Обгрунтування необхідності визначення інтраабдомінального тиску при оперативному лікуванні велетенських вентральних гриж

Abstract

The changes of haemodynamic profile of patients with giant ventral hernias during operative treatment and in post-operative period examined in the article. Three groups of patients were chosen for studing the influence of elevated intra-abdominal pressure on haemodynamic system: control group-16 patients with small ventral hemias; second group -26 patients with giant ventral hernias; third group - 25 patients with giant ventral hernias wich were pinched. Results: Calculation of abdominal cavity perfusion pressure is the best diagnostic criterion for treatment, value of difficulty and prognosis of syndrome of е best diagnostic criterion in treatment, value of difficulty elevated intraabdominal pressure. For fast liquidation of abdominal compartment syndrome in the post-operative period the non-tensive methods of abdominal wall plastic, nasogastral intubation of small intestin bу perforated tube and, if need, transanal intubation of colon bу perforated tube must bе used.