Thoracoabdominal laparotomy

Laparotomy thoraco-abdominal operations (LTAO) is a type of surgical intervention for abdominal wall hernias that requires laparoscopic assistance to achieve the best results.

Performed as the first operation in the treatment of strangulated and advanced abdominal hernias, the laparoscope allows you to more accurately assess the extent of the intervention and collect information for choosing a method of repair. In cases of giant and recurrent hernias of the abdominal wall, laparoscopy seems even more necessary - thereby reducing the risk of complications from the abdominal organs, reducing the risk of developing adhesions, and improving the quality of surgical interventions. Therefore, LA (laparoscopic abdominal) operations deserve further study, since 47% of all deaths occur due to adhesions.

The purpose of the scientific work is to study the clinical effectiveness of laparoscopy in thoracoavdominal surgery. The objective of the work is to develop measures to reduce mortality and determine the optimal timing and methods for reducing adhesive disease as the main cause of postoperative complications. The study analyzed the results of treatment of patients in the department of thoracic and chest surgery who required planned and emergency operations for abdominal hernia defects. An analysis of the preliminary results of LAC was carried out. Upon admission of patients, the main indication for LAH was severe disease, unsatisfactory clinical status, and suspicion of oncology. Post-warranty operations were performed on three patients who had an unsatisfactory general condition due to worsening of the underlying disease. In five patients with cancer, the main advantage of surgical treatment was the preservation of dilated lymph nodes during palliative surgery, so their indications for surgery were based on the absence of indications for radical surgery or the prognosis after it. Of the 96 patients operated on using the LAC method, the mortality rate was 6.3%. Performing LAH does not exclude repeated operations, the risk of which is statistically significantly higher than the possibility of repeating the surgical procedure. Thus, the chosen method is highly effective in relapses and revisions after previous operations, prevention of adhesive obstruction, formation of a program for the postoperative recovery period, and also has a limitation to