SELECTION OF METHODS OF COMBINED GERNIOPLASTICS EXTENSIVE MEDIAN HERNIAS TAKING INTO ACCOUNT THE DYSPLASIA OF CONNECTING TISSUE

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Abstract


For the purpose of improvement of results of treatment of extensive median hernias in the choice of ways of the combined hernioplasty at a stage of an electromyography ball assessment of the stigmata of a dysplasia of a connecting tissue, influence of a mesenchymal failure on contractility of abdominal muscles and data of program diagnostics of a collagen found at survey in microscopic preparations of a skin and aponeurosis at 95 surgical patients is introduced. In group 25 (26,4%) of patients with clinically significant level of a dysplasia depression of electroactivity of rectus muscles for 24,7% and the lateral group of the abdominal muscles - for 22,8% is revealed. The microscopy of sites of an aponeurosis among them taped depression of density of laying of a collagen to 31,7% and augmentation of intensity of its staining twice. As a result of the undertaken improvement the way of surgical treatment of median hernias of the extensive sizes which use in clinical practice allows to reduce a share of a dysplasia of a connecting tissue among the reasons of a recurrence of a disease is developed.


About the authors

R I Railianu

Shevchenko State University of Pridnestrovie

Author for correspondence.
Email: railianu.radu@yandex.com

A A Botezatu

Shevchenko State University of Pridnestrovie

Email: railianu.radu@yandex.com

G I Podoliniy

Shevchenko State University of Pridnestrovie

Email: railianu.radu@yandex.com

V A Kryzhanovsky

Shevchenko State University of Pridnestrovie

Email: railianu.radu@yandex.com

References

  1. Bondarev V.A. Relapses of prosthetic hernioplasty. Proceedings of IX conf. “Actual questions of herniology”. M., 2012. P. 43—45.
  2. Borisova I.Yu. The Substantiation of methods of preventive maintenance of complications of surgical treatment of hernias of anterior abdominal wall: Dis.. cand. medical sciences. Kazan, 2016. 128 p.
  3. Dibirov M.D., Torshin S.A. Prophylaxis of complications and results of a ventroplasty at persons of advanced and senile age. Surgery. 2014. №. 7. P. 74—87.
  4. Shemyatkovsky K.A. Aspects of the biocompatibility of reticular endoprostheses used in hernioplasty (experimental study): Author's abstract. dis.. cand. medical sciences. Moscow, 2017. 25 p.
  5. Botezatu A.A. Combined plastic hernia of the anterior abdominal wall with the use of an autodermal transplant: Author's abstract. dis.. Dr. medical sciences. M., 2013. 38 p.
  6. Egiyev V.N. The first results after forward separation plasticity at patients with median hernias. M.: Health and education in the 21st century, 2017. P. 18—21.
  7. Alishev O.T., Shaymardanov R.Sh. Current status and problems of treatment of large postoperative ventral hernias. Jour. Practical medicine. 2013. № 2. P. 16—21.
  8. Lembas A.N., Tampey I.I., Kuchinsky M.V., Baulin A.V., Baulin V.A., Ivanchenko V.V., Velishko L.N., Velishko S.I., Pigovich I.B. Surgical treatment of recurrent postoperative ventral hernias. Ukrainian Journal of Surgery. 2013. № 4 (23). P. 59—63.
  9. Gafarov G.N. The choice of synthetic material for hernioplasty (experimental and clinical study): Dis.. cand. medical sciences. Kursk, 2015. 155 p.
  10. Piskunov A.S. Choice of operation in patients with inguinal hernia taking into account connective tissue dysplasia: Dis.. cand. Medical sciences. Perm, 2011. 119 p.
  11. Sadizhov N.M. To evaluate the results of surgical treatment of a hernia of the anterior abdominal wall with a syndrome of connective tissue dysplasia: Author’s abstract. dis.. cand. medical sciences. Tver, 2017. 23 p.
  12. Gubov Y.P., Rybachkov V.V., Blandinsky V.F., Sokolov S.V., Sadizhov N.M. Clinical aspects of a syndrome of an undifferentiated dysplasia of a connecting tissue at hernias of a forward abdominal wall. The Magazine Modern problems of science and education. 2015. № 1 (part 1). URL: https://science-education.ru/ru/article/ view?id=17863.
  13. Ivanov I.S., Lazarenko V.A., Ivanov S.V., Goryainova G.N., Ivanov A.V., Tarabrin D.V., Litvyakova M.I. The ratio of collagen 1 and 3 types in the skin and aponeurosis in patients with ventral hernias. Jour. Surgery news. 2013. № 3. P. 33—36.
  14. Chekushin A.A. Choice of the method of operative treatment in patients with hernias of the anterior abdominal wall: Dis.. cand. medical sciences. Ryazan, 2011. 114 p.
  15. Belokonev V.I., Fedorina T.A., Kovaleva Z.V. Pathogenesis and treatment of postoperative ventral hernias: Monograph. Samara, 2005. 208 p.
  16. Beighton P.H., Solomon L., Soskolne C.L. Articular mobility in an African population. Ann. Rheum. Dis. 1973. Vol. 32. № 5. P. 413—418.
  17. Sukhanova G.A. Identification and correction of violations of a hemostasis at mesenchymal displaziya. Author’s abstract. dis.. cand. medical sciences. Barnaul, 1993. 24 p.
  18. Sokolov S.V. Surgical tactics in the treatment of umbilical and inguinal hernias in children with connective tissue dysplasia: Author’s abstract. dis.. cand. medical sciences. Rostov-on-Don, 2016. 21 p.

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Copyright (c) 2018 Railianu R.I., Botezatu A.A., Podoliniy G.I., Kryzhanovsky V.A.

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