РЕГИОНАРНАЯ ЛАЗЕРТЕРАПИЯ В ЛЕЧЕНИИ БОЛЬНЫХ С УЩЕМЛЁННЫМИ ГРЫЖАМИ ПЕРЕДНЕЙ БРЮШНОЙ СТЕНКИ

Аннотация

An analysis of treatment was made of 265 patients with strangulated hernia of the anterior abdominal wall. The patients were divided into main group (n=138) and control group (n=127). Nonstrain and conventional methods of hernioplasty and low-intensive laser radiation (LILR) were used for the patients of the first group. LILR wasn’t applied in the control group. The studied groups were statistically comparable on the basis of main disease, sex and age. Computed thermography was used in addition to standard methods of diagnostics in order to identify the wound complications in postoperative period. The application of low-intensive laser radiation for patients of main group allowed reducing the rate of development of local infectious complications in the area of plasty as compared with control group from 15,7 and 53,4% to 8,9 and 32,8% (p<0,05); terms of drainage of postoperative wound decreasing from 8,1±1,0 to 4,2±1,0 days and hospital stay shortening from 11,6±1,0 to 6,2±1,0 days (p<0,05). The intensity of pain syndrome and rate of complications declined from 38,1 to 17% in control group. There wasn’t any recurrence in the main group. Prosthetic methods of plasty and application of LILR significantly improve the immediate and long-term results in case of strangulated hernia of anterior abdominal wall. This rate would approach the results of treatment in planned surgery. Computed thermography allowed well-timed revealing of wound complications and forecasting the course of postoperative period.