Social and economic aspects of treatment of patients with medium (W2) and large (W3) postoperative ventral hernias

Майстренко, Н. А.; Kurygin, A. A.; Semenov, V. V.; Prudieva, S. A.

doi:10.24884/0042-4625-2022-181-4-29-35

VESTNIK KHIRURGII IMENI I.I.GREKOVA

2023

DOI: 10.24884/0042-4625-2022-181-4-29-35

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Social and economic aspects of treatment of patients with medium (W2) and large (W3) postoperative ventral hernias

Н. А. Майстренко¹,

A. A. Kurygin²,

V. V. Semenov³

et al.

Abstract: The article describes social and economic aspects of the treatment of patients with medium and large postoperative ventral hernias. The study was based on the results of treatment of 181 patients operated by endovideosurgical and open methods for postoperative ventral hernias. The stratification of patients was carried out on the basis of the mod-30 «Вестник хирургии» • 2022 • Том 181 • № 4 • С. 29-35 Ромащенко П. Н. и др.

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2024

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Modern concept of treatment of patients with ventral hernias

Romashchenko,

Kurygin,

Semenov

et al. 2024

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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INTRODUCTION. The relevance of treating patients with hernias of the anterior abdominal wall is beyond doubt, since the incidence of the disease is on average 5 people per 1000, and hernioplasty itself is one of the most common operations in a general surgical hospital. However, the relapse rate remains quite high. There remains a debate about the choice of surgical option; the issues of prevention and treatment of pain syndrome, as well as tactics for managing patients with a complicated postoperative period, remain unresolved.The OBJECTIVE was to evaluate the effectiveness of the modern concept of treating patients with ventral hernias and to substantiate the principles for choosing a hernioplasty technique.METHODS AND MATERIALS. The study is based on the results of treatment of 1938 patients operated on at the Faculty Surgery Clinic named after S.P. Fedorov Military Medical Academy in the period from 2015 to 2022. Both open and endovideosurgical options for surgical interventions were performed for isolated umbilical hernias or in combination with diastasis of the rectus muscles, hernias of the white line of the abdomen, inguinal and postoperative hernias, including reduction of the volume of the abdominal cavity.RESULTS. During the study, an algorithm for the treatment of patients with ventral hernias was developed, various options for perioperative pain relief were proposed, and the tactics for treating infectious and purulent complications were substantiated.CONCLUSION. A specialized surgical hospital must perform all possible options for both traditional and endovideosurgical hernioplasty, use innovative options for pain relief in the perioperative period, and apply modern methods for diagnosing and treating postoperative complications in order to provide personalized medical care.

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Modern concept of treatment of patients with ventral hernias

Romashchenko,

Kurygin,

Semenov

et al. 2024

VESTNIK KHIRURGII IMENI I.I.GREKOVA

Self Cite

View full text Add to dashboard Cite

show abstract

Long-term results of treatment of complex ventral hernias (series of observations)

Moshkova,

Krivolutskaia,

Berulava

et al. 2024

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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Social and economic aspects of treatment of patients with medium (W2) and large (W3) postoperative ventral hernias

Cited by 2 publications

References 10 publications

Modern concept of treatment of patients with ventral hernias

Modern concept of treatment of patients with ventral hernias

Long-term results of treatment of complex ventral hernias (series of observations)

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