Open AccessPrevention of postoperative complications and recurrence of anterior abdominal wall hernias in patients with metabolic syndrome
Author(s) -
Н. А. Антонова,
С М Лазарев
Publication year - 2019
Publication title -
vestnik hirurgii im. i.i. grekova/vestnik hirurgii imeni i.i. grekova
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.136
H-Index - 7
eISSN - 2686-7370
pISSN - 0042-4625
DOI - 10.24884/0042-4625-2019-178-1-49-54
Subject(s) - medicine , surgery , abdominal wall , metabolic syndrome , antibiotics , obesity , microbiology and biotechnology , biology
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.