Surgery for Abdominal Hernias and Combined Abdominal Pathology

Ulugbek Akhrorovich  Sherbekov; Zafar Babajanovich  Kurbaniyazov

Ulugbek Akhrorovich Sherbekov Head of Department, Department of General Surgery, Samarkand State Medical University, Samarkand, Uzbekistan
Zafar Babajanovich Kurbaniyazov DSc, Professor, Head of Department, Department of Surgical Diseases 1, Samarkand State Medical University Samarkand, Uzbekistan

Keywords: abdominal hernias, simultaneous operations

Abstract

The results of treatment of 331 patients with ventral hernia and concomitant abdominal organ pathology were included in the study. Simultaneous abdominal cavity pathology requiring surgical correction in ventral hernias was 52,8%, biliary stone disease (30,1%), pelvic organs pathology in women (30,8%), abdominal adhesions and chronic intestinal obstruction (46,7%), and also stage III - IV obesity and abdominoprotosis (29,7%) were revealed more frequently. At the location of concomitant abdominal pathology far away from the hernial defect (M1S8 or M3S2), the laparoscopic laparoscopic approach was preferred as a simultaneous procedure, which was successfully carried out in 37,5% of patients, i.e. in more than 1/3 of the main group patients. Optimization of tactical and technical aspects of the simultaneous surgical correction of ventral hernia and concomitant abdominal pathology with the priority use of endovideosurgical techniques and non-tension alloplasty methods permitted to decrease the incidence of postoperative complications from 8,6% to 5,3%, to reduce duration of surgery from 72,5 ±3,4 minutes to 58,5 ±4,1 minutes and to reduce hospitalization time from 10,2±0,4 to 8,3±0,6 bed days.

References

1. Doble J. A., Pauli E. M. Ventral Hernia Repair //Clinical Algorithms in General Surgery. – Springer, Cham, 2019. – С. 801-803.
2. Белоконев В. И., Ковалева З.В., Пушкин С.Ю. Передняя протезирующая герниопластика комбинированным способом при больших и гигантских вентральных грыжах // Хирургия. Журнал им. НИ Пирогова. – 2018. – №. 5. – С. 45-50.
3. Ahonen-Siirtola M. et al. Laparoscopic versus Hybrid Approach for Treatment of Incisional Ventral Hernia //Digestive Surgery. – 2017.
4. Насиров М. Я. и др. Анализ отдаленных результатов симультанной герниоалло- и абдоминопластики у больных с послеоперационными вентральными грыжами и ожирением //Хирургия. Журнал им. НИ Пирогова. – 2015. – №. 2. – С. 70-74.
5. Хакимов М. Ш. и др. Преимущества миниинвазивных технологий в хирургическом лечении пупочных грыж //Эндоскопическая хирургия. – 2017. – Т. 23. – №. 4. – С. 29-32.
6. Gillion J. F., Dabrowski A., Jurczak F., Dugue T., Bonan A., Chollet J.M.. Patient-reported outcome measures 2 years after treatment of small ventral hernias using a monofilament polypropylene patch covered with an absorbable hydrogel barrier on its visceral side //International Journal of Abdominal Wall and Hernia Surgery. – 2018. – Т. 1. – №. 3. – С. 99.