Russian Journal of Pediatric SurgeryRussian Journal of Pediatric SurgeryДетская хирургия1560-95102412-0677Eco-Vector88210.17816/ps882PJUKAOPractice GuidelinesКлинические рекомендацииResearch ArticleHernias of the anterior abdominal wallГрыжи передней брюшной стенкиhttps://orcid.org/0000-0003-2313-897X3682-0832KozlovYury A.КозловЮрий Андреевич
Russian Federation

MD, Dr. Sci. (Medicine), Professor, Corresponding Member of the Russian Academy of Sciences

д-р мед. наук, профессор, чл.-корр. РАН

yuriherz@hotmail.comhttps://orcid.org/0000-0002-4885-123X9042-5092StаlmakhovichViktor N.СтальмаховичВиктор Николаевич
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

Stal.irk@mail.ru9476-0573SchebenkovMikhail V.ЩебеньковМихаил Валