MODERN APPROACHES TO THE PREVENTION OF THROMBOEMAS OF BOLIC COMPLICATIONS IN GIANT HERNIA SURGERY
The analysis of surgical treatment of 63 patients with large and giant ventral hernias was carried out. Hemocoagulation indicators were studied in dynamics on days 1-3, 5-8, 10-14 and 15-21. after surgery in 35 patients older than 60 years and in 28 patients younger than 60 years (control group). Analysis of coagulogram parameters in the control group of patients showed that after 1 3 days after surgery there is a moderate tendency to hypercoagulability. For 5-8 days. postoperative period, there are already clear signs of normalization of the coagulogram. By 10-14 days, all coagulogram indicators differ little from the norm. In 68.5% of geriatric patients, starting from 1-3 days. after hernia repair, there was an increase in blood coagulation processes. The picture of hypercoagulability is most pronounced in the interval between the 3rd and 5th day after the operation and lasts up to 8 days. By 10-14 days there is a tendency to activate the anticoagulant system of blood. At 15-21 days. after the operation, the trend towards normalization of the hemostasis system remained. Before and in the postoperative period, specific and nonspecific prophylaxis was carried out according to the scheme, taking into account the risk of developing hemocoagulation complications. The use of LMWH after surgery makes it possible to normalize the hemostatic potential in patients and prevent the development of TEC.