Abstract
57 patients with constricted abdominal hernia and diagnosed metabolic syndrome were examined. They were performed the urgent hernia defect plastics with polypropylene mesh Linteks-Esfil (St. Petersburg). Patients were divided into two clinical groups: clinical group I (20) included patients in the postoperative period treated with conventional comprehensive conservative treatment. Clinical group II (37) consisted of patients treated with 2.5% solution of 2 ml tiotriazolini in muscle and metformin in a dose of 500 mg / day for metabolic syndrome correction in addition to above mentioned conventional treatment. Lipid metabolism indices improved on the 7th day in 59.2% of patients in clinical group II and only in 15% of patients in clinical group I.
Postoperative wound complications such as seromas and infiltrations developed in 6.3% of patients and were eliminated by conservative methods of treatment. Patients of group II tolerated postoperative period better. Average duration of hospital stay decreased by 2.03±0.2 bed days. Thus, the treatment of patients with constricted hernia of anterior abdominal wall and metabolic syndrome should be in complex with hernia defect plastics by propylene mesh and medicamentous correction of metabolism disorders.
References
Zhebrovskiy VV, Dzhemileeva ER, Torotadze NM, Rezanov PA. Uschemlennyie posleoperatsionnyie gryizhi. In: Suchasni sposoby khirurhichnoho likuvannya hryzh zhyvota. Materialy III Vseukr.nauk.-prakt. konf. z mizhnar. uchastyu.; 2006 kvit. 14-15; Kyiv. Kyiv; 2006. p. 35-36. Available from: http://www.surgukraine.com.ua
Lavryk AS, Tyvonchuk OS, Lavryk OA. Khirurhichne likuvannia ozhyrinnia. Zdorovia Ukrayiny. 2013; (1): 10-11.
Yashkov YuI, Sineokaya MS. Khirurgicheskoe lechenie ozhireniya i metabolicheskikh narusheniy. In: Materialyi Pyatogo ros. simp. s mezhdunar. uch. [internet]; 2009 iyun 25-27; Samara. Samara: Samarskiy goss.med. un-t; 2009. p. 90. Available from: http://lib2.znate.ru/docs/index-351681.html
Diehl AM. Nonalcoholic steatosis and steatohepatitis IV Nonalcoholic fatty liver disease abnormalities in macrophage function and cytokines. Am J Physiol Gastrointest Liver Physiol. 2002; 282(1): 1-5. http://dx.doi.org/10.1152/ajpgi.00384.2001
Storozhenko OV, Lihonenko OV, Zubakha AB, Dihtyar II, Yaroshenko AV. Nash dosvid likuvannia pisliaoperatsiynykh ventralnykh hryzh cherevnoii stinky u khvorykh na ozhyrinnia. Khirurhiia Ukrayiny. 2011; 3(39): 103-4.
Tutchenko MI, Lysenko VM, Babiy VP, Byshovets SM. Vykorystannia polipropilenovoii sitky yak metodu vyboru hernioplastyky pry velykykh zashchemlenykh hryzhakh perednioii cherevnoii stinky. In: Suchasni sposoby khirurhichnoho likuvannya hryzh zhyvota. Materialy III Vseukr.nauk.-prakt. konf. z mizhnar. uchastyu.; 2006 kvit. 14-15; Kyiv. Kyiv; 2006. p. 118-119. Available from: http://www.surgukraine.com.ua
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.