The main types of general surgical operations performed at the VITAMED MEDICAL clinic

1.Methods of surgical interventions:

• Hernia repair using various techniques for plastic surgery of the inguinal canal with local tissues.

• Hernia repair with plastic surgery of the posterior wall of the inguinal canal using a mesh graft (polypropylene mesh).

2.Operations for femoral hernia

• Classical plastic surgery with local tissues - it consists of suturing the defect of the femoral canal with a synthetic non-absorbable thread using the patient’s own tissues.

• Plastic surgery using synthetic prostheses (mesh) - in this case, a synthetic prosthesis is installed in front of the peritoneum.

3.Operations for umbilical and postoperative ventral hernia:

• Tension (traditional) hernioplasty (according to Sapezhko, Mayo, Lexer).

• Tension-free hernioplasty using a mesh graft (polypropylene mesh).

Advantages of using a mesh graft for hernia repair:

• the mesh completely bears the load;

• protects seams from stretch marks;

• the mesh does not form folds;

• the graft is very durable;

• it is possible to obtain a layer of new physiological tissue, which provides strength to the anterior abdominal wall.

4. Surgical treatment for cholelithiasis - laparoscopic cholecystectomy. Advantages of laparoscopic cholecystectomy:

• Minimal trauma to the tissues of the anterior abdominal wall, which leads to a reduction in hospital stay;

• High accuracy of diagnosis and treatment: multiple optical magnification of the image of the operation area on the monitor helps to examine the smallest features of the anatomy of the operated organ;

• Possibility to perform a visual inspection of the abdominal organs during surgery;

• Cosmetic surgical approach: after the wounds have healed, the punctures through which the operation is performed leave almost invisible scars.

• Almost complete elimination of the risk of developing postoperative ventral hernias, which often develop after traditional cholecystectomy, especially in elderly, obese patients.

What scope of examination will the surgeon prescribe for surgery for hernias or cholelithiasis?

-complete blood count, complete urine test

-coagulogram

-biochemical tests (glucose, total and direct bilirubin, AST, ALT, creatinine, urea, total blood protein)

-ECG

-Chest X-ray

-Blood tests for hepatitis B and C, RW, HIV/AIDS test

-Consultation with a therapist

What are the conditions of hospital stay?

Single and double intensive care rooms with life support system consoles (oxygen, therapeutic gases, electricity, vacuum, alarms, staff call), equipped with everything necessary for a comfortable stay (bathroom, shower, TV, air conditioning, refrigerator, upholstered furniture).

The postoperative period proceeds under the supervision of the operating surgeon. The entire range of medications and necessary examinations, consultations with other specialists, and dressings in the postoperative period are provided by the clinic at no additional charge.

What is the danger of a hernia of the anterior abdominal wall if surgery is refused:

- an increase in the size of the hernia to a gigantic one with the movement of internal organs into the hernial sac;

- irreducibility of the contents of the hernial sac in the abdominal cavity;

- bowel dysfunction (coprostasis), pain in the area of ​​hernial protrusion;

- strangulation of the contents of the hernial sac, acute intestinal obstruction;

- infection (phlegmon) of the hernial sac;

- necrosis of the contents of the hernial sac (intestinal loop, greater omentum, bladder wall, other organs);

- after operations for giant hernias, a syndrome of increased intra-abdominal pressure often develops;

What is the danger of cholelithiasis if you refuse surgery:

- frequent pain attacks in the right hypochondrium;

- development of acute obstructive calculous cholecystitis;

- stones entering the common bile duct with the development of obstructive jaundice;

- complication of the pancreas (acute pancreatitis, pancreatic necrosis);

- formation of internal fistulas with the development of obstructive jaundice or acute small intestinal obstruction;

- shrinkage of the gallbladder.