C. Abdominal compartmental syndrome in non-injured patients / C. Garcia, F. Parramon, F. Delas [et al.] // Rev. Esp. Anestesiol. Reanim. – 2000. - №3. – R.126-129
    • Grubben A. Pathophysiology and clinical significance of the abdominal compartment syndrome / A. Grubben, A. Van Baardwijk, D.Broering [et al.] // Zentralbl. Chir. – 2001. - №8. - 605-609
    • Myers B. Use of laparoscopic instrumentation to quickly stretch the abdominal wall in repair of giant inguinal hernias / B. Myers // Surgery. – 1997. - №4. - R.477-479.
    • Saiz A. Laparoscopic ventral hernia repair / A. Saiz, I.H. Wills // J. Laparoendosc. Surg. - 1994. - Vol. 4. — N 5. -P. 365-367.
    • Schumpelick V. Retromuscular mesh repair for ventral incision hernia in Germany / K. Junge, R. Rosch [et al.] //Chirurg. - 2002. -Vol. 73, N 9. P. 888-894. 
    • Sanchez L. J. Recurrences after laparoscopic ventral hernia repair: Results and critical review / L.J. Sanchez, L. Bencini, R. Moretti // Hernia. - 2004. - N 8. - P. 234.
    Publication of the article «World of Medicine and Biology» №4(53) 1 part 2015 year, 042-045 pages, index UDK 617.55-007.43-080.844-03:616-056.52