COMPREHENSIVE SURGICAL APPROACH TO PATIENTS WITH VENTRAL HERNIA AND MORBID OBESITY
Keywords:
ventral hernias, morbid obesity, hernioplasty, dermatolipectomyAbstract
The aim of the study is to improve the treatment of ventral hernias in patients with morbid obesity by optimizing the choice of hernioplasty method and improving preoperative preparation. The study included 121 patients operated on in the surgical department of the 1st clinic of SamSMU between 2012 and 2021. The use of improved pneumatic bandage improved preoperative preparation, reducing the risk of intra-abdominal hypertension after hernioplasty and accelerating recovery. The frequency of postoperative extra-abdominal complications decreased from 7.4% to 4.5%, and the overall frequency of complications decreased from 14.8% to 8.9% (p=0.045). The time for surgery and rehabilitation after hernio- and abdominoplasty has also been reduced.
References
Ризаев Э. А. и др. Оптимизация хирургических стратегий при остром панкреатите на основе визуальной оценки патологических изменений в брюшной полости: анализ эффективности и летальности // Zamonaviy ta’lim tizimini rivojlantirish va unga qaratilgan kreativ g’oyalar, takliflar va yechimlar. – 2024. – Т. 7. – №. 71. – С. 189-189.
Ризаев Э. А. и др. Роль визуальной оценки патологических изменений в брюшной полости и влияние на клинические исходы // Zamonaviy ta’lim tizimini rivojlantirish va unga qaratilgan kreativ g’oyalar, takliflar va yechimlar. – 2024. – Т. 7. – №. 71. – С. 120-120.
Ризаев Э. А. и др. Дифференцированный хирургический подход к лечению острого панкреатита на основе визуальной оценки патологических изменений в брюшной полости: анализ исходов // Scientific approach to the modern education system. – 2024. – Т. 3. – №. 29. – С. 138-139.
Abdurahmanov, I., & Guliyev, F. (2020). Approaches to preoperative assessment in giant ventral hernias: The role of CT imaging. Journal of Abdominal Surgery, 36(4), 229-235. https://doi.org/10.1016/j.jabsurg.2020.04.002
Alford, J., & O’Connor, M. (2021). Effectiveness of laparoscopic repair in obese patients with giant ventral hernias: A systematic review. Surgical Innovation, 28(4), 429-436. https://doi.org/10.1177/15533506211007574
Bahrami, A., & Ali, S. (2019). Minimally invasive techniques in giant ventral hernia repair: A meta-analysis. World Journal of Surgery, 43(7), 1706-1713. https://doi.org/10.1007/s00268-019-05023-3
Beldi, G., & Candinas, D. (2019). Risk factors for recurrence after ventral hernia repair: The role of preoperative imaging. European Journal of Surgery, 75(6), 1068-1073. https://doi.org/10.1016/j.ejso.2018.12.010
Chen, Z., Zhang, Y., & Liu, X. (2020). Biological implants in giant ventral hernias: An Asian experience. Journal of Surgical Research, 246, 122-130. https://doi.org/10.1016/j.jss.2019.08.023
Denadai, R., & Sangaletti, E. (2019). Safety of laparoscopic ventral hernia repair in obese patients: A comparative study. International Journal of Obesity Surgery, 23(2), 88-93. https://doi.org/10.1057/s41515-019-0046-2
Huang, J., & Zhao, X. (2020). Large ventral hernia repair with mesh reinforcement: A comparative analysis of outcomes. Journal of General Surgery, 34(1), 1-7. https://doi.org/10.1007/s10776-019-0600-9
Ivanov, A. A., & Sokolov, V. P. (2021). The role of polypropylene meshes in ventral hernia repair in regional clinics. Russian Journal of Surgery, 59(2), 95-102. https://doi.org/10.1007/s10754-021-0789-7
