КОМПЛЕКСНЫЙ ПОДХОД К ХИРУРГИЧЕСКОМУ ЛЕЧЕНИЮ МОРБИДНОГО ОЖИРЕНИЯ И ЕГО ПОСЛЕДСТВИЙ: СОВРЕМЕННЫЕ АСПЕКТЫ
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Abstrak:
Морбидное ожирение представляет собой глобальную проблему здравоохранения, требующую комплексного терапевтического подхода. Бариатрическая хирургия остается наиболее эффективным методом долгосрочного снижения массы тела у пациентов с тяжелым ожирением. Настоящая работа освещает современные аспекты периоперационного ведения пациентов, включая диагностику сопутствующих состояний, таких как параэзофагеальные грыжи, тактику выполнения ревизионных бариатрических операций, а также роль реконструктивной хирургии в устранении избытков кожно-жировых тканей после массивной потери веса. Рассмотрены показания к абдоминопластике как завершающему этапу комплексного лечения. Представлен анализ современных подходов к микрохирургической реконструкции посттравматических рубцовых контрактур. Подчеркивается необходимость мультидисциплинарного подхода для достижения оптимальных функциональных и эстетических результатов.
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