Estimation of the factors infl uencing the choice of operative intervention in patients with hernias of the front belly wall


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Abstract

To choose the optimum variant of surgical treatment of patients with hernias of the front belly wall (HFBW) is an actual problem in surgery, because in the early postoperative period a number of patients have the increased intra-abdominal pressure, that leads to appearance of an abdominal compartment syndrome (АCS). We have examined 50 person with HFBW and analysed their accompanying pathology, the rate of intra-abdominal pressure (IAP), the spirometric data. We have found a direct correlation dependence between the class of obesity and the rate of the IAP. There was given the estimation of allohernioplastic methods concerning their infl uence on the IAP and the indices of external respiration. We have made the following conclusion: in 63 % of cases the combined plasty favours the increase of the IAP and the decrease of the indices of the FER; the non-tensioned plasty does not change the FER- 72 % or leads to its improvement – 15 %, though in 13 % there was the insignifi cant decrease of the FER, that we connected with an accompanying pathology.

About the authors

Рязанский государственный медицинский университет им. академика И.П.Павлова

Author for correspondence.
Email: Aleksandr4007@rambler.ru
д.м.н., профессор кафедры общей хирургии Рязанского государственного медицинского университета им. академика И.П.Павлова;

Рязанский государственный медицинский университет им. академика И.П.Павлова

Email: Aleksandr4007@rambler.ru
к.м.н., ассистент кафедры общей хирургии Рязанского государственного медицинского университета им. академика И.П.Павлова;

Рязанский государственный медицинский университет им. академика И.П.Павлова

Email: Aleksandr4007@rambler.ru
ассистент кафедры общей хирургии Рязанского государственного медицинского университета им. академика И.П.Павлова;

Рязанский государственный медицинский университет им. академика И.П.Павлова

Email: Aleksandr4007@rambler.ru
ассистент кафедры общей хирургии Рязанского государственного медицинского университета им. академика И.П.Павлова

Рязанский государственный медицинский университет им. академика И.П.Павлова

Email: Aleksandr4007@rambler.ru
ассистент кафедры общей хирургии Рязанского государственного медицинского университета им. академика И.П.Павлова;

References

  1. Aliautdinov R.R., Gogiia B.Sh., Kopyl'tsov A.A. Alloplastika v lechenii bol'nykh s ventral'nymi gryzhami perednei briushnoi stenki. V mat. 1 Mezhdunar. konf. "Sovremennye tekhnologii i vozmozhnosti rekonstruktivno-vosstanovitel'noi i esteticheskoi khirurgii." pod red. prof. V.D.Fedorova, prof. A.A.Adamiana, Moskva 2008; 100.
  2. Gel'fand B.R. i dr. Sindrom intraabdominal'noi gipertenzii u khirurgicheskikh bol'nykh: sostoianie problemy v 2007g. Infektsiia v khirurgii 2007; 3: 23-24.
  3. Kochnev O.S., Kurbanov G.B., Birial'tsev V.N. Autodermal'no-monofil'naia plastika ventral'nykh gryzh. KochnevKhirurgiia 1991; 9: 113-118.
  4. Timoshin A.D., Iurasov A.V., Shestakov A.L. Khirurgicheskoe lechenie pakhovykh i posleoperatsionnykh gryzh briushnoi stenki. M. Triada-Kh 2003; 144.
  5. De Vries Reilingh T.S. et al. Repair of large midline incisional hernias with polypropylene mesh: comparison of three operative techniques. Hernia 2004; 8; 1: 56-59.
  6. Kirkpatrick A.W., Brenneman F.D., McLean R.F. et al. Is clinical examination an accurate indicator of raised intraabdominal pressure in critically injured patients? CJS 2000; 43; 3: 207–211.
  7. Malbrain M.L. et al. Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epi demiological study. Intensive Care Med. 2004; 30: 822-829.
  8. Manu L.N.G. et al. Incidence and prognosis of intraabdominal hypertension in mixed population of critically ill patients: A multiple-center epidemiological study. Ibid. 2005; 33: 315–332.
  9. Sugrue M. et al. Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch. Surg. 1999; 134: 1082-1085.

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