Короткий опис (реферат):
Statistics on the healing of obstetric and gynecological laparotomies with the formation
of postoperative ventral hernias indicate a correlative and pathogenetic link with
abdominal obesity in these patients, and inflammatory complications of subsequent
corrective hernioplasty often have the same cause. The aim of the study was to improve
the clinical and aesthetic results of surgical treatment of patients with hypogastric
postoperative ventral hernias and scarring of the anterolateral abdominal wall on the
background of abdominal obesity. The work is based on the analysis of paraoperative
studies of 30 patients. The main group consisted of 19 patients who had umbilicalhypogastric postoperative ventral hernias of various sizes and locations after lower laparotomies or laparoscopic interventions. The comparison group included 11 patients who had only soft tissue deformities of the anterior abdominal wall without aponeurotic defects and hernias. Statistical processing of the results was performed using the software "Statistica 6.1". During the analysis of the obtained data it was found that
parahernian excess tissues of the anterolateral abdominal wall after obstetric and
gynecological operations have mainly supraaponeurotic localization and metric
characteristics determined by the set size of the hernia, the severity of surrounding
fatty layers and fibro-scar components. When performing hernioabdominoplasty in the
conditions of ALAW obesity in patients with umbilical-hypogastric postoperative ventral
hernias, sound tactics of dermolipectomy/fibrolipectomy were introduced in combination
with abdominoplasty. This combination of surgical interventions reduces the incidence
of local complications of hernia surgery to 4.5 %.
