Features of the treatment of patients with ventral hernias in morbid obesity

Bulletin of fundamental and clinic medicine, 2022 №1

Subject of the article

Features of the treatment of patients with ventral hernias in morbid obesity (9-14)

Authors

Abdurakhmanov Diyor Shukurillaevich, Mardonov Bobosher Amirovich, Egamberdiev Abdukakhhor Abdukodirovich

Institution

Samarkand State Medical University

Abstract

The aim of the study is to improve the quality of treatment of ventral hernias in patients with morbid obesity by improving the tactical and technical aspects and optimizing the choice of hernioplasty method. Materials and research methods. The study is based on a clinical and laboratory examination of 121 patients with ventral hernias who were operated on in the surgical department of the 1st clinic  of the Samarkand State Medical University for the period from 2012 to 2021. Findings. The application of  the proposed algorithm, taking into account the improved tactical and technical aspects of the surgical treatment of ventral hernias in patients with morbid obesity, made it possible to reduce the overall incidence of postoperative complications from 14.8% to 8.9%, including wound complications from 11.1% to 4.5%, as well as significantly reduce the duration of surgical treatment and rehabilitation periods after various types of hernioplasty and abdominoplasty.

Key words

ventral hernia, morbid obesity, surgical correction.

Literature

  1. Абдурахманов Д., Усаров Ш., Рахманов К. Критерии выбора хирургического лечения больных с вентральными грыжами и ожирением // Журнал гепато-гастроэнтерологических исследований. – 2021. – Т. 2. – №. 3. – С. 17-22.
  2. Асланов А. Д. и др. Ненатяжная герниопластика и абдоминопластика у пациентов с морбидным ожирением //Московский хирургический журнал. – 2020. – №. 2. – С. 45-53.
  3. Галимов О. В. и др. Опыт выполнения хирургических вмешательств у пациентов с избыточной массой тела и ожирением //Медико-фармацевтический журнал «Пульс». – 2019. – Т.21. – №. 8. – С. 71-76.14 2022, №1 (1) Вестник фундаментальной и клинической медицины
  4. Mardonov B. A., Sherbekov U. A., Vohidov J.J. Современные подходы к лечению пациентов с вентральными грыжами симультанными патологиями //Клінічна та експериментальна патологія. – 2018. – Т. 17. – №. 3.
  5. Ширанов А. Б. и др. Тактика ведения больных с послеоперационными вентральными грыжами и ожирением //Медико-фармацевтический журнал «Пульс». – 2017. – Т.19. – №. 11. – С. 92-96.
  6. Babazhanovich, K. Z., Erdanovich, R. K., Ab[1]dukodirovich, E. A., & Shukurillaevich, A. D.(2022). Clinical Efficacy and Technical Aspects of Endovideosurgical Treatment of Hiatal Hernia.Texas Journal of Medical Science, 5, 20-26.
  7. Davlatov S. S., Suyarova Z. Eliminate postoper[1]ative complications after ventral hernia repair in patients with morbid obesity //Scientific discussion (Praha, Czech Republic). – 2017. – Т. 1. – №. 8. С. 4-7.
  8. Nazyrov F. G. et al. Age-related structural changes in aponeuroses of the rectus abdominal muscles in patients with postoperative ventral her[1]nias //Клінічна та експериментальна патологія. 2018. – Т. 17. – №. 3.
  9. Sayinayev F. K. et al. Laparoscopic treatment of incisional ventral hernias //湖南大学学报(自然科学版). – 2021. – Т. 48. – №. 7.
  10. Shamsiev A. M., Davlatov S. S., Saydul[1]laev Z. Y. Optimization of treatment of patients with postoperative ventral hernia // Science, technology and education. – 2017. – №. 10. – С. 94-99.