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[腹外疝手术围手术期并发症的预防]

[Perioperative prevention of complications in surgery of ventral hernias].

作者信息

Samartsev V A, Parshakov A A, Gavrilov V A, Kuznetsova M V

机构信息

Vagner Perm State Medical University, Perm, Russia.

出版信息

Khirurgiia (Mosk). 2023(8):40-45. doi: 10.17116/hirurgia202308140.

Abstract

OBJECTIVE

To improve perioperative algorithm of prevention of complications in patients with ventral and incisional hernias via differentiated choice of mesh implants and hernia repair technique.

MATERIAL AND METHODS

The study included 144 patients with abdominal wall hernia, who were divided into two representative groups.

RESULTS

Original algorithms for choosing the method of hernia repair depending on type and position of mesh implant, as well as methods of perioperative prevention of complications are proposed.

CONCLUSION

These algorithms significantly reduced the incidence of postoperative wound complications after sublay hernia repair and posterior separation with TAR.

摘要

目的

通过差异化选择补片植入物和疝修补技术,改进腹侧疝和切口疝患者围手术期并发症的预防方案。

材料与方法

该研究纳入了144例腹壁疝患者,将其分为两个具有代表性的组。

结果

提出了根据补片植入物的类型和位置选择疝修补方法的原始方案,以及围手术期预防并发症的方法。

结论

这些方案显著降低了腹膜前间隙疝修补术和使用TAR技术进行后入路分离术后伤口并发症的发生率。

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