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Post a Comment Application of combined technique for laparotomy wound closure in urgent surgery
- Authors: Inyutin A.S.1, Fedoseev A.V.1, Krymov O.V.2, Muravyov S.Y.1, Rustamov V.I.1
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Affiliations:
- I.P. Pavlov Ryazan State Medical University
- City Clinical Emergency Hospital
- Issue: Vol 36, No 2 (2019)
- Pages: 36-43
- Section: Clinical studies
- URL: https://journals.rcsi.science/PMJ/article/view/14263
- DOI: https://doi.org/10.17816/pmj36236-43
- ID: 14263
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Abstract
Aim. To improve the results of patients’ treatment after midline laparotomy by reducing the number of the postoperative ventral hernias and eventrations.
Materials and methods.There were examined 111 urgent patients, operated through the median laparotomic approach. The main group included 48 persons, for whom,on completion of intervention,the white line was sutured with a chess-staggered suture(patent of RF № 2644846, 14.02.18). In the control group, for median aponeurosis interrupted sutures were used.
Results. In the early postoperative period, in the control group there were 2 (3 %) eventrations, in the main group – no eventrations. After one year of observations, in the main group – 3 (6 %) patients with aponeurosis defects by the postoperative scar USI and 2 (4 %) patients with hernias were found out. In the control, one year after the surgery, there were 6 (9.5 %) aponeurosis defects and 5 (8 %) postoperative hernias.
Conclusions. Application of interrupted chess suture in combination with staggered sutures is the way to prevent eventrations and postoperative ventral hernias in urgent surgery.
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##article.viewOnOriginalSite##About the authors
A. S. Inyutin
I.P. Pavlov Ryazan State Medical University
Author for correspondence.
Email: aleksandr4007@rambler.ru
кандидат медицинских наук, доцент кафедры общей хирургии
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026A. V. Fedoseev
I.P. Pavlov Ryazan State Medical University
Email: hirurgiarzn@gmail.com
доктор медицинских наук, профессор, заведующий кафедрой общей хирургии
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026O. V. Krymov
City Clinical Emergency Hospital
Email: hirurgiarzn@gmail.com
заведующий первым хирургическим отделением
Russian Federation, 9, Dzerzhinskogo str., Ryazan, 390013S. Yu. Muravyov
I.P. Pavlov Ryazan State Medical University
Email: muravievsu@mail.ru
доктор медицинских наук, доцент кафедры общей хирургии
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026V. I. ogly Rustamov
I.P. Pavlov Ryazan State Medical University
Email: hirurgiarzn@gmail.com
студент 6 курса лечебного факультета
Russian Federation, 9, Vysokovoltnaja, Ryazan, 390026References
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