102 -4 (28/2) 2019 — Yarashev T.YA. Tursunmetov A.M. — TACTICS OF SURGICAL TREATMENT FOR UNBREAKABLE UTILITY HERNIA

TACTICS OF SURGICAL TREATMENT FOR UNBREAKABLE UTILITY HERNIA

Yarashev T.YA. Tashkent Pediatric Medical Institute.

Tursunmetov A.M, Tashkent Pediatric Medical Institute.

Kutlimuradov A.D. Tashkent Pediatric Medical Institute.

Irnazarov X.I. Tashkent Pediatric Medical Institute.

Resume,

In the clinical bases of TashPMI in the period from 2012 to 2016. Inpatient treatment was provided in 83 patients with umbilical hernia. Of these, 22(26.50) cases have an irreducible umbilical sprain. All patients were divided into two groups: in the first group 13(15.66%) entered, their hernia gate was from 10 to 20cm.  To these patients, the hernia ring was closed by Sublay, an implant was fixed, and then the aponeurosis was sutured “edge to edge”.

The second group of 9 (10.81%) cases. They have a herniated throat of 20 cm or more. When this was used, the combination method of plastic hernia gate, HE was, as follows: Mesh implant closed the anterior abdominal wall without suturing the last or mobilized the vagina of the rectus abdominis according to Ramirez. In addition, in both groups of naiyents, three wound drains were used to remove Пshaped seams with cellulose capture with obligatory fixation with to the endoprotea and the bottom of the wound to eliminate the periphery. Long-term results of treatment were studied in 18(21.68) patients with terms from 6months up to 5 years. In the first group, patients did not have a relapse. The second group in 2 cases (2.4%) had a relapse of hernia.

Keywords: unrecoverable umbilical hernia. Surgical

First page

380

Last page

383

For citation: Yarashev T.YA., Tursunmetov A.M, Kutlimuradov A.D. Irnazarov X.I Tactics of surgical treatment for unbreakable utility hernia//New Day in Medicine 4(28)2019 380-383 https://cutt.ly/DbjuBXb

List of References

  1. Григорьева Т.С., Гриргорьева С.Г., Кривощеков Е.Н., Чернигина Лечени ущемленных грыж брюшной стенки \\Хирургия. 2005; 8: 4-6. Grigoryeva T.S., Grigoryeva S.G., Krivoshekov E.N., Chernigina Lecheni ushumlennix grij bryushnoy stenki Xirurgiya. 2005; 8: 4-6.
  2. Кривощеков Е.А., Григорьева Т.С., Чернигина Т.П. Мыщич- но-апоневротическое эндопротезирование пупочных и пос­леоперационных вентральных грыж // Хирургия Узбекиста­на- 2014; 3: 26-27. Krivoshekov E.A., Grigoryeva T.S., Chernigina T.P. Mishechno-aponevroticheskoye endoprotezirovaniye pupochnix i posleoperatsionnix ventralnix grij // Xirurgiya Uzbekistana 2014; 3: 26-27.
  3. Матящин И.М., Яремчук А.Я., Пайдо А.И. Особенности диаг­ностики и лечебной тактики при ущемленных грыжах живота.\\Клинич.хир.1989; 4: 1-6. Matyashin I.M., Yaremchuk A.Ya., Paydo A.I. Osebennosti diagnostiki i lechebnoy taktiki pri ushemlennix grijax jivota. Klin.xir. 1989; 4: 1-6.
  4. Тоскин К.Д., Жебровский В.В. Грыжи брюшной стенки.1983; 173-182. Toksin K.D.Jebrovskiy B.B. Griji bryushnoy stenki. 1983; 173-182
  5. Фёдоров В.Д., Максимов В.И. Результаты лечения ущемленных грыж брюшной стенки //Хирургия 1972; 39: 24-26. Fyodorov B.D., Maksimov B.I.Rezultati lecheniya ushemlennix grij bryushnoy stenki Xirurugiya 1972; 39: 24-26.
  6. Шевченко П.В. Леченеие послеоперационных грыж живота. / / Ж.Клиническая хирургия 1989; 2: 4-6. Shevchenko P.V.Lecheniya posleoperatsionnix grij jivota. J.Klinicheskaya xirurgiya. 1989; 4-6.
  7. Azamat S., Zafrjon V., Salim L. Criterias of chaice meod in surgical treatment of patient’s ventral hernia with concomintant obesity. Eurseioncerview. 2016; 3 -4: 232-234.

file

download