47 -1 (29/2) 2020 — Berkinov U.B., Khakimov M.Sh., — THE CHOICE OF A METHOD OF MINIMALLY INVASIVE TECHNOLOGIES IN THE SURGICAL CORRECTION OF A HIATAL HERNIA IN PATIENTS WITH METABOLIC OBESITY

THE CHOICE OF A METHOD OF MINIMALLY INVASIVE TECHNOLOGIES IN THE SURGICAL CORRECTION OF A HIATAL HERNIA IN PATIENTS WITH METABOLIC OBESITY

Berkinov U.B., -Tashkent Medical Academy.

Khakimov M.Sh., -Tashkent Medical Academy.

 Sattarov O.T., -Tashkent Medical Academy.

Asrarov A.A., -Tashkent Medical Academy.

Resume,

Objective: to conduct a comparative assessment of various minimally invasive methods of surgical treatment of hiatal hernia in patients with metabolic obesity.

Materials and methods. The results of examination and planned surgical treatment of 22 patients with hiatal hernia who were hospitalized in the multidisciplinary clinic of TMA in the period from 2014 to 2019 were studied. All patients were divided into two clinical groups. The first group included 10 patients who underwent standard laparoscopic fundoplication (LFP) according to Nissen-Rosetti. In the main group of 12 patients, when performing LFP, the points of introduction of trocars were determined according to the calculations of the computer program developed by us.

Results. In the postoperative period, the following complications were observed in patients from the first group: serum wounds in the umbilical region in 3 (13%) patients, pain in the epigastric region in 3 (13%), dysphagia in 1 (4%) of the patient, who stopped after conservative therapy. In the main group, no such complications were noted.

Key words: Hiatal hernia, metabolic obesity, minimally invasive technology.

First page

172

Last page

176

For citation: Berkinov U.B., Khakimov M.Sh., Sattarov O.T., Asrarov A.A., The choice of a method of minimally invasive technologies in the surgical correction of a hiatal hernia in patients with metabolic obesity//New Day in Medicine 1(29)2020 172-176 https://cutt.ly/FvCydbU

List of References

  1. Анализ реконструктивных операций у пациентов с грыжей пищеводного отверстия диафрагмы / Федоров В.И., Бурмис­тров М.В., Сигал Е.И. и др. / Вестник Российского научного центра рентгенорадиологии МР. – 2015. – №7. – С. 28-24
  2. Баулина О.А. Лапароскопическая фиксация угла Гиса ксено­перикардиальной лентой в хирургии гастроэзофагеальнной реф­люксной болезни // Новости хирургии. – 2018. – № 2. – С. 164­70.
  3. Кайбышева В. О. Результаты многоцентрового наблюдательно­го исследования по применению международного опросника GerdQ для диагностики гастроэзофагеальной рефлюксной болезни // РЖГГК. – 2018. – Т. 23, № 5. – С. 15-23.
  4. Лапароскопическая фундопликация по Ниссену – золотой стандарт лечения гастроэзофагеального рефлюкса у детей / Разумовский А.Ю., Алхасов А.Б., Батаев С-Х. М. и др./ Экс­периментальная и клиническая гастроэнтерология. -2015. – №113. – С. 72-77
  5. Никитенко А. И., Родин А. Г., Овчинников В. А. Анализ резуль­татов эндовиде-охирургического лечения грыж пищеводного отверстия диафрагмы // Эндоскоп. хирургия. – 2018. – № 5. – С. 3-7.
  6. Родин А. Г. Опыт оперативного лечения грыж пищеводного отверстия диафрагмы // Клин. медицина. – 2017. – № 4. – С. 89­93.
  7. Способ хирургического лечения недостаточности нижнего пищеводного сфинктера: пат. № 17738 Респ. Беларусь, МПК A6IB 17/00 / Г. А. Журбенко, А. С. Карпицкий, С. В. Панько, Р. И. Боуфалик, А. М. Шестюк, Д. С. Вакулич, А. Н. Игнатюк; заявитель Брест. обл. больница. – № a20110453 // Офиц. бюл. – 2018. – № 6 (95). – С. 70.
  8. Kawaharaa H., Mitani Y., Nosea K. Should fundoplication be added at the time of gastrostomy placement in patients who are neurologically impaired? // Journal of Pediatric Surgery. – 2017. -№45. – Р.2373-2376
  9. Kim D., Velanovich V. Surgical Treatment of GERD: where have we been and where are we going? // Gastroenterol Clin North Am. – 2016. – Vol. 43, N 1. – Р. 19-23
  10. Neff L., Becher R., Blackham A. A novel antireflux procedure: gastroplasty with restricted antrum to control emesis (GRACE). // Journal of Pediatric Surgery. – 2017. -№47. – Р.99-106
  11. Rothenberg S., Cowles R. The effects of laparoscopic Nissen fundoplication on patients with severe gastroesophageal reflux disease and steroid-dependent asthma. // Journal of Pediatric Surgery. – 2017. -№ 47. -Р. 1101-1104

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