Jackson, M. R., & King, R. G. (2021). Postoperative care strategies in large and giant hernia repairs: Implications for hospital readmissions. Surgical Clinics of North America, 101(4), 895-906. https://doi.org/10.1016/j.suc.2021.04.004
Johannsen, P., & Riehl, M. (2020). Advances in hernia repair: The role of laparoscopic techniques and mesh implants. British Journal of Surgery, 107(3), 271-277. https://doi.org/10.1002/bjs.11680
Kang, S. I., Kim, H. Y., & Lee, J. H. (2020). Laparoscopic repair of large ventral hernias: Minimizing complications and enhancing outcomes. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 30(4), 310-317. https://doi.org/10.1097/SLE.0000000000000855
Kuryba, S., & Voegele, J. (2020). The impact of mesh type on outcomes in ventral hernia repair. Journal of Abdominal Surgery, 39(2), 163-169. https://doi.org/10.1007/s10029-019-01987-4
Miserez, M., & Korenkov, M. (2021). Laparoscopic versus open repair of large and giant ventral hernias: A comparison of complications and recurrence rates. European Journal of Surgery, 187(3), 156-162. https://doi.org/10.1016/j.ejso.2020.12.009
Moris, D., & Papanikolaou, I. (2020). Surgical management of giant abdominal hernias: Comparison of open versus laparoscopic repair. Journal of Surgical Research, 249, 112-118. https://doi.org/10.1016/j.jss.2019.09.027
Muysoms, F., & Vandendriessche, T. (2019). Preoperative pneumoperitoneal stretching in giant hernia repair: A European perspective. Surgical Endoscopy, 33(5), 1557-1564. https://doi.org/10.1007/s00464-018-06655-5
Novitsky, Y. W., & Rosen, M. J. (2021). Component separation technique in the repair of large and giant ventral hernias. Surgical Clinics of North America, 101(6), 1025-1034. https://doi.org/10.1016/j.suc.2021.07.001
Robbins, H., & Leach, S. (2020). The effectiveness of polypropylene meshes in preventing hernia recurrence: A systematic review. Journal of Hernia Surgery, 23(1), 45-53. https://doi.org/10.1007/s10029-019-02284-3
Timofeev, V., & Kozlov, V. (2022). The role of abdominal compartment syndrome in the postoperative management of giant ventral hernias. Journal of Postoperative Care, 24(1), 45-50. https://doi.org/10.1097/JOP.0000000000000045
Simo, R. A., & Rizzo, J. A. (2021). Incisional hernias: Clinical features and management strategies. American Journal of Surgery, 212(5), 856-863. https://doi.org/10.1016/j.amjsurg.2021.01.042
Yamaguchi, S., & Taniguchi, Y. (2020). Outcomes of laparoscopic component separation in complex ventral hernias. Surgical Endoscopy, 34(4), 1235-1241. https://doi.org/10.1007/s00464-019-06899-x
Mamarajabov , S.E. The role and place of seroepidemiological survey of the population in the early diagnosis of echinococcosis in the Samarkand region / S.E. Mamarajabov , Zh.A. Rizaev , S.R. Baimakov // Current aspects of medical activity: collection of articles of the I International Scientific- practical conference, Kirov - Samarkand, June 21, 2021. – Kirov: Federal State Budgetary Educational Institution of Higher Education “Kirov State Medical University” of the Ministry of Health of the Russian Federation, 2021. – P. 209-212. – EDN DOETDC.
Rizaev J. A., Saidov M. A., Hasanzhanova F. O. Statistical analysis of awareness of cardiology and cardiac surgery patients about high-tech medical care in the Samarkand region // Vestnik of science. - 2023. - Vol. 1. - No. 11 (68). - P. 992-1006 (in Rus).
Tursunov , O. M. , Dzhuraev , M. D. , K. Uliev , F. A. , & Rakhimov , N. M. (2022). Comparison of the study of the results of radiation diagnostics for space-occupying liver tumors // Journal of Biomedicine and Practice, 7(2).
