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Аксиомы и теоремы в лечении больших и гигантских послеоперационных вентральных грыж

[Обзоры]
Цап Станислав Владимирович; Прудков Михаил Иосифович; Цап Наталья Александровна;

Представлено лечение пациентов с большими и гигантскими послеоперационными вентральными грыжами. Результаты оперативного лечения не позволяют хирургам остановиться в поиске и ликвидации/снижении всех факторов риска, обусловливающих неблагоприятный исход хирургии передней брюшной стенки, как в ближайшем, так и в отдаленном послеоперационном периоде. Рассмотрены: терминология, классификация, патологоанатомические изменения в компрометированной передней брюшной стенке, особенности способов оперативных вмешательств, осложнения и их профилактика, риски рецидива грыж. Особенно сложным моментом герниопластики являются анатомо-физиологические особенности передней брюшной стенки и мышечного каркаса, морфологически измененные в зоне грыжевых ворот в результате предыдущих хирургических вмешательств, а также конституционных особенностей пациентов.

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Ключевые слова: большие и гигантские послеоперационные вентральные грыжи, оперативное лечение, осложнения, рецидивы


Учредители:
Ставропольская государственная медицинская академия
Государственный научно-исследовательский институт курортологии
Пятигорская государственная фармацевтическая академия