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230 11 |
Ultima descărcare din IBN: 2024-04-23 12:13 |
Căutarea după subiecte similare conform CZU |
616.36-004-089 (5) |
Patologia sistemului digestiv. Tulburări ale tubului alimentar (1732) |
SM ISO690:2012 PISARENCO, Sergiu, ANGHELICI, Gheorghe, ZUGRAV, Tatiana. Open versus laparoscopic mesh repair of inguinal hernia in liver cirrhosis accompanied by ascites . In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 313. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.36-004-089 | ||||||
Pag. 313-313 | ||||||
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Background. Patients with liver cirrhosis with ascites syndrome show an increased incidence rate of inguinal hernias compared to the noncirrhotic population. However, the optimal management of inguinal hernia in patients with cirrhosis is still undefined, as patients with cirrhosis of the liver have a limited liver reserve. Objective of the study. Evaluation of postoperative results of laparoscopic inguinal hernioplasty and Lichtenstein’s open hernioplasty in patients with cirrhosis of the liver and ascites syndrome. Material and methods. In total, 22 patients with inguinal hernia and liver cirrhosis ascitic syndrome were randomized equally in two groups: I group laparoscopic hernioplasty (TAPP) - 11 patients and II group Lichtenstein hernioplasty 11 patients. The duration of surgery, postoperative pain, postoperative scrotal serum, recurrence of long-term postoperative hernia were compared between the two groups. Results. All laparoscopic operations were performed without conversion, with abdominal cavity drainage, and postoperative lavage of the abdominal cavity. The average duration of surgery in both groups of patients was equal to 60 min. Laparoscopic repair was associated with a significantly lower rate of intraoperative bleeding (1/4), acute pain compared to open repair (1/5) and a reduced rate of chronic pain compared to open (1/3). Recurrence of inguinal hernia was not recorded in any group. Conclusions: Laparoscopic hernioplasty has significantly better effects on postoperative pain and intraoperative bleeding complications. |
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Cuvinte-cheie laparoscopic hernioplasty, Lichtenstein hernioplasty, ascites syndrome, decompensated liver cirrhosis, hernioplastie laparoscopică, hernioplastie Lichtenstein, sindrom ascitic, ciroza hepatica decompensată |
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