{"id":6698,"date":"2025-11-10T17:42:30","date_gmt":"2025-11-10T13:42:30","guid":{"rendered":"https:\/\/haykakanbanak.am\/?p=6698"},"modified":"2026-02-12T11:12:29","modified_gmt":"2026-02-12T07:12:29","slug":"some-treatment-features-of-giant-postoperative-ventral-tense-hernias-in-comorbit-diseases","status":"publish","type":"post","link":"https:\/\/haykakanbanak.am\/?p=6698","title":{"rendered":"Some treatment features of giant postoperative ventral tense hernias in comorbit diseases"},"content":{"rendered":"
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G. S. DATUMYAN, Lieutenant Colonel of Medical Service, PhD in Medicine, Leading Surgeon, Central Clinical Military Hospital, MOD, RA; <\/strong><\/p>\n

M. V. SARGSYAN, Lieutenant Colonel of Medical Service, Doctor of Medicine, Associate Professor, Deputy Head in Science and Education, Central Clinical Military Hospital, MOD, RA; <\/strong><\/p>\n

G. D. AZIZYAN, Lieutenant Colonel of Medical Service, Head, Central Clinical Military Hospital, MOD, RA; <\/strong><\/p>\n

A. H. MELIKYAN, PhD in Medicine, Associate Professor, Senior Surgeon, Erebuni Medical Center <\/strong><\/p>\n

SUMMARY<\/strong><\/p>\n

Plastic surgery of the anterior abdominal wall by means of synthetic mesh prosthesis is considered the “gold standard” of hernioplasty of our time, especially in cases of postoperative ventral hernias. This approach is especially relevant for elderly patients suffering from chronic broncho\u00adpulmonary and cardiovascular diseases.<\/p>\n

As is known, the risk of death associated with thromboembolic complications of the pulmonary artery and its branches during surgical interventions varies within 1\u201310 %, and in the postoperative period, the development of abdominal compartment syndrome (ACS) is considered especially dangerous. The immediate and remote postoperative results of surgical treatment of giant ventral hernias using a combination of stretched plastic surgery and mesh prosthesis were assessed in 80 patients aged 42 to 78 years, who underwent surgery for postoperative ventral hernia. Based on the analysis of patients\u2019 clinical and laboratory studies, it can be reliably stated that plastic surgery of the anterior abdominal wall using synthetic mesh prosthesis is the best technique for repairing postoperative ventral hernias, especially in patients with concomitant chronic diseases of cardiovascular and respiratory systems.<\/p>\n

This method is not accompanied by an increase in intra-abdominal pressure, which, in turn, does not lead to an increase in intrathoracic pressure. At the same time, according to laboratory studies conducted at the time of post-surgery discharge, there was no deterioration in coagula\u00adtion parameters, thromboembolic complications were not registered.<\/p>\n

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