RESULTS OF SURGICAL TREATMENT OF PATIENTS WITH PINCHED
Utayev L.H. , Samarkand State Medical University, Uzbekistan Dusiyarov M.M , Samarkand State Medical University, Uzbekistan Xujabayev S.T. , Samarkand State Medical University, Uzbekistan Belyalov A.M. , Samarkand State Medical University, UzbekistanAbstract
The results of this study include a retrospective and prospective study of 242 patients who underwent surgery for incarcerated hernias of the anterior abdominal wall complicated by intestinal obstruction. The risk of compartment syndrome and hernia recurrence was reduced from 19.1% to 5.4% with onlay non-tension hernioalloplasty with U-shaped fixation sutures (W1-W2) and combined onlay+sublay (W3-W4). For patients with pinched hernia complicated by intestinal obstruction, the proposed treatment algorithm can reduce the incidence of abdominal complications from 20.7% to 4.4%, general postoperative complications from 28.3% to 11.3%, mortality from 5.2% to 1.5% and wound complications from 28.3% to 8.8%.
Keywords
Pinched ventral hernia, intestinal obstruction
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