Scientific journal
Научное обозрение. Медицинские науки
ISSN 2500-0780
ПИ №ФС77-57452

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EVALUATION OF CONTINUOUS SUTURING OF THE ANTERIOR ABDOMINAL WALL AT LAPAROTOMY ACCESS

Sopuev A.A. 1 Tilekov E.A. 1 Umurzakov O.A. 1 Abdiev A.S. 1 Ovcharenko K.E. 1
1 National Surgical Center of the Ministry of Health of the Kyrgyz Republic
The article presents a comparative evaluation of postoperative course and outcome of patients operated using a modified double- suturing fascia after midline laparotomy. The control group in the study were 52 patients who underwent surgery with the use of a single-layer interrupted suture of suturing aponeurosis. Providing sealing wounds of the skin and peritoneum, modified method prevent the penetration of pathogens. As a less traumatic, while providing a good reconstruction of tissue at the wound . The method provides a more favorable course of reparative processes. This ensures the best consolidation of biological tissue, which reduces the amount of postoperative ventral hernias. In our study purulent-inflammatory wound complications in the control group consisted of 12 (23,1%) of the cases, in the main - 2 (4,3%) (p < 0,05). In the comparison group 2 (3,8%) patients had festering wounds. Festering wound in patients operated on by the proposed method was not. The presence of infiltration of the wound at 5 (9,6%) and 1 (2.2%) patients , hematoma - seroma of wound respectively in 4 (7,7%) and 1 (2,1%) patient. In 2 (3,8%) patients in the control group formed post-operative hernias, in the study group hernia formation was not observed.