SU1803046A1 - Method of treating extensive abdominal hernia - Google Patents

Method of treating extensive abdominal hernia Download PDF

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Publication number
SU1803046A1
SU1803046A1 SU904871216A SU4871216A SU1803046A1 SU 1803046 A1 SU1803046 A1 SU 1803046A1 SU 904871216 A SU904871216 A SU 904871216A SU 4871216 A SU4871216 A SU 4871216A SU 1803046 A1 SU1803046 A1 SU 1803046A1
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SU
USSR - Soviet Union
Prior art keywords
aponeurosis
perforated
abdominal hernia
extensive abdominal
treating extensive
Prior art date
Application number
SU904871216A
Other languages
Russian (ru)
Inventor
Vladimir A Vissarionov
Nikolaj A Golubkov
Original Assignee
Vladimir A Vissarionov
Nikolaj A Golubkov
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Vladimir A Vissarionov, Nikolaj A Golubkov filed Critical Vladimir A Vissarionov
Priority to SU904871216A priority Critical patent/SU1803046A1/en
Application granted granted Critical
Publication of SU1803046A1 publication Critical patent/SU1803046A1/en

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Description

Изобретение относится к медицине, а именно к хирургии.The invention relates to medicine, namely to surgery.

Цель изобретения - профилактика дыхательной недостаточности и создание оптимальных условий для формирования рубца по ходу сближенных краев дёфекта апоневроза.The purpose of the invention is the prevention of respiratory failure and the creation of optimal conditions for the formation of a scar along the adjacent edges of the aponeurosis defect.

. Поставленная цель достигается следующим образом: после’сведения краев грыжевого дефекта производят рассечение апоневроза в виде вертикальных насечек в шахматном порядке в проекции прямых мышц живота с последующим перекрытием его перфорированным аутодермолоскутом.. The goal is achieved as follows: after reducing the edges of the hernial defect, the aponeurosis is cut in the form of vertical incisions in a checkerboard pattern in the projection of the rectus abdominal muscles, followed by overlapping it with a perforated autodermaloskot.

Перечисленные выше признаки позволяют в совокупности достичь новый клинический эффект, предусмотренный целью изобретения,. ..The above listed symptoms together allow to achieve a new clinical effect, provided for by the purpose of the invention. ..

Способ осуществляют следующим образом.The method is as follows.

Под интубационным наркозом производят рассечение тканей в подвздошно-паховых областях и над лоном до апоневроза, мобилизацию кожно-жирового лоскута вверх до реберных дуг. Выделяют грыжевой мешок и производят грыжесечение по обще принятой методике. Края грыжевого дефекта сводят швами, возникающее при этом избыточное напряжение передней брюшной стенки устраняют вертикальным рассечением апоневроза в виде насечек длиной до 3-5 см в шахматном порядке и в проекции прямых мышц живота. Иссекают избыток кожно-жирового лоскута, из которого формируют перфорированный дермолоскут и .перекрывают им апоневроз на 3-5 см кнаружи от границ насечек, подшивая тонким капроном к подлежащим тканям. На края раны накладывают послойно швы кетгутом и полиамидной нитью. Надапоневротическое пространство дренируют полихлорвиниловыми трубками, подсоединенными к устройству для активного дренирования. Швы снимают на 12-14 день.Under endotracheal anesthesia, tissue is dissected in the iliac-inguinal regions and above the womb before aponeurosis, mobilization of the skin-fat flap up to the costal arches. A hernial sac is isolated and a hernia is performed according to a generally accepted technique. The edges of the hernial defect are sutured, and the excess tension of the anterior abdominal wall that occurs is eliminated by vertical dissection of the aponeurosis in the form of notches up to 3-5 cm long in a checkerboard pattern and in the projection of the rectus abdominis muscles. An excess skin-fatty flap is excised, from which a perforated dermal flap is formed and they overlap the aponeurosis 3–5 cm outward from the notches, hemming with a thin capron to the underlying tissues. On the edges of the wound, stitches are applied layer by layer with catgut and polyamide thread. Above-neurotic space is drained with PVC pipes connected to an active drainage device. Sutures are removed on the 12-14th day.

Claims (1)

Формула изобретенияClaim Способ лечения обширных грыж живота, включающий грыжесечение, пластику грыжевых ворот собственными тканями, использование перфорированного аутодермолоскута для укрепления апоневроза, отличающийся тем, что, с целью профилактики. дыхательной недостаточности за счет снижения внутрибрюшного давления, производят рассечение апоневроза в виде насечек в шахматном порядке в пределах проекции прямых мышц живота, а затем пе рекрывают его перфорированным аутодер молоскутом.A method for the treatment of extensive abdominal hernias, including herniation, hernia repair using own tissues, the use of a perforated autodermoloskut to strengthen aponeurosis, characterized in that, for the purpose of prevention. respiratory failure due to a decrease in intra-abdominal pressure, the aponeurosis is cut in the form of notches in a checkerboard pattern within the projection of the rectus abdominis, and then it is covered with a perforated autodermal musculus.
SU904871216A 1990-10-04 1990-10-04 Method of treating extensive abdominal hernia SU1803046A1 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
SU904871216A SU1803046A1 (en) 1990-10-04 1990-10-04 Method of treating extensive abdominal hernia

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
SU904871216A SU1803046A1 (en) 1990-10-04 1990-10-04 Method of treating extensive abdominal hernia

Publications (1)

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SU1803046A1 true SU1803046A1 (en) 1993-03-23

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SU904871216A SU1803046A1 (en) 1990-10-04 1990-10-04 Method of treating extensive abdominal hernia

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD2784G2 (en) * 2005-02-23 2006-03-31 Тудор АБАБИЙ Method of treatment of gigantic ventral hernias
MD2810G2 (en) * 2005-02-23 2006-04-30 Тудор АБАБИЙ Method for preoperative preparation of patients with gigantic ventral hermae
MD2899G2 (en) * 2005-05-20 2006-08-31 Алексей ВАСКАН Method of plasty of gigant ventral hernias with biological tissues
MD2898G2 (en) * 2005-05-20 2006-08-31 Алексей ВАСКАН Method of treatment of gigant ventral hernias
EA008281B1 (en) * 2005-02-28 2007-04-27 Эрнст Хашимович Акрамов Method of prophylaxis of multiple organ failure in postoperative period at hernioplasty

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD2784G2 (en) * 2005-02-23 2006-03-31 Тудор АБАБИЙ Method of treatment of gigantic ventral hernias
MD2810G2 (en) * 2005-02-23 2006-04-30 Тудор АБАБИЙ Method for preoperative preparation of patients with gigantic ventral hermae
EA008281B1 (en) * 2005-02-28 2007-04-27 Эрнст Хашимович Акрамов Method of prophylaxis of multiple organ failure in postoperative period at hernioplasty
MD2899G2 (en) * 2005-05-20 2006-08-31 Алексей ВАСКАН Method of plasty of gigant ventral hernias with biological tissues
MD2898G2 (en) * 2005-05-20 2006-08-31 Алексей ВАСКАН Method of treatment of gigant ventral hernias

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