Authors
Shikhmetov A.N., Lebedev N.N.
MChU Branch Clinical Diagnostic Center of PJSC Gazprom, Moscow
Abstract
The Authors analyzed the treatment results of 300 patients with abdominal wall hernias on the basis of determining the quality of life using specialized questionnaires. The comparison of the effectiveness of different methods of the anterior abdominal wall plastic surgery (open techniques and endovideoscopic techniques) had been made. The best indicators of quality of life were observed in patients after using the laparoscopic technologies. The patients in this group reported good postoperative period, which allowed them to quickly return to the performance of daily tasks: the restoration of health has taken an average of 10,2 ± 0,5 (7 to 14) days, while after traditional interventions – an average of 18,5 ± 1,5 (12 to 24) days (p < 0,05). The concept of quality of life research is a fundamentally new method that allows to study a variety of subjective experiences of the patient caused by the disease, and becomes an important component in assessing the effectiveness of new treatments. It allows to carry out the examination of new methods of treatment, based on international criteria, to develop prognostic models for many diseases, to carry out socio-medical population studies with the allocation of risk groups for different types of pathology, to provide dynamic monitoring of risk groups and to assess the effectiveness of preventive programs, to study and conduct economic justification of treatment methods taking into account pharmacoeconomical indicators: cost-utility, cost-effectiveness.
Keywords: quality of life, stationary substitution technologies, hernias of the anterior abdominal wall.
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