Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko94210.18499/2070-478X-2012-5-1-200-206Review of literatureОбзор литературыResearch ArticleThe problem questions of diagnostic and prognosis in severe acute pancreatitisПроблемные вопросы диагностики тяжелых форм острого панкреатита и прогнозирования его теченияFirsovaViktoriya GlebovnaФирсоваВиктория Глебовна
Russian Federation

Doctor of medical sciences, surgeon of the City hospital № 35, Nizhny Novgorod

кандидат медицинских наук, врач-хирурггородской больницы №35, г. Нижний Новгород

pv1610@mail.ruParshikovVladimir VyacheslavovichПаршиковВладимир Вячеславович
Russian Federation

Doctor of medical sciences, professor of the Department of Hospital Surgery named after B.A.Koroleva of the Nizhny Novgorod State Medical Academy

доктор медицинских наук, профессор кафедры госпитальной хирургии имени Б.А.Королева Нижегородской государственной медицинской академии

pv1610@mail.ruCity hospital № 35Городская больница №35Nizhny Novgorod State Medical AcademyНижегородская государственная медицинская академия19012012512002060903201702042017Copyright ©; 2012, Voronezh N.N. Burdenko State Medical UniversityCopyright ©; 2012, ФГБОУ ВО ВГМУ им. Н.Н. Бурденко Минздрава России2012Voronezh 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/942

Abroad, there is some experience with the use of synthetic and biogenic adhesives in the surgical treatment of hernias. In Russia, such interventions are carried out only in some clinics. The development and application of glue compositions are in the center of attention of the leading Germanic schools.In the experimental work, the features of intraperitoneal plasticity of the abdominal wall were studied using a grid using glue and xymedon. It is shown that their use has certain advantages in comparison with the traditional use of surgical sutures. Glutinous fixation of the mesh is much stronger than implantation of the endoprosthesis with a surgical suture, and the adhesion process is less pronounced. Local application of xymedon corresponds to the maximum strong fixation of the mesh and does not increase the formation of adhesions in the abdominal cavity.

За рубежом имеется определенный опыт применения синтетических и биогенных клеевых композиций в хирургическом лечении грыж. В России такие вмешательства выполняют лишь в некоторых клиниках. Вопросы разработки и применения клеевых композиций находятся в центре внимания ведущих герниологических школ.В экспериментальной работе изучены особенности интраперитонеальной пластики брюшной стенки сеткой с применением клея и ксимедона. Показано, что их использование обладает определенными преимуществами по сравнению с традиционным использованием хирургических швов. Клеевая фиксация сетки достоверно прочнее, чем имплантация эндопротеза с помощью хирургического шва, при этом спаечный процесс менее выражен. Местное применение ксимедона соответствует максимально прочной фиксации сетки и не усиливает образование спаек в брюшной полости.

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