Year 2022 Vol. 30 No 3

REVIEWS

D.V. GARBUZENKO 1, D.V. BELOV 1, 2, A.L. KOSHARNOVA 1, S.S. ANUFRIEVA 1, N.A. DANKO 2

GALLBLADDER HERNIATION AS A RARE COMPLICATION OF ABDOMINAL DRAINAGE

FGBOU VO South Ural State Medical University 1,
FGBU Federal Center for Cardiovascular Surgery 2, Chelyabinsk,
Russian Federation

Although abdominal drainage is a routine method of completing abdominal surgery, the feasibility and validity of this approach are widely discussed. The opponents of using drainages argue that they have low efficiency and may cause negative consequences, thereby prolonging the hospitalization period and increasing the risk of complications. In most cases, these complications do not pose any danger, but sometimes they may pose an immediate threat to the patients life and require repeated interventions. It is believed that abdominal drainage should be performed according to strict indications and if necessary in compliance with techniques that exclude the occurrence of adverse events. The care of drainages in the postoperative period is equally important. The presented rare case of herniation gallbladder reminds us that such hernias may form at the sites of abdominal drainage. According to the literature their frequency does not exceed 3.4%. These hernias are often subject to insidious and diagnostically difficult strangulation because of the narrow gates. Ultrasound is consided as a good help highly, but the informative method of choice in the diaguosis is multispiral computed tomography (multigpiral CT) of the abdominal organs.

Keywords: gallbladder, drainage, incisional hernia, complications
p. 317-321 of the original issue
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Address for correspondence:
454033, Russian Federation,
Chelyabinsk pr. Geroi
Rossii Y. Rodionov, 2,
Federal Center for Cardiovascular
Surgery (Chelyabinsk),
Cardiac Surgery Department N 1,
Tel. +7 908 576 84 55,
e-mail: belof20@ya.ru,
Belov Dmitry Vladimirovich
Information about the authors:
Garbuzenko Dmitry V., MD, Professor, Professor of the Department of Faculty Surgery, South Ural State Medical University, Chelyabinsk, Russian Federation.
http://orcid.org/0000-0001-9809-8015
Belov Dmitry V., PhD, Associate Professor of the Department of Hospital Surgery, South Ural State Medical University, Chelyabinsk, Russian Federation, Cardiovascular Surgeon, Federal Center for Cardiovascular Surgery of the Ministry of Health of the Russian Federation, Chelyabinsk, Russian Federation. http://orcid.org/0000-0003-4985-9716
Kosharnova Anastasia L., Department of Hospital Surgery, South Ural State Medical University, Chelyabinsk, Russian Federation.
https://orcid.org/0000-0002-0236-9050
Anufrieva Svetlana S., MD, Associate Professor, Head of the Department of Faculty Surgery, South Ural State Medical University, Chelyabinsk, Russian Federation.
https://orcid.org/0000-0002-3921-5266
Danko Natalya A., PhD, Radiologist, Federal Center for Cardiovascular Surgery of the Ministry of Health of the Russian Federation, Chelyabinsk, Russian Federation.
http://orcid.org/0000-0003-1638-8700
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