CLINICAL FEATURES OF STARGED VENTRAL HERNIA COMPLICATED WITH INTESTINAL OBSTRUCTION
Keywords:
Constricted hernia, intra-abdominal hypertension, methods of prevention, strangulation intestinal obstruction, compartment syndrome, hernial water, “tension-free” hernioplastyAbstract
The study used retrospective and prospective data from 242 patients who underwent surgery for strangulated hernias of the anterior abdominal wall complicated by intestinal obstruction. Regardless of the type and size of strangulated ventral hernias, high intra-abdominal pressure (IAP) with the risk of developing enteral and multiple organ failure is an indication for the use of tension-free methods of repair. SPK can be prevented by enteral intubation. In the main study group, a significant (p˂0.05) trend towards a decrease in IAP as a result of the use of tension-free repair and enteral intubation was found. In the main study group, a significant (p˂0.05) trend towards a decrease in IAP as a result of the use of tension-free repair and enteral intubation was found. In the comparison group, the initial value of 19.3±1.6 decreased to 17.1±1.3 after surgery, and in the main group, the initial value of 18.8±1.8 decreased to 14.5±1.3 mmHg. Art. Resolution of paresis and intestinal obstruction can be effectively monitored using abdominal ultrasound.
References
Sallinen, V. et al. Management of incarcerated hernia and the impact on clinical outcomes. BMC Surgery. 2022. DOI: 10.1186/s12893-022-01321-3.
Henriksen, N.A., et al. (2021). "Incarcerated ventral hernia: Pathophysiology, diagnosis, and treatment." *British Journal of Surgery*, 107(3), 171-182. DOI: 10.1093/bjs/znaa104.
Skrovina, M., et al. (2020). "Clinical outcomes of ventral hernia repair in emergency settings." *World Journal of Emergency Surgery*, 15(1), 45. DOI: 10.1186/s13017-020-00320-9.
Velasco, N., et al. (2019). "Predictive factors for bowel necrosis in patients with incarcerated hernias." *BMC Medical Informatics and Decision Making*, 19(1), 158. DOI: 10.1186/s12911-019-0873-2.
Rios-Diaz, A.J., et al. (2023). "Umbilical hernia repair and risk of recurrence in complex cases." *BMC Surgery*. DOI: 10.1186/s12893-023-02001-0.
Tursunov O. M. et al. Interventional percutaneous technologies in the treatment of patients with obstructive jaundice syndrome // Journal of Biomedicine and Practice. – 2022. – T. 7. – No. 1
Статья поступила в редакцию 11.07.2024; одобрена после рецензирования 21.08.2024; принята к публикации 24.08.2024.
The article was submitted 11.07.2024; approved after reviewing 21.08.2024; accepted for publication 24.08.2024.
Информация об авторах:
Утаев Латифжон Холмаматович- самостоятельный соискатель кафедры общей хирургии, Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: latif.utayev@bk.ru, https://orcid.org/0000-0001-5468-9403
Дусияров Мухаммад Мукумбаевич - PhD, доцент кафедры общей хирургии, Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: dusiyarov.muxammad@mail.ru, https://orcid.org/0009-0009-5859-9136
Аскаров Пулат Азадович - PhD, Заведующий курсом малоинвазивной хирургии, Самаркандский государственный медицинский университет, Самарканд, Узбекистан. Е-mail: Pulat0513@gmail.com, https://orcid.org/0000-0003-4542-1442
Хужабаев Сафарбой Тухтабаевич - DSc, доцент кафедры общей хирургии Самаркандского Государственного медицинского университета. Самарканд, Узбекистан. Е-mail: safarboy26021976@gmail.com, https://orcid.org/0000-0002-7839-8202
Источники финансирования: Работа не имела специального финансирования.
Конфликт интересов: Авторы декларируют отсутствие явных и потенциальных конфликтов интересов, связанных с публикацией настоящей статьи.
Вклад авторов:
Утаев Л.Х. — сбор и анализ источников литературы, написание текста.
Дусияров М.М. — идеологическая концепция работы, написание текста;
Аскаров П.А. - написание текста, редактирование статьи;
Хужабаев С.Т. - написание текста, редактирование статьи.
Information about the authors:
Latifjon H. Utayev - independent applicant at the department of general surgery, Samarkand State Medical University, Samarkand, Uzbekistan. Е-mail: latif.utayev@bk.ru, https://orcid.org/0000-0001-5468-9403
Muhammad M. Dusiyarov — PhD, Associate Professor, Department of General Surgery, Samarkand State Medical University, Samarkand, Uzbekistan; E-mail: dusiyarov.muxammad@mail.ru, https://orcid.org/0009-0009-5859-9136
Pulat A. Askarov — PhD, Head of the course of minimally invasive surgery. Samarkand state medical university. Samarkand, Uzbekistan; E-mail: Pulat0513@gmail.com, https://orcid.org/0000-0003-4542-1442
Safarboy T. Hujabaev – DSc, Associate Professor of the Department of General Surgery, Samarkand state medical university. Samarkand, Uzbekistan. Е-mail: safarboy26021976@gmail.com, https://orcid.org/0000-0002-7839-8202
Sources of funding: The work did not receive any specific funding.
Conflict of interest: The authors declare no explicit or potential conflicts of interest associated with the publication of this article.
Contribution of the authors:
Utayev L.H. — collection and analysis of literature sources, writing the text.
Dusiyarov M.M. — ideological concept of the work, writing the text;
Askarov P.A. - writing the text, editing the article.
Hujabaev S.T. - writing the text, editing the article.
