I.S. MALKOV¹, Z.M. MUKHTAROV¹, M.I. MALKOVA²

¹Kazan State Medical Academy, 36 Butlerov St., Kazan, Russian Federation, 420012

²Kazan State Medical University, 49 Butlerov St., Kazan, Russian Federation, 420012

³Municipal Clinical Hospital № 7, 54 Chuykov St., Kazan, Russian Federation, 420103

Malkov I.S. — D. Med. Sc., Professor, Head of Surgery Department, tel. +7-965-594-40-07, e-mail: [email protected]^1,3

Mukhtarov Z.M. — postgraduate student of Surgery Department, tel. +7-927-672-40-70, e-mail: [email protected]¹

Malkova M.I. — assistant of the Department of propedeutics of internal diseases, tel. +7-960-051-61-16, e-mail: [email protected]²

Procedure of complex preoperative examination was applied to 50 patients with big and huge postoperative ventral hernias. The comparison group included 112 patients where the procedure was not used. Thus, identification of cardiac risk and the preoperative preparation reduced the death rate because of cardiovascular diseases from 4,8% to 2,4.

Key words: ventral hernias, cardiac risk, preoperative preparation.

REFERENCES

1. Il’chenko F.N., Grivenko S.G. et al. Gerontologicheskie aspekty v gerniologii: tendentsii poslednikh let [Gerontological aspects herniology: recent trends]. Materialy IX konferentsii “Aktual’nye voprosy gerniologii”. Moscow, 2012. Pp. 92-94.

2. Poldermans D., Bax J.J., Boersma E. et al. Guidelines for pre-operative cardiac risk assessment and perioperative cardiac management in non-cardiac surgery: the Task Force for Preoperative Cardiac Risk Assessment and Perioperative Cardiac Management in Non-cardiac Surgery of the European Society of Cardiology (ESC) and endorsed by the European Society of Anaesthesiology (ESA). Eur. Heart. J., 2009, vol. 30 (22), pp. 2769-2812.

3. Natsional’nye rekomendatsii po prognozirovaniyu i profilaktike kardial’nykh oslozhneniy vneserdechnykh khirurgicheskikh vmeshatel’stv. Rossiyskie rekomendatsii. KVTP [National recommendations for the prediction and prevention of cardiac complications extracardiac surgery. Russian recommendations]. 2011, no. 10 (6) (Pril. 3). 28 p.

4. Lee T.H., Marcantonio E.R., Mangione C.M. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation, 1999, vol. 100, pp. 1043-1049.

5. Hlatky M.A., Boineau R.E., Higginbotham M.B. et al. A brief self-administered questionnaire to determine functional capacity (the Duke Activity Status Index). Am. J. Cardiol., 1989, vol. 64, pp. 651-654.

6. Fletcher G.F., Balady G.J., Amsterdam E.A. et al. Exercise standards for testing and training: a statement for health-care professionals from the American Heart Association. Circulation, 2001, vol. 104, pp. 1694-1740.