QORIN BO'SHLIG'I ORGANLARINING QO'SHMA PATOLOGIYASI BILAN VENTRAL CHURRALARNI JARROHLIK DAVOLASHNI TAKOMILLASHTIRISH
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Ventral churralar, simulyatsiya qilingan operatsiyalar, jarrohlik davolash, hernioplastika, distopiya sxemasi, yagona kirish, og'ir bo'lmagan usullar, asoratlar, qorin patologiyasi, Ramirez texnikasi##article.abstract##
Maqola simulyatsiya qilingan operatsiyalar usullarini ishlab chiqish orqali qorin bo'shlig'i organlarining qo'shma patologiyasi bilan ventral churralarni jarrohlik davolash natijalariga bag'ishlangan. Tadqiqot asosiy guruhga (simultan patologiyasi bo'lgan 104 bemor) va nazorat guruhiga (93 bemor) bo'lingan 197 bemorda (2019-2024) o'tkazildi. Muqobil kirishni tanlash uchun dis-topologiya sxemasi ishlab chiqilgan: 79,8% hollarda yagona gerniolaparotomik kirish, 20,2% Evropa kirish huquqi qo'llaniladi. Hernioplastikaning kuchlanish va cho'zilmaydigan usullari, shu jumladan Ramirez texnikasi ishlatilgan. Guruh natijalarining chastotasi asosiy guruhda 8,6% va taqqoslash guruhida 7,5% (p=0,045), bu vaziyat xavfsizligini ta'minlaydi. Taktik va texnik o'zgarishlar travmatizmni, operatsiya vaqtini va relaps xavfini kamaytirdi, bu esa davolanish sifatini oshirdi.
Библиографические ссылки
Outlev K.M. et al. Influence of metabolic syndrome on hernia formation in patients with morbid obesity // Medical Science and Education of the Urals. – 2017; 18; 2; 140-142 (in Russ).
Gerbali O. Y., Kosenko A. V. Simultaneous interventions in patients with complicated forms of postoperative ventral hernia and deformities of the anterior abdominal wall // Kuban Scientific Medical Bulletin – 2019; 26; 1 (in Russ).
Egiev V. N. N., Kuliev S. A., Evsyukova I. V. Results of posterior separation plasty in patients with midline ventral hernias // Clinical and Experimental Surgery. 2017. Т.5. - №.2 (16) (in Russ).
Karimov Sh.I. et al. Non-tension methods of hernioplasty as a choice of surgical correction of inguinal hernias // Journal of Theoretical and Clinical Medicine. – 2016; 6: 68-72 (in Russ).
Kurbaniyazov Z.B., S.S. Davlatov. Surgical treatment of ventral hernia patients with concomitant obesity // Bulletin of the Tashkent Medical Academy, 2015: 1; 49-53 (in Russ).
Bondre I. L. et al. Suture, synthetic, or biologic in contaminated ventral hernia repair //journal of surgical research. – 2016; 200; 2; 488-494.
Gillion J. F. et al. The economic burden of incisional ventral hernia repair: a multicentric cost analysis //Hernia. – 2016; 20; 6; 819-830.
Liang M. K. et al. Ventral hernia management //Annals of surgery. – 2017; 265; 1; 80-89.
Mommers E. H. et al. Impact of hernia volume on pulmonary complications following complex hernia repair //Journal of Surgical Research. – 2017; 211; 8-13.
