Kurbaniyazov Zafarjon Babajanovich

Аннотация

INTRODUCTION options for allohernioplasty are the priority According to the World Health Organization, method of surgical treatment, which made it "hernia of the anterior abdominal wall is one of the possible to significantly improve long-term results. most common surgical diseases, occurs in 3-7% of However, the ongoing developments in this the population, with a predominant lesion of direction, the emergence of publications on the people of working age", "More than 5% of all need for a differentiated approach to choosing the laparotomies are complicated by the formation of optimal method of surgery, taking into account the postoperative ventral hernias (PVH), and the background pathology, the size and location of frequency of their occurrence depends on the hernias and other factors, indicates dissatisfaction nature and urgency of the surgical intervention. with the results of treatment of this category of Surgical interventions to eliminate postoperative patients and determine the relevance and social ventral hernias account for about 10% of all significance of this problem. surgical interventions. The existing traditional methods of hernioplasty do not always provide an At present, the most relevant research continues to effective treatment result, while the number of be the study of the pathogenetic mechanisms of the relapses varies from 4.3% to 46%, and with development of hernia defects depending on extensive defects, their frequency can reach up to various factors, including structural changes in the 60% of cases. In this connection, at present, various muscular and connective tissue skeleton of the https://www.theamericanjournals.com/index.php/tajmspr 48 THE USA JOURNALS THE AMERICAN JOURNAL OF MEDICAL SCIENCES AND PHARMACEUTICAL RESEARCH (ISSN – 2689-1026) VOLUME 06 ISSUE04 anterior abdominal wall, metabolic disorders, choosing the hernia alloplasty method. impaired collagen synthesis in middle-aged and Of the 245 sick men, there were 73 (29.8%), elderly people, and other prerequisites for hernia women - 172 (70.2%). formation. The problems of increased production of serous-hemorrhagic fluid in response to the Age distribution: up to 45 years old - 44 (16.8%), implantation of a mesh prosthesis remain 46-59 years old - 138 (52.9%), 60-74 years old - 56 unresolved. Particularly relevant are the issues of (21.5%), 75-80 years old - 7 (2.7%). studying the age, typical and gender features of the In the study groups, 139 (53.3%) patients had structure of the fascial-muscular-aponeurotic uncomplicated forms of hernia and 106 (46.7%) complex of the anterior abdominal wall, with a had such a complication as irreducibility. Patients morphological and functional justification for the with strangulated hernia were not included in our treatment of ventral hernias by various surgical study. methods and an individual approach to the use of According to the classification, Chervel JP and Rath synthetic alloplastic materials, including the use of AM (1999), the vast majority of patients (187 - endovideosurgical hernioplasty. 76.3%) had hernias in the midline of the abdomen The aim of the study is to improve the results of - supra- umbilical (M 1), para-umbilical (M 2) and surgical treatment of patients with incisional sub-umbilical (M 3) hernias. The smallest number ventral hernias based on the criteria for choosing of patients was with lateral (L) 48 (19.6%) and the method of hernioplasty. combined (M + L) 10 (4.1%) postoperative ventral METHODS hernias. 116 (47.3%) patients had large (W 3) and giant (W 4) hernias. In 162 (66.2%) they were The study is based on the results of examination postoperative (R 0), in 83 (41.3%) recurrent and treatment of 145 patients with postoperative postoperative ventral hernias (R n). ventral hernias, who were operated on in the surgical departments of the Samarkand City Computed tomography was performed in 69 Medical Association No. 1 and the 1st clinic of the (42.9%) patients of the main group and was Samarkand State Medical University in the period performed to determine the size of the hernial from 2016 to 2021. All patients were operated on orifice, the volume of the contents of the hernial in a planned manner, and depending on the choice sac, identify additional defects in the aponeurosis, of treatment tactics, the patients were divided into identify concomitant pathology of the abdominal 2 groups. The comparison group consisted of 84 organs and topographic changes due to adhesions, operated patients in the period 2016-2018, in the thickness and uniformity subcutaneous fat of the treatment of which standard generally accepted anterior abdominal wall, as well as for the approaches were used. The main group consisted preliminary determination of the method of of 161 patients who underwent operations in hernioplasty (Fig. 1). 2019-2021 according to the developed criteria for https://www.theamericanjournals.com/index.php/tajmspr 49 THE USA JOURNALS THE AMERICAN JOURNAL OF MEDICAL