@article{Shapovalov_Herasymenko_Yenin_Koshikov_Haida_Herasymenko_Muradyan_Okolets_2021, title={Application of endovideosurgical technologies in the treatment of ventral herniations after gunshot wounds of the abdomen}, volume={11}, url={https://apcz.umk.pl/JEHS/article/view/JEHS.2021.11.03.017}, DOI={10.12775/JEHS.2021.11.03.017}, abstractNote={<pre>Gunshot wounds of the abdomen are often accompanied by</pre><pre>a significant destruction of the abdominal cavity with the development</pre><pre>of peritonitis, and in the future - various complications (failure of </pre><pre>anastomoses, abscess formation, repeated bleeding, etc.), which </pre><pre>requires repeated surgical interventions, and as a consequence - </pre><pre>the formation of postoperative ventral hernias. The aim of the </pre><pre>study is to improve the results of surgical treatment of ventral </pre><pre>hernias after gunshot wounds of the abdomen due to the use of </pre><pre>laparoscopic techniques. The analysis of treatment of 21 patients </pre><pre>with postoperative ventral hernias formed as a result of operations </pre><pre>concerning gunshot wounds of the abdomen was carried out. 14 </pre><pre>wounded suffered one operation on the abdominal organs in the </pre><pre>past (66.7%), 5 - two operations (23.8%), 1 - three operations </pre><pre>(4.8%), 1 - five operations (4.8%). The dimensions of the hernial </pre><pre>gates and the risk of recurrence were determined according to the </pre><pre>SWE classification: W1 - 9 patients (42.9%), W2 - 8 (38.1%), </pre><pre>W3 - (9.5%), W4 - 2 (9.5%). The third patients underwent </pre><pre>laparoscopic allogernioplasty according to the IROM technique </pre><pre>with a Teflon allograft, which was fixed in 2 cases with the help </pre><pre>of a hernostepler, in the 1 st - with transdermal separate seams </pre><pre>with Teflon filament. Complications after laparoscopic operations </pre><pre>were not. The use of laparoscopic techniques can significantly </pre><pre>reduce bed-day, avoid the development of abdominal </pre><pre>compartment syndrome, previously to activate the patient. </pre><pre>Laparoscopic allogernioplasty according to the method of IPOM </pre><pre>by the Teflon graft is considered to be the operation of choice.</pre>}, number={3}, journal={Journal of Education, Health and Sport}, author={Shapovalov, V. Y. and Herasymenko, O. S. and Yenin, R. V. and Koshikov, M. A. and Haida, Y. I. and Herasymenko, S. D. and Muradyan, K. R. and Okolets, A. V.}, year={2021}, month={Mar.}, pages={168–174} }