Abstract
OBJECTIVE. The authors investigated the ways of improvement the results of treatment and diagnostics of patients with strangulated inguinal hernias. MATERIAL AND METHODS. An analysis of diagnostic and treatment results was made in 136 patients. The main group included 52 patients who underwent treatment at the period from 2015 till 2016. An individual treatment and diagnostic strategy was applied for these patients, where diagnostic and therapeutic laparoscopy was actively used. The control group consisted of 84 patients who were treated at the period from 2011 till 2014. There was a common diagnostic and treatment strategy. That management led to late diagnostics and unsatisfactory treatment results. RESULTS. The research showed that the rate of common complications decreased from 25 to 1,9 % and the rate of local complications reduced from 29,8 to 5,7 % (p < 0,05). The lethality dropped from 8,3 to 0 %. CONCLUSIONS. The application of individual diagnostic and treatment approach allowed doctors to reduce levels of common and local complications and morbidity rate in patients with strangulated inguinal hernias.
Highlights
The authors investigated the ways of improvement the results of treatment and diagnostics of patients with strangulated inguinal hernias
An analysis of diagnostic and treatment results was made in 136 patients
Laparoscopic extraperitoneal approach to acutely incarcerated inguinal hernia // Surg
Summary
Улучшение результатов диагностики и лечения пациентов с ущемленными паховыми грыжами. Проанализированы результаты диагностики и лечения 136 пациентов. В основную группу были включены 52 пациента, находившиеся на лечении с 2015 по 2016 г., у которых использовали индивидуальную лечебно-диагностическую тактику с активным применением диагностической и лечебной лапароскопии. Контрольную группу составили 84 пациента, леченных с 2011 по 2014 г., в которой отсутствовала единая диагностическая и лечебная концепция, что приводило к поздней диагностике и неудовлетворительным результатам лечения. Исследование показало, что в основной группе больных частота общих осложнений уменьшилась с 25 до 1,9 %, местных осложнений — с 29,8 до 5,7 % (p < 0,05), а летальность — с 8,3 до 0 %. Использование индивидуальной лечебно-диагностической тактики у пациентов существенно улучшило результаты лечения. Ключевые слова: ущемленная паховая грыжа, диагностика, лапароскопическая герниопластика.
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