{"id":9461,"date":"2019-08-18T16:24:13","date_gmt":"2019-08-18T13:24:13","guid":{"rendered":"http:\/\/ijmp.ru\/?p=9461"},"modified":"2019-08-18T16:24:35","modified_gmt":"2019-08-18T13:24:35","slug":"beznatjazhitelnaja-gernioplastika-posleoperacionnyh-ventralnyh-gryzh-brjushnoj-stenki-mestnymi-tkanjami","status":"publish","type":"post","link":"https:\/\/ijmp.ru\/en\/archives\/9461","title":{"rendered":"NON-PENSITIVE GERNO-PLASTIC POSTOPERATIVE VENTRAL  HERNIA OF THE ABDOMINAL WALL LOCAL TISSUES"},"content":{"rendered":"<p><strong>Abstract: <\/strong>the analysis and pathogenetic substantiation of the feasibility of using non-tension plastic surgery in ventral hernias of the abdominal wall with a defect size of more than 10 cm was carried out. Preparation for a non-tension plastic surgery consists in introducing the oxygen-air mixture at 1: 1 intervals into the abdominal one the cavity with an increase in the volume of the injected gas mixture with each subsequent introduction of 300-500 ml. Preoperative preparation is carried out until the degree of stretching of the abdominal wall necessary for hernioplasty with local tissues without tension is achieved according to the formula: M = (d1-d2) \u00d7 1.3, where d1 is the circumference of the abdominal wall in the zone of maximum value of the hernia gate; d2 \u2013 incomplete circumference at the edges of the hernial ring with deduction of a hernia size defect; 1.3 \u2013 the correction coefficient of reduction of stretched abdominal wall tissue after hernioplasty due to their elasticity. According to this technique, hernioplasty was performed in 23 patients. In the postoperative period, 2 (8.7%) patients developed an infectious complication of a wound. The rest of the postoperative period was uneventful. 4 months after surgery, no complications were noted. It is advisable to continue research in patients with ventral hernias with more severe comorbidities.<\/p>\n<p><strong>Keywords:<\/strong> ventral hernia, preoperative preparation, hernioplasty with local tissues, pneumoperitoneum<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Abstract: the analysis and pathogenetic substantiation of the feasibility of using non-tension plastic surgery in ventral hernias of the abdominal wall with a defect size of more than 10 cm was carried out. Preparation for a non-tension plastic surgery consists in introducing the oxygen-air mixture at 1: 1 intervals into the abdominal one the cavity [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,23,27],"tags":[131,125,126,112,132],"class_list":["post-9461","post","type-post","status-publish","format-standard","hentry","category-publications","category-2019g","category-tom-2-3","tag-salehov-s-a","tag-andrievskij-a-n","tag-baga-d-k","tag-korabelnikov-a-i","tag-akmishev-m-m"],"translation":{"provider":"WPGlobus","version":"3.0.0","language":"en","enabled_languages":["ru","en"],"languages":{"ru":{"title":true,"content":true,"excerpt":false},"en":{"title":true,"content":true,"excerpt":false}}},"_links":{"self":[{"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/posts\/9461","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/comments?post=9461"}],"version-history":[{"count":2,"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/posts\/9461\/revisions"}],"predecessor-version":[{"id":9465,"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/posts\/9461\/revisions\/9465"}],"wp:attachment":[{"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/media?parent=9461"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/categories?post=9461"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ijmp.ru\/en\/wp-json\/wp\/v2\/tags?post=9461"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}