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M V Romashkin-Timanov

Publications and source records attributed to M V Romashkin-Timanov.

3 recordsLinked to original sources

[Surgical treatment without recurrences ventral hernias as a social problem].

The authors have analyzed social aspects of surgical treatment of postoperative ventral hernias and described results of the surgical treatment of 149 patients. Specific measures used in preoperative preparation and in operative treatment of elderly and senile patients are considered. Long-term results of surgical treatment of 76 patients have been studied who had undergone plasty of the anterior abdominal wall with the application of a reticulate polypropelene explant. This method was shown to be pathogenetic and highly reliable for surgical treatment of postoperative ventral hernias.

Adult↗

[Choice of a method of plasty of the anterior abdominal wall in patients with postoperative ventral hernias].

The individual characteristics of the structure of the anterior abdominal wall were studied for revealing the anatomical preconditions for the formation of postoperative ventral hernias in order to substantiate efficient methods of surgical treatment. It was established that patients with brachiomorphous build had anatomical features facilitating the formation of ventral hernias. The greatest strength of the fascio-aponeurotic complex of the anterior abdominal wall is characteristic of patients with a dolichomorphous constitution, while the least strength of the fascio-aponeurotic complex of the anterior abdominal wall is characteristic of patients with brachiomorphous constitution. Patients with the dolicho- and mesomorphous constitution having postoperative ventral hernias can undergo plasty of the hernial gates with the local tissues. Patients with brachiomorphous constitution after elimination of the postoperative ventral hernias need the strengthening of the anterior abdominal wall with cellular explants.

Abdominal Wall↗

[Multilayer deep hernioplasty by E. Shouldice method in inguinal hernias].

The article gives a detailed description of steps of performing multilayer deep hernioplasty after E. Shouldice. In order to substantiate the possibilities to perform the procedure the structure of the transverse fascia in the ilioinguinal area was investigated in 20 corpses without hernias as compared with those having hernias. The data obtained give qualitative characteristics of the content of the collagen and elastic fibers of the transverse fascia. Their amount was proved to be 1.5-2 times less as compared with normal. Under analysis were results of surgical treatment of 786 patients with inguinal hernias. Long-term results of the surgical treatment were studied in 281 patients operated by the method of the multilayer deep hernioplasty after E. Shouldice. The method of surgical treatment of inguinal hernias was proved to be pathogenetic and highly reliable.

Adult↗