surgumedВестник СурГУ. МедицинаVestnik SurGU. Meditsina2949-3447Сургутский государственный университет10.35266/2949-3447-2026-1-1surgumed-978Research ArticleКЛИНИЧЕСКАЯ МЕДИЦИНА. ОБЗОР ЛИТЕРАТУРЫCLINICAL MEDICINE. REVIEWSСОВРЕМЕННЫЕ ДОСТИЖЕНИЯ ДИАГНОСТИКИ И ХИРУРГИЧЕСКОГО ЛЕЧЕНИЯ ПОСЛЕОПЕРАЦИОННЫХ ВЕНТРАЛЬНЫХ ГРЫЖMODERN ACHIEVEMENTS OF INCISIONAL HERNIA DIAGNOSTICS AND SURGICAL TREATMENThttps://orcid.org/0000-0003-4832-1682ГалимовО. В.GalimovO. V.

доктор медицинских наук, профессор

Doctor of Sciences (Medicine), Professor

https://orcid.org/0000-0002-1880-0968ХановВ. О.KhanovV. O.

докотр медицинских наук,

Doctor of Sciences (Medicine), Professor

https://orcid.org/0000-0002-4160-2820БакеевМ. Р.BakeevM. R.

клинический ординатор

Resident

m.r.bakeev@bk.ruhttps://orcid.org/0000-0003-1314-5017ГалимовД. О.GalimovD. O.

клинический ординатор

Resident

Башкирский государственный медицинский университет Минздрава России, УфаРоссияBashkir State Medical University of the Ministry of Healthcare of the Russian Federation, UfaRussian Federation202605052026191817Copyright © Галимов О.В., Ханов В.О., Бакеев М.Р., Галимов Д.О., 20262026Галимов О.В., Ханов В.О., Бакеев М.Р., Галимов Д.О.Galimov O.V., Khanov V.O., Bakeev M.R., Galimov D.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.surgumed.ru/jour/article/view/978

Хирургия послеоперационных вентральных грыж является актуальным направлением медицинской науки. Несмотря на более чем вековую историю данной проблемы, до сих пор не найдено универсального метода оперативного лечения послеоперационных грыж, удовлетворившего как пациентов, так и хирургов. Наиболее трудным является раздел хирургии больших и рецидивных вентральных грыж. В настоящем обзоре литературы проведен анализ исследований преимущественно за последние 10 лет из международных и отечественных баз данных (PubMed, Cochrane, Web of Science, eLIBRARY.RU и др.), посвященных актуальным тенденциям в хирургии послеоперационных вентральных грыж. За последнее десятилетие накоплен опыт по методам стратификации пациентов, прогнозированию рисков осложнений и рецидивов, усовершенствовалась диагностика с помощью компьютерной томографии. Оптимизация предоперационной подготовки пациентов с послеоперационными грыжами направлена на улучшение ранних и отдаленных результатов герниопластик. Совершенствование сетчатых эндопротезов и способов их установки выводит хирургию грыж на более безопасный и эффективный уровень. Актуальными направлениями также выступают использование методов предоперационной релаксации боковых мышц передней брюшной стенки. Применение способов химической сепарации, прогрессивного пневмоперитонеума, интраоперационного фасциального вытяжения, а также их комбинации уже продемонстрировало удовлетворительные и обнадеживающие клинические результаты. Сформированный вектор научного прогресса будет способствовать улучшению качества оперативных вмешательств и индивидуализации тактических подходов.

Incisional ventral hernia surgery is a relevant medical area. Despite the issue’s long history, researchers have not found an optimal approach to incisional hernia surgical treatment that would satisfy both the patients and surgeons. Within the aforementioned problem, the most complex task is the large and recurrent ventral hernia surgery. This article analyzes scientific works on the current trends in incisional hernia surgery published in PubMed, Cochrane, Web of Science, eLIBRARY.RU, and other databases over the past 10 years. In the past decade, scientists increased knowledge of patient stratification methods, prediction of complications and recurrence risks, as well as advanced computed tomography diagnostics. Optimizing presurgical treatment for patients with incisional hernia is aimed at improving the early and long-term hernioplasty results. Upgrading hernia mesh and its implantation methods makes hernia surgery safer and more effective. The other important research area is the presurgical relaxation of lateral abdominal muscles. In addition, the application of such methods as chemical separation, progressive pneumoperitoneum, intraoperative fascial traction, and a combination of the listed techniques have shown satisfactory and promising clinical results. The formed research vector contributes to enhancing the surgical treatment quality and personalizing medical approaches.

               

 

  

 

 

 

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The authors declare that there are no conflicts of interest present.