ABSTRACT
In order to improve the treatment efficacy of postoperative anterior abdominal wall hernias the method of plastic with restoration of anatomical and physiological properties of the muscles of the anterior abdominal wall was used. After the intervention by the improved method, regardless of the location of the hernia defect yielded promising results for the conservation of anterior abdominal wall muscle function in 75% of cases completely restored functional ability of muscles recti abdomini.
Subject(s)
Abdominal Muscles/surgery , Abdominal Wall/surgery , Abdominoplasty/methods , Incisional Hernia/surgery , Abdominal Muscles/pathology , Abdominal Wall/pathology , Adult , Aged , Female , Humans , Incisional Hernia/mortality , Incisional Hernia/pathology , Male , Middle Aged , Pleurisy/pathology , Pneumonia/pathology , Postoperative Complications , Recovery of Function , Surgical Mesh , Survival AnalysisABSTRACT
Laparoscopic plication (LP) of gastric big curvature (GBC) constitutes a new bariatric restrictive procedure, which has mechanism quite similar to that of a laparoscopic sleeve gastrectomy (LSG), but without danger for the sutures insufficiency development. The efficacy and safety of LSG and LP GBC were compared. Analysis of complications, the body mass (BM) index loss, an extra BM loss, an appetite loss, severity of the concomitant diseases course was conducted in accordance to results of the repeat examination. In 2 yrs the loss of extra BM have constituted the loss of an extra BM, accordingly, (42.4 ± 18) and (78.9 ± 20)%; in 3 yrs - (28.5 ± 23) and (72.8 ± 22)%. Thus, LP GBC is less effective, then LSG, in the treatment of morbid obesity.
