Formanchuk T. The optimization of incisional hernia’ surgical method treatment.

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0409U005358

Applicant for

Specialization

  • 14.01.03 - Хірургія

24-11-2009

Specialized Academic Board

Д 05.600.01

Vinnytsia National Pirogov Memorial Medical University

Essay

Object - incisional hernia (IH); purpose - to reduce the risk of origin of IH and improve the results of treatment of patients with this pathology by drawing on the complex of new methods of connection of edges of incisional wound and catchment of endovulnarical cavity; methods – laboratory, biochemical, instrumental, ultrasonografic, bacteriological, x-ray, ultrasonic, experimental, morphological, mathematical design, tensometric, statistical; results – first on the basis of the got results of experimental researches, clinical information and developed mathematical model expedience of the use of the offered method of connection of edges of incisional wound is well-proven, which prevents an excessive compression their material of guy-sutures; the mathematical model of front abdominal wall is first created taking into account the real geometry and biomechanics capabilities of investigational tissue structures allowed to expect the diameter of attachment of adaptation depending on the thickness of fabrics which sew together, their inflexibility and optimum force of tightening of knots; a physicstheoretical ground and practical application of catchment of endovulnarical cavity is first conducted between an allograft and removed layer by layer shred of hypodermic-fatty cellulose by drainage adaptation; branch – medicine.

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