Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins
Introduction. In recent years, surgeons have increasingly used combined operations in patients with inguinal hernias and recurrent varicose veins. However, it is necessary to justify the choice of the type and volume of the main and concomitant stages of combined surgery, depending on the individual...
Saved in:
| Main Authors: | , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Remedium Group LTD
2024-05-01
|
| Series: | Амбулаторная хирургия |
| Subjects: | |
| Online Access: | https://www.a-surgeon.ru/jour/article/view/430 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849763210020782080 |
|---|---|
| author | V. E. Milyukov A. I. Chernookov S. I. Kandyba N. O. Bartosh O. M. Dondup А. A. Atayan A. A. Ramazanov A. Z. Pshmakhova T. I. Shadyzheva |
| author_facet | V. E. Milyukov A. I. Chernookov S. I. Kandyba N. O. Bartosh O. M. Dondup А. A. Atayan A. A. Ramazanov A. Z. Pshmakhova T. I. Shadyzheva |
| author_sort | V. E. Milyukov |
| collection | DOAJ |
| description | Introduction. In recent years, surgeons have increasingly used combined operations in patients with inguinal hernias and recurrent varicose veins. However, it is necessary to justify the choice of the type and volume of the main and concomitant stages of combined surgery, depending on the individual characteristics of both diseases.Aim. Optimization of surgical treatment of patients with inguinal hernias in combination with relapses of varicose veins.Materials and methods. The study included 39 patients aged 35 to 78 years with inguinal hernias and RVB. Of these, 21 patients who underwent combined operations were included in the main group. The control group included 18 patients who underwent staged hernioplasty, and then after 1–26 months, operations for RVB, or interventions were performed in reverse order. A comparative assessment of the duration of operations, the level of postoperative pain, immediate and long-term results, and the number of complications of uncorrected diseases in two-stage treatment was carried out.Results and discussion. Performing combined operations in this category of patients does not lead to an increase in the level of postoperative complications, it is accompanied by an average increase in the duration of surgery by 33.6 minutes and an increase in the intensity of postoperative pain by 0.8 points, a decrease in temporary disability by 1.2 times.Conclusions. Performing combined operations is the optimal intervention in patients with inguinal hernias with concomitant recurrence of varicose veins. The use of combined operations makes it possible to simultaneously eliminate both diseases and exclude the development of complications from an uncorrected disease, which, with two-stage treatment, was observed in 11.1% of cases and required emergency operations. |
| format | Article |
| id | doaj-art-bfd8c56f48c244cd89790ff1714ba759 |
| institution | DOAJ |
| issn | 2712-8741 2782-2591 |
| language | Russian |
| publishDate | 2024-05-01 |
| publisher | Remedium Group LTD |
| record_format | Article |
| series | Амбулаторная хирургия |
| spelling | doaj-art-bfd8c56f48c244cd89790ff1714ba7592025-08-20T03:05:29ZrusRemedium Group LTDАмбулаторная хирургия2712-87412782-25912024-05-0121111011710.21518/akh2024-006349Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veinsV. E. Milyukov0A. I. Chernookov1S. I. Kandyba2N. O. Bartosh3O. M. Dondup4А. A. Atayan5A. A. Ramazanov6A. Z. Pshmakhova7T. I. Shadyzheva8Pirogov Russian National Research Medical UniversityPirogov Russian National Research Medical University; Russian Biotechnological University (ROSBIOTECH)Main Military Clinical Hospital named after academician N.N. BurdenkoPirogov Russian National Research Medical UniversityPirogov Russian National Research Medical UniversitySechenov First Moscow State Medical University (Sechenov University)Clinical Center for Restorative Medicine and RehabilitationRussian Biotechnological University (ROSBIOTECH)Sechenov First Moscow State Medical University (Sechenov University)Introduction. In recent years, surgeons have increasingly used combined operations in patients with inguinal hernias and recurrent varicose veins. However, it is necessary to justify the choice of the type and volume of the main and concomitant stages of combined surgery, depending on the individual characteristics of both diseases.Aim. Optimization of surgical treatment of patients with inguinal hernias in combination with relapses of varicose veins.Materials and methods. The study included 39 patients aged 35 to 78 years with inguinal hernias and RVB. Of these, 21 patients who underwent combined operations were included in the main group. The control group included 18 patients who underwent staged hernioplasty, and then after 1–26 months, operations for RVB, or interventions were performed in reverse order. A comparative assessment of the duration of operations, the level of postoperative pain, immediate and long-term results, and the number of complications of uncorrected diseases in two-stage treatment was carried out.Results and discussion. Performing combined operations in this category of patients does not lead to an increase in the level of postoperative complications, it is accompanied by an average increase in the duration of surgery by 33.6 minutes and an increase in the intensity of postoperative pain by 0.8 points, a decrease in temporary disability by 1.2 times.Conclusions. Performing combined operations is the optimal intervention in patients with inguinal hernias with concomitant recurrence of varicose veins. The use of combined operations makes it possible to simultaneously eliminate both diseases and exclude the development of complications from an uncorrected disease, which, with two-stage treatment, was observed in 11.1% of cases and required emergency operations.https://www.a-surgeon.ru/jour/article/view/430inguinal herniashernioplastyrecurrence of varicose veinscombined operations |
| spellingShingle | V. E. Milyukov A. I. Chernookov S. I. Kandyba N. O. Bartosh O. M. Dondup А. A. Atayan A. A. Ramazanov A. Z. Pshmakhova T. I. Shadyzheva Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins Амбулаторная хирургия inguinal hernias hernioplasty recurrence of varicose veins combined operations |
| title | Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins |
| title_full | Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins |
| title_fullStr | Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins |
| title_full_unstemmed | Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins |
| title_short | Optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins |
| title_sort | optimization of treatment of patients with inguinal hernia in combination with recurrence of varicose veins |
| topic | inguinal hernias hernioplasty recurrence of varicose veins combined operations |
| url | https://www.a-surgeon.ru/jour/article/view/430 |
| work_keys_str_mv | AT vemilyukov optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT aichernookov optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT sikandyba optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT nobartosh optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT omdondup optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT aaatayan optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT aaramazanov optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT azpshmakhova optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins AT tishadyzheva optimizationoftreatmentofpatientswithinguinalherniaincombinationwithrecurrenceofvaricoseveins |