THE NEED FOR A CYCLE OF THEMATIC IMPROVEMENT IN HERNIOLOGY FOR LISTENERS OF SURGICAL PROFILE

Liakhovskyi V.I., Lysenko R.B., Nyemchenko I.I., Krasnov O.H., Gorodova-Andreeva T. V.

MEDICAL EDUCATION

Scentific article

Introduction. As medicine is rapidly evolving around the world, there are problems and changes in the established structure of improving the level of knowledge related to the medical profession. General surgery is increasingly fragmented into subspecialties. Many pathological conditions used to be treated by general surgeons and are now treated by specialists. Recently, the view of surgical treatment of hernias among most general surgeons has changed. A deeper understanding of the problems of the abdominal wall at the current level and its restoration, the introduction of a variety of new surgeries for abdominal hernias, which has improved the treatment of these patients, has led to a new specialty – herniologist. In recent years, thanks to the introduction of new open, video laparoscopic, endoscopic and even robotic techniques, as well as many medical devices, abdominal hernia surgery has acquired completely different technologies.The purpose of this work is to determine the need for a cycle of thematic improvement in herniology for surgeons. Main part. Given the great positive developments and trends in herniology, the results of treatment of abdominal hernias in general in Ukraine are not satisfactory: there are still a large number of urgent herniotomies and, accordingly, high postoperative mortality. A significant number of hernia surgeries in Ukraine are performed using old, traditional methods, and most surgeons are little or unfamiliar with modern methods. Therefore, for the widespread introduction and promotion of the latest world technologies in surgical treatment of abdominal hernias, promoting scientific and practical solutions to modern problems of herniology, training of surgeons in the application of modern methods of treatment of abdominal hernias in courses of thematic improvement of surgical care The authors proved the need to create a specialized cycle of thematic improvement in herniology for surgeons, especially in the presence of herniologists and a modern clinical base, which deals with abdominal hernia surgery with good results. The main directions of the cycle of thematic improvement in herniology for surgical students should be: study of anatomical features of the abdominal wall, expression of morphological changes in tissues, etiology, pathogenesis of abdominal hernias, causes of recurrence, prevention, prevention of planned and emergency surgical care. with abdominal hernias of all kinds, especially with complex defects of the abdominal wall, acquaintance with relevant modern protocols for diagnosis, treatment and prevention of complications of patients with abdominal hernias, their implementation in practice, rehabilitation of patients after surgical treatment of abdominal hernias, monitoring and analysis of treatment effectiveness, quality of life, the presence of complications in patients who underwent surgery for abdominal hernias in the early and late postoperative periods, demonstration of films, presentations of training sessions, classes in the operating room with surgeons. In these courses, the general surgeon must master all modern open and laparo-endoscopic operations for all types of abdominal hernias. Conclusions. Currently, there is an urgent need to create a specialized cycle of thematic improvement in herniology for surgeons, especially in the presence of herniologists and a modern clinical base, which deals with abdominal hernia surgery with good results. The necessity of creating a cycle of thematic improvement in herniology for doctorsstudents of surgical profile is substantiated. The requirements for the cycle of thematic improvement in herniology for doctors-students of surgical profile, which are based on the recommendations of international and national herniological societies, are indicated. Organizing a regional cycle of thematic improvement in herniology for surgeons will increase the level of education of the medical community, improve the quality of herniological surgeries and help influence public expectations to optimize and improve the treatment outcomes of patients with abdominal hernias.

improvement, herniology, listening doctors

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«Bulletin of problems biology and medicine» Issue 2 Part 1 (164), 2022 year, 336-343 pages, index UDK 37.018.46:614.23/.25:616–089.819

10.29254/2077-4214-2022-2-1-164-336-343