Prevention of postoperative complications and recurrence of anterior abdominal wall hernias in patients with metabolic syndrome
https://doi.org/10.24884/0042-4625-2019-178-1-49-54
Abstract
The objective was to show the preventive principles of postoperative complications of anterior abdominal wall hernias in patients with metabolic syndrome.
Material and methods. The authors analyzed the surgical treatment with tension-free plasty and prosthetic mesh in 162 patients with metabolic syndrome.
Results. Pathogenetically grounded preoperative normalization of parameters of metabolic syndrome, conducting of anticoagulant and antibiotic therapy, using of lower limb compression and observation by the surgeon during the postoperative period reduced the percentage of postoperative complications to 11,1 %, in contrast to the group of patients where prevention was not carried out, complications accounted for 37,5 %.
Conclusion. Surgical patients with metabolic syndrome need to normalization of their parameters in the preoperative period, as well as the appointment of anticoagulants and antibiotics during their hospitalization.
About the Authors
N. A. Antonova
Timashevsk Central Regional Hospital of the Krasnodar Krai
Russian Federation
Corresponding author: Nina A. Antonova, Timashevskaya central hospital of the Krasnodar region, 175 Lenina street, Timashevsk, Krasnodarskii krai, 352700.
Russian Federation
Corresponding author: Nina A. Antonova, Timashevskaya central hospital of the Krasnodar region, 175 Lenina street, Timashevsk, Krasnodarskii krai, 352700.
S. M. Lazarev
Pavlov University
Russian Federation
Russian Federation
Sergei M. Lazarev
St. Petersburg
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Review
For citations:
Antonova N.A., Lazarev S.M. Prevention of postoperative complications and recurrence of anterior abdominal wall hernias in patients with metabolic syndrome. Grekov's Bulletin of Surgery. 2019;178(1):49-54. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-1-49-54
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