Хирургическая тактика лечения послеоперационных вентральных грыж в сочетании с "loss of domain" (обзор литературы)
Автор: Кулиев С.А., Евсюкова И.В.
Журнал: Московский хирургический журнал @mossj
Статья в выпуске: 4 (68), 2019 года.
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Оперативное лечение пациентов с ПОВГ и потерей домена является на сегодняшний день краеугольным камнем для герниологов мира. А описанные методики предоперационной подготовки (предоперационный прогрессивный пневмоперитонеум, инъекции ботулотоксина типа А и их сочетание) показывают хорошие результаты лечения пациентов с ПОВГ, с шириной грыжевого дефекта более 10см и сопровождающиеся потерей домена, что в некоторых случаях позволяет избежать сепарационной пластики.
Послеоперационная грыжа, предоперационный прогрессивный пневмо-перитонеум, ботулотоксин типа а
Короткий адрес: https://sciup.org/142221744
IDR: 142221744 | УДК: 617.55-007.43 | DOI: 10.17238/issn2072-3180.2019.4.35-37
Surgical treatment of incisional hernias with “loss of domain” (literature review)
Surgical treatment of patients with POVH and domain loss is today the cornerstone for herniologists of the world. The literature data concerning the surgical treatment of patients with giant postoperative ventral hernias with «loss of domain» has been analyzed. And the described methods of preoperative preparation (preoperative progressive pneumoperitoneum, injections of botulinum toxin type A and their combination) show good results in the treatment of patients with POVH, with a hernia defect width of more than 10 cm and accompanied by a loss of domain, which in some cases avoids separation plastics.
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