Цель исследования-определить целесообразность выполнения лапароскопической герниопластики при пупочных грыжах и оценить ее клиническую эффективность. Материал и методы. Представлены результаты исследования 64 пациентов, оперированных по поводу пупочной грыжи. Результаты. С 2012 по 2016 г. проведенные нами исследования показали высокую клиническую эффективность использования миниинвазивной технологии в хирургической коррекции пупочных грыж. Дифференцированный подход к выбору метода лечения позволил добиться сокращения раневых осложнений, уменьшения длительности стационарного и амбулаторного периода лечения больных и ранней реабилитации пациентов. Выводы. 1. В хирургическом лечении неосложненной пупочной грыжи лапароскопическая герниопластика является методом выбора. При этом для адекватной визуализации зоны операционного действия является левый или правый боковой доступ. 2. При грыжах малого размера оптимальным является экстракорпоральное ушивание пупочного кольца, а при грыжах среднего размера предпочтение необходимо отдавать трансабдоминальной экстраперитонеальной установке имплантата. Ключевые слова: миниинвазивная технология, пупочная грыжа, герниопластика. Advantages of miniinvasive techniques in the surgical treatment of umbilical hernias M.SH. KHAKIMOV, U.B. BERKINOV, O.T. SATTAROV, SH.T. KHOLMATOV Tashkent medical academy, Tashkent, Uzbekistan Purpose. To determine the advisability for carrying out of laparoscopic hernioplasty with umbilical hernias and evaluate its clinical effectiveness. Materials and methods. The research result of 64 patients operated for umbilical hernia are presented. Results. From 2012 to 2016 our study showed a high clinical effectiveness of minimally invasive technology application in the surgical correction of umbilical hernias. A differentiated approach to choice the method of treatment allowed to reduce wound complications, reduced the duration of inpatient and outpatient treatment and early rehabilitation of patients. Conclusions. 1. In the surgical treatment of uncomplicated umbilical hernia, laparoscopic hernioplasty is the method of choice. In this case, for adequate visualization of the operational zone, is left or right lateral access. 2. With small-sized hernias, the extracorporeal suturing of the umbilical ring is optimal, and for medium-sized hernias, preference should be given to the transabdominal extraperitoneal implant placement.
Abstract. Overall 292 patients with the blunt trauma of the chest were at the in-patient treatment from 2006 to 2011 years at the 2 nd clinic of the Tashkent Medical Academy. All the patients were separated by us to 2 groups: the first (control) group are 145 (49,7%) patients, who were diagnosed and treated without using of the videothoracoscopy; the second (basic) group are 147 patients, at whom the videothoracoscopy was used at the stages of diagnostic and treatment. As a result of performed research was confirmed that using of the videothoracoscopy at the patients with the blunt thoracic trauma helps to reduce the number of the postoperative complications from 23.4% to 14,3% of the cases, allows to reduce the frequency of the wide thoracotomy from 11,7% to 0,6% of the cases, reduce the terms of being of the patients at the stationer.
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