Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko165710.18499/2070-478X-2022-15-4-333-341New in surgeryНовое в хирургии (архивный)UnknownTwo-Stage Abdominal Wall Reconstruction in a Patient with a Complex Postoperative HerniaРеконструкция брюшной стенки в два этапа у больного со сложной послеоперационной грыжейhttps://orcid.org/0000-0002-3587-886357190419706GogiaBadri ShotaevichГогияБадри Шотаевич
Russian Federation

MD, PhD, Head of the Department of Herniology and Reconstructive Surgery

д.м.н., зав.отделением герниологии и реконструктивной хирургии

gogia@ixv.ruhttps://orcid.org/0000-0002-4497-39421104-4038ChertovaAnastasija DmitrievnaЧертоваАнастасия Дмитриевна
Russian Federation

Postgraduate Student of the Department of Herniology and Reconstructive Surgery,

аспирант отделения герниологии и реконструктивной хирургии, специалист организационно-методического отдела

chertova.anastasia@mail.ruhttps://orcid.org/0000-0002-9916-90623182-5783AljautdinovRifat RushanovichАляутдиновРифат Рушанович
Russian Federation

Candidate of Medical Sciences, Surgeon of the Department of Herniology and Reconstructive Surgery

к.м.н., врач-хирург отделения герниологии и реконструктивной хирургии

alyautdinov@ixv.ruhttps://orcid.org/0000-0002-9357-09985964-2369KarmazanovskyGrigory GrigorievichКармазановскийГригорий Григорьевич
Russian Federation

RAS academician, MD, PhD, Professor, Head Department of Radiology and Magnetic Resonance Research

РАН, д.м.н., профессор, зав. отделением рентгенологии и магнитно-резонансных исследований

karmazanovsky@ixv.ruA.V. Vishnevsky National Medical Research Center of SurgeryФГБУ «Национальный медицинский исследовательский центр хирургии им. А.В. Вишневского» Минздрава России3112202215433334126102022Copyright ©; 2022, Voronezh N.N. Burdenko State Medical UniversityCopyright ©; 2022, ФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава России2022Voronezh N.N. Burdenko State Medical UniversityФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава Россииhttps://vestnik-surgery.com/journal/about/editorialPolicieshttps://vestnik-surgery.com/journal/article/view/1657

Surgical treatment of incisional hernia is an actual problem of abdominal surgery. Despite the improvement of surgical techniques, the results of surgical treatment cannot be considered satisfactory: the recurrence rate continues to be high and is due to failures in the reconstruction of complex ventral hernia. Although there are many works devoted to various aspects of the surgical treatment of patients with complex incisional hernias, the problem is not sufficiently resolved. The treatment of this category of patients is a difficult task for both surgeons and patients due to the high risk of general and local complications. A clinical case of surgical treatment of a patient with a complex incisional hernia is presented, in which it was possible to carry out a complete reconstruction of the anterior abdominal wall in two stages without "components separation" method.

Хирургическое лечение послеоперационных грыж было и остается актуальной проблемой абдоминальной хирургии. Несмотря на совершенствование хирургической техники, результаты хирургического лечения нельзя считать удовлетворительными: частота рецидивов продолжает оставаться достаточно высокой и в большей степени обусловлена неудачами в реконструкции сложных грыж передней брюшной стенки. Хотя имеется множество работ, посвященных различным аспектам хирургического лечения пациентов со сложными послеоперационными грыжами передней брюшной стенки, проблема во многом остается недостаточно разрешенной. Лечение этой категории больных является сложной задачей, как для хирургов, так и для пациентов из-за большого риска развития общих и местных осложнений. Приводится клинический случай оперативного лечения пациента со сложной послеоперационной вентральной грыжей, у которого удалось осуществить полноценную реконструкцию передней брюшной стенки в два этапа без разделения компонентов брюшной стенки.

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