Justification of Simultaneous Operations on the Organs of the Abdominal Cavity and Abdominal Wall in Patients with Ventral Hernia

摘要

Relevance. According to domestic and foreign literature, 15-20% of patients who underwent hernia repair, in the coming years after surgery undergo repeated surgical interventions for other surgical diseases. The aim of the study is to improve the quality of treatment of patients with ventral hernia by reducing the frequency and severity of complications after simultaneous and reconstructive surgery on the abdominal organs and abdominal wall. Materials and research methods. The study included the results of treatment of 197 patients with simultaneous pathology of the abdominal cavity and abdominal wall, admitted to the surgical department of the 1st clinic of Samarkand State Medical Institute. The results of the study. On average, one patient in the comparison group had 2-3 complications in the form of a combination of bronchopulmonary and / or cardiovascular complications with wound complications. In general, in the comparison group there were 17 (18.3% of 93) patients with various complications. Findings. Improving the tactical and technical aspects allowed: in 47.1% of cases in the main group to perform a simultaneous operation from separate two accesses and thereby reduce the frequency of performing simultaneous operations through one access to 52.9%, and the duration of the operation from 98.5 ± 4,9 to 72.5 ± 2.9 minutes (t-test = 4.23; p <0.001).