Lukomskiĭ G I, Shulutko A M, Antropova N V, Moiseev A Iu, El-Said A Kh
Khirurgiia (Mosk). 1995 Jan(1):51-3.
The results of surgical treatment of of 392 patients with postoperative ventral hernia are discussed. The algorithm of treatment of patients with large hernias was developed. Special preoperative management by dosed pneumocompression in an antioverload costume makes it possible to avoid menacing complications after the operation, which are caused by increased intraabdominal pressure. Test for tolerance to increase of intraabodominal pressure allowed prognostication of the character of the operative intervention: with or without decrease of the volume of the abdominal cavity (autoplasty or alloplasty, respectively). Prevention of wound complications consisted in control of infection, improvement of operative techniques, and use of modern surgical instruments. The prevention of recurrent hernias should be directed at correct choice of the method of plastics and removal of wound complications.
讨论了392例术后腹疝患者的手术治疗结果。制定了大型疝患者的治疗算法。通过在抗过载服装中进行定量气压压缩的特殊术前管理，可以避免术后因腹内压升高而引起的严重并发症。腹内压升高耐受性测试有助于预测手术干预的性质：是否减少腹腔容积（分别为自体成形术或异体成形术）。伤口并发症的预防包括控制感染、改进手术技术以及使用现代手术器械。复发性疝的预防应针对正确选择整形方法和消除伤口并发症。
