rpmjResearch'n Practical Medicine JournalResearch and Practical Medicine Journal2410-1893"QUASAR", LLC10.17709/2409-2231-2018-5-4-8rpmj-325Research ArticleОбзорыReviewОценка результатов использования сетчатых имплантатов при аллопластике грыж пищеводного отверстия диафрагмыEvaluation of the results of the use of reticular implants in alloplastic hernia of the esophageal aperture of the diaphragmРозенфельдИ. И.Rozenfel'dI. I.

Розенфельд Игорь Игоревич - кандидат медицинских наук, врач-хирург, доцент кафедры патологической физиологии.

170100, Тверь, ул. Советская, д. 4

Igor I. Rozenfel'd - MD, PhD, surgeon, associate professor of the department of pathological physiology.

4 Sovetskaya str., Tver 170100

iiggo@mail.ruЧиликинаД. Л.ChilikinaD. L.

Чиликина Даниэлла Леонидовна - студентка 5-го курса педиатрического факультета.

170100, Тверь, ул. Советская, д. 4

DanieLLa L. Chilikina - a 5th year student of the pediatric faculty.

4 Sovetskaya str., Tver 170100

ФГБОУ ВО «Тверской государственный медицинский университет» Министерства здравоохранения Российской ФедерацииРоссияTver State Medical University Ministry of Health of RussiaRussian Federation201821122018548290Copyright © Розенфельд И.И., Чиликина Д.Л., 20182018Розенфельд И.И., Чиликина Д.Л.Rozenfel'd I.I., Chilikina D.L.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rpmj.ru/rpmj/article/view/325

В обзоре литературы рассмотрены результаты проведения современных рандомизированных когортных исследований по вопросам эффективности аллопластики при грыжах пищеводного отверстия диафрагмы. Проанализированы осложнения и рецидивы после пластики различными видами сетчатых имплантатов: полипропиленовых, политетрафторэтиленовых, облегченных, рассасывающихся и биологических бесклеточных дермальных имплантатов. В результате анализа доказано наличие серьезных осложнений и рецидивов после использования некоторых методик при аллопластике грыж пищеводного отверстия диафрагмы, а также определены проблемные вопросы эволюционного развития данных методик при проведении оперативных хирургических вмешательств.

The review of the literature examines the results of modern randomized cohort studies on the efficacy of alloplas-ty in hernia of the esophageal aperture of the diaphragm. The complications and relapses after plastic are analyzed by various types of reticular implants: polypropylene, polytetrafluoroethylene, lightweight, resorbable and biological cell — free dermal implants. As a result of the analysis, the presence of serious complications and relapses after the use of certain techniques for alloplasty of the hernia of the esophageal aperture of the diaphragm has been proved, and also identified the problematic issues of the evolutionary development of these techniques in the conduct of operative surgical interventions.

большие грыжи пищеводного отверстия диафрагмыгигантские грыжи пищеводного отверстия диафрагмысетчатые имплантатыполипропиленовые имплантатыполитетрафторэтиленовые имплантатыоблегченные имплантатырассасывающиеся имплантатыбиологические бесклеточные дермальные имплантатыаллопластикаlarge hernias of the esophageal aperture of the diaphragmgiant hernias of the esophageal aperture of the diaphragmmesh implantspolypropylene implantspolytetrafluoroethylene implantslightweight implantsabsorbable implantsbiological cell - free dermal implantsalloplasticsReferencesFumеe EJR, Hazebroek EJ. Mesh in laparoscopic large hiatal hernia repair: a systematic review of the literature. Surgical endoscopy. Surg Endosc. 2013 Nov;27 (11):3998-4008. DOI: 10.1007/s00464—013—3036-yFumеe EJR, Hazebroek EJ. Mesh in laparoscopic large hiatal hernia repair: a systematic review of the literature. Surgical endoscopy. Surg Endosc. 2013 Nov;27 (11):3998-4008. 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The authors declare that there are no conflicts of interest present.