M.M. Minnullin¹, D.M. KRASILNIKOV², I.V. ZAYNULLIN¹, А.P. Tolstikov^1,2

¹Republican Clinical Hospital of the MH of RT, 138 Orenburgskiy Trakt, Kazan, Russian Federation, 410064

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

Minnullin M.M. ― Cand. Med. Sc., First Deputy Chief Doctor on Medical Unit, Head of Surgical Service, tel. (843) 231-20-60, e-mail: Marsel.Mansurovich@tatar.ru

Krasilnikov D.M. ― D. Med. Sc., Professor, Head of the Surgery Department №1, tel. (843) 231-20-57, e-mail: dmkras131@gmail.com

Zaynullin I.V. ― Head of the Department of Surgery, tel. (843) 231-21-66, e-mail: abdominalsurgeryrcb@gmail.com

Tolstikov A.P. ― Cand. Med. Sc., surgeon, Assistant of the Surgery Department №1, tel. (843) 231-21-66, e-mail: abdominalsurgeryrcb@gmail.ru

The article describes the experience of the treatment of patients with strangulated postoperative ventral hernias complicated with acute intestinal obstruction. The analysis of treatment of 113 patients of Abdominal Surgery unit of «Republican Clinical Hospital of the Ministry of Health of the Tatarstan Republic» during the period from 2011 to 2015 is presented. The diagnostic aspects used in the clinic for patients with strangulated postoperative ventral hernias are studied. The different mechanisms of strangulated of postoperative ventral hernias are analyzed. Various options of surgical treatment of this pathology are described. Indications for hernia repair using modern mesh implants are updated, depending on the size of the strangulated postoperative ventral hernias. The developed diagnostic program and the choice of optimal surgery will reduce the number of postoperative complications and poor outcomes.

Key words: strangulated hernias, acute intestinal obstruction, diagnostics, surgical treatment.

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