OPERATSIYADAN KEYINGI VA RETSIDIV VENTRAL CHURRALARNI XIRURGIK DAVOLASHNING TAKTIK VA TEXNIK JIHATLARINI OPTIMALLASHTIRISH
##article.subject##:
operatsiyadan keyingi ventral churra, xirurgik davolash, separatsion protezlash plastikasi##article.abstract##
Onlay va sublay usullaridan foydalangan holda churra defektini plastikasi va normal topografik anatomiyani tiklash bilan separatsion protezlash plastikasi usulidan foydalangan holda operatsiyadan keyingi ventral va retsidiv churralari bo‘lgan 107 bemorni davolash natijalari o‘rganildi. Qorin bo‘shlig‘i bosimini qayta o‘rganish monitoringi natijalari, W3-W4 ≥ 11 da orqa separatsion gernioplastikaning ustuvorligini asosladi, <11 da oldingi separatsion plastika usulini bajarish mumkin. Operatsiyadan keyingi ventral churralar uchun standart (onlay, sublay) yoki separatsion (old, orqa) plastika usulini tanlash algoritmi W2, W3, W4 qorin old devorining mushak-aponevrotik tuzilmalarining holatiga va qorin ichi bosimining intraoperativ monitoringi ko‘rsatkichiga asoslanadi.
Библиографические ссылки
Paajanen, H., Laine, H. (2015). Operative treatment of massive ventral hernia using polypropylene mesh: a challenge for surgeon and anesthesiologist. Hernia, 9(1), 62-67.
Gurrado, A. et al. (2015). Impact of pericardium bovine patch (Tutomesh) on incisional hernia treatment in contaminated fields. Hernia, 19(2), 259-266.
Reilingh, T. S. et al. (2007). Components separation technique vs prosthetic repair: interim analysis of a randomized trial. World Journal of Surgery, 31(4), 756-763.
Azin, A. et al. (2019). Emergency laparoscopic vs open repair of incarcerated ventral hernias: multi-institutional analysis. Surg Endosc, 33(9), 2812-2820.
Chung, P. J. et al. (2017). Predicting 30-day postoperative mortality for emergent abdominal wall hernia repairs. Hernia, 21(3), 323-333.
Baltodano, P. A. et al. (2016). A validated risk assessment tool for predicting readmission after open ventral hernia repair. Hernia, 20(1), 119-129.
Rosen, M. J. et al. (2022). Biologic vs synthetic mesh for single-stage repair of contaminated ventral hernias: A randomized clinical trial. JAMA Surg, 157(4), 293-301.
Linn, J. G. et al. (2023). Long-term performance of intraperitoneal biomaterial in ventral hernia treatment. Surg Endosc, 37(5), 3455-3462.
Parker, S. G. et al. (2021). Predictors of ventral hernia recurrence: A systematic review and meta-analysis. BJS Open, 5(2).
Muysoms, F. E. et al. (2009). Classification of primary and incisional abdominal wall hernias. Hernia, 13(4), 407-414.
