SIMULTANEOUS SURGICAL INTERVENTION IN PATIENT WITH INCISIONAL HERNIA W3 AND HIGH OPERATIONAL RISK. A CLINICAL CASE
https://doi.org/10.38181/2223-2427-2022-3-70-77
Abstract
The paper covers the clinical case of successful simultaneous intervention in a patient with acute calculous cholecystitis, incisional hernia M2-5W3, Obese (Class III) (BMI 42 kg/m2), IV-degree ptosis of the anterior abdominal, pulmonary embolism in the anamnesis with a cava filter installed and high operational risk. After preoperative preparation, a simultaneous surgical intervention (laparoscopic cholecystectomy, transverse abdominoplasty, separation hernioplasty) was performed. The patient was discharged from hospital on the 10th day of the postoperative period. Long-term results were evaluated after 2 months. A cardiovascular, thromboembolic and wound complications was not recorded.
About the Authors
V. A. Samartsev
Perm State Medical University named after academician E. A. Wagner; City Clinical Hospital No. 4
Russian Federation
Russian Federation
Vladimir A. Samartsev – Dr. Sci., Professor, The Head of Department of General Surgery No. 1 of PSMU named aſter academician E. A. Wagner; The Chief of Surgery of City Clinical Hospital No.4 Perm
26, Petropavlovskaya St., Perm, 614990
2, KIM St., Perm, 614107
A. A. Parshakov
Perm State Medical University named after academician E. A. Wagner; City Clinical Hospital No. 4
Russian Federation
Russian Federation
Aleksandr A. Parshakov – PhD, Assistant Professor of Department of General Surgery No. 1 of PSMU named after academician E. A. Wagner; General Surgeon in City Clinical Hospital No. 4
26, Petropavlovskaya St., Perm, 614990
2, KIM St., Perm, 614107
phone: +7(952) 324-58-30
V. A. Gavrilov
Perm State Medical University named after academician E. A. Wagner; City Clinical Hospital No. 4
Russian Federation
Russian Federation
Vasilii A. Gavrilov – PhD, Associate Professor of Department of General Surgery No.1 of PSMU named aſter academician E. A. Wagner; General Surgeon in City Clinical Hospital No. 4 Perm
26, Petropavlovskaya St., Perm, 614990
2, KIM St., Perm, 614107
I. P. Zhilina
Perm State Medical University named after academician E. A. Wagner
Russian Federation
Russian Federation
Irina P. Zhilina – 6th year student of PSMU named aſter academician E. A. Wagner
26, Petropavlovskaya St., Perm, 614990
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Review
For citations:
Samartsev V.A., Parshakov A.A., Gavrilov V.A., Zhilina I.P. SIMULTANEOUS SURGICAL INTERVENTION IN PATIENT WITH INCISIONAL HERNIA W3 AND HIGH OPERATIONAL RISK. A CLINICAL CASE. Surgical practice (Russia). 2022;(3):70-77. (In Russ.) https://doi.org/10.38181/2223-2427-2022-3-70-77
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