78 -9 (71) 2024 - Utayev L.H., Dusiyarov М.М. - MODERN APPROACHES TO SURGICAL TREATMENT OF PINCHED VENTRAL HERNIAS COMPLICATED BY INTESTINAL OBSTRUCTION

MODERN APPROACHES TO SURGICAL TREATMENT OF PINCHED VENTRAL HERNIAS COMPLICATED BY INTESTINAL OBSTRUCTION

Utayev L.H. - Samarkand State Medical University

Dusiyarov М.М. - Samarkand State Medical University

Askarov P.А - Samarkand State Medical University

Xujaboyev S.Т. - Samarkand State Medical University

Resume

The study used retrospective and prospective data from 242 patients who underwent surgery for strangulated hernias of the anterior abdominal wall complicated by intestinal obstruction. Regardless of the type and size of strangulated ventral hernias, high intra-abdominal pressure (IAP) with the risk of developing enteral and multiple organ failure is an indication for the use of tension-free methods of repair. SPK can be prevented by enteral intubation. In the main study group, a significant (p˂0.05) trend towards a decrease in IAP as a result of the use of tension-free repair and enteral intubation was found. In the main study group, a significant (p˂0.05) trend towards a decrease in IAP as a result of the use of tension-free repair and enteral intubation was found. In the comparison group, the initial value of 19.3±1.6 decreased to 17.1±1.3 after surgery, and in the main group, the initial value of 18.8±1.8 decreased to 14.5±1.3 mmHg. Art. Resolution of paresis and intestinal obstruction can be effectively monitored using abdominal ultrasound.

Keywords: Constricted hernia, intra-abdominal hypertension, methods of prevention, strangulation intestinal obstruction, compartment syndrome, hernial water, “tension-free” hernioplasty.

First page

435

Last page

440

For citation:Utayev L.H., Dusiyarov М.М., Askarov P.А., Xujaboyev S.Т. - MODERN APPROACHES TO SURGICAL TREATMENT OF PINCHED VENTRAL HERNIAS COMPLICATED BY INTESTINAL OBSTRUCTION//New Day in Medicine 9(71)2024 435-440 https://newdayworldmedicine.com/en/new_day_medicine/9-71-2024

List of References

  1. Sallinen V. et al. Management of incarcerated hernia and the impact on clinical outcomes. //BMC Surgery. 2022. DOI: 10.1186/s12893-022-01321-3.
  2. Henriksen N.A., et al. (2021). "Incarcerated ventral hernia: Pathophysiology, diagnosis, and treatment." //British Journal of Surgery 2021;107(3):171-182. DOI: 10.1093/bjs/znaa104.
  3. Skrovina M., et al. (2020). "Clinical outcomes of ventral hernia repair in emergency settings. //World Journal of Emergency Surgery 2020;15(1):45. DOI: 10.1186/s13017-020-00320-9.
  4. Velasco N. et al. (2019). "Predictive factors for bowel necrosis in patients with incarcerated hernias. //BMC Medical Informatics and Decision Making 2019;19(1):158. DOI: 10.1186/s12911-019-0873-2.
  5. Rios-Diaz, A.J., et al. (2023). "Umbilical hernia repair and risk of recurrence in complex cases. //BMC Surgery 2023. DOI: 10.1186/s12893-023-02001-0.
  6. Хуроз угли, Мухиддинов Бобур, Аскаров Пулат Азадович. 2024. “Совершенствование Миниинвазивных Гибридных Оперативных Вмешательств При Осложнённых Формах Желчнокаменной Болезни”. //Research Journal of Trauma and Disability Studies 2024;3(3):312-21. http://journals.academiczone.net/index.php/rjtds/article/view/2411

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