Źródło zdjęcia: Miejski Szpital Zespolony w Olsztynie
Specjaliści z Miejskiego Szpitala Zespolonego w Olsztynie jako pierwsi na Warmii i Mazurach i prawdopodobnie jako drudzy w Polsce przeprowadzili operację naprawczą przepukliny pooperacyjnej sposobem eTEP. Metodę tę w Europie Zachodniej i USA stosuje się dopiero od roku.
Tę nowatorską operację przeprowadzili lek. Przemysław Rymkiewicz i lek. Sławomir Saluk z Kliniki Chirurgii Ogólnej, Małoinwazyjnej i Wieku Podeszłego.
Na czym polega operacja naprawcza przepukliny pooperacyjnej sposobem eTEP?
Zabieg naprawczy przepukliny pooperacyjnej metodą eTEP polega na zaopatrzeniu nawet dużej przepukliny laparoskopowo. Dzięki temu specjaliści mogą uniknąć rozległego otwierania jamy brzusznej, co w konsekwencji skraca zarówno czas hospitalizacji, ryzyko wystąpienia powikłań pooperacyjnych, jak również minimalizuje ból u pacjenta. Ponadto wpływa pozytywnie na jakość życia po zabiegu oraz efekt wizualny.
Jaka jest przyczyna powstania przepukliny pooperacyjnej?
Wraz z upływem czasu przepuklina powiększa się, przy czym nie ulega samoistnemu wyleczeniu. Do przepukliny pooperacyjnej może dojść w miejscu wykonywanego w przeszłości zabiegu. Ma to związek z osłabieniem mięśni jamy brzusznej, potencjalnym uwypukleniem oraz powstaniem ubytku. Następnie dochodzi do wypychania na skutek ciśnienia panującego w jamie brzusznej narządów jamy brzusznej, właśnie przez powstały wcześniej ubytek.
Dochodzi wówczas do uformowania worka przepuklinowego i potencjalnego ryzyka przemieszczenia się fragmentu jelita bądź innego narządu jamy brzusznej. Uwięźnięcie zawartości w worku przepuklinowym stwarza potencjalne ryzyko konieczności przeprowadzenia pilnego zabiegu operacyjnego.
Źródło: Miejski Szpital Zespolony w Olsztynie
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