Maqola mavzusi

Mualliflar

Bakhriyev B.L., Davlatov S.S., Rakhmanov K.E.

Muassasa

1-Zafarabad District Medical Association, Jizzakh, Uzbekistan 2-Bukhara State Medical Institute named after Abu Ali ibn Sino, Bukhara, Uzbekistan 3-Samarkand State Medical University, Samarkand, Uzbekistan

Annotatsiya

Ventral hernias represent a significant proportion of surgical pathology of the abdominal wall and are associated with a high risk of postoperative complications, particularly in patients with obesity and concomitant cardiopulmonary diseases. The outcomes of hernia repair largely depend not only on the surgical technique but also on the quality of preoperative assessment and preparation. This study presents a retrospective analysis of surgical treatment outcomes in 149 patients with postoperative anterior ventral hernias treated between 2021 and 2024. Patients were divided into a main group, in which improved hernioplasty techniques and comprehensive preoperative preparation were applied, and a comparison group treated using conventional methods. Special attention was given to preoperative adaptation of the cardiovascular and respiratory systems to increased intra-abdominal pressure using a specialized pneumatic belt-bandage, along with respiratory training, thromboembolic prophylaxis, and ERAS-based perioperative measures. The implemented comprehensive approach to preoperative preparation allowed safe adaptation to elevated intra-abdominal pressure, reduced the risk of respiratory and cardiovascular complications, and improved postoperative recovery. No adverse effects related to the use of the pneumatic bandage were observed. The results demonstrate that an individualized, multidisciplinary preoperative preparation strategy is an essential component of successful surgical treatment of anterior ventral hernias and contributes to improved clinical outcomes and patient quality of life

Kalit so'zlar

anterior ventral hernia, preoperative preparation, hernioplasty, intra-abdominal hypertension, pneu-matic belt-bandage, respiratory adaptation, postoperative outcomes

Adabiyotlar