FACTORS OF COMPLICATED POSTOPERATIVE COURSE IN ONE-STAGE SURGICAL TREATMENT OF PATIENTS WITH POSTOPERATIVE VENTRAL HERNIAS AND OBESITY
Keywords:
obesity; postoperative ventral hernia; endovideosurgical hernioplasty; one-stage surgical strategy; risk factors.Abstract
Postoperative ventral hernia (PVH) is commonly observed in patients with obesity. Obesity contributes to increased intra-abdominal pressure, which in turn leads to the development of PVH. The choice of surgical staging and sequence in such patients is often a major challenge and remains a relevant clinical problem. A retrospective analysis of surgical treatment outcomes in 212 patients with obesity and PVH was conducted to identify factors associated with a complicated postoperative course following one-stage surgical treatment. The study demonstrated that the main predictors of complications were body mass index (BMI), duration of surgery, and the patient’s comorbid condition. There is a need to develop a unified prognostic model using statistical processing methods to simplify the application of all interrelated factors.
References
Дедов И.И. Междисциплинарные клинические рекомендации «Лечение ожирения и коморбидных заболеваний» /, М.В. Шестакова, Г.А. Мельниченко [и др.] // Ожирение и метаболизм. -- 2021. -- Т. 18, № 1. -- C. 5-99.
Baig S.J. Management of ventral hernia in patients with BMI > 30 Kg/m2: outcomes based on an institutional algorithm / Baig S.J., Priya P.// Hernia. 2021; 25(3). 689-699 https://doi.org/10.1007/s10029-020-02318-z
Chandeze M.M. Ventral hernia surgery in morbidly obese patients, immediate or after bariatric surgery preparation: Results of a case-matched study./Chandeze M.M., Moszkowicz D., Beauchet A., Vychnevskaia K., Pschaud F., Bouillot J.L. // Surgery for Obesity and Related Diseases. 2019;15(1):83-88. https://doi.org/10.1016/j.soard.2018.09.490
Maspero M. et al., "Laparoscopic ventral hernia repair in patients with obesity: should we be scared of body mass index?," Surg Endosc, vol. 36, no. 3, pp. 2032–2041, Mar. 2022, doi: 10.1007/S00464-021-08489-9.
Pearson DG, Carbonell AM. Obesity and abdominal wall reconstruction: outcomes, implications, and optimization. Plast Reconstr Surg. 2018 Sep;142(3 Suppl):30S–5S.
Rodrigues Gonçalves V., M. Verdaguer Tremolosa, P. Martínez López et al. Obesity focused prehabilitation strategies in ventral hernia: Cohort study. Hernia. 2025 Jun 11;29(1):202. doi: 10.1007/s10029-025-03392-x. PMID: 40500339; PMCID: PMC12158845.
Smith J. and J. D. Parmely, "Ventral Hernia," Br Med J, vol. 2, no. 3012, pp. 312–313, Aug. 2022, doi: 10.1136/bmj.2.3012.312.
УДК 616-06
Mamarajabov , S.E. The role and place of seroepidemiological survey of the population in the early diagnosis of echinococcosis in the Samarkand region / S.E. Mamarajabov , Zh.A. Rizaev , S.R. Baimakov // Current aspects of medical activity: collection of articles of the I International Scientific- practical conference, Kirov - Samarkand, June 21, 2021. – Kirov: Federal State Budgetary Educational Institution of Higher Education “Kirov State Medical University” of the Ministry of Health of the Russian Federation, 2021. – P. 209-212. – EDN DOETDC.
Rizaev J. A., Saidov M. A., Hasanzhanova F. O. Statistical analysis of awareness of cardiology and cardiac surgery patients about high-tech medical care in the Samarkand region // Vestnik of science. - 2023. - Vol. 1. - No. 11 (68). - P. 992-1006 (in Rus).
Ризаев Ж. А. и др. Выбор хирургической тактики в зависимости от дооперационной топической диагностики эхинококкоза печени //Биология ва тиббиёт муаммолари. – 2021. – Т. 5. – №. 131. – С. 117-119.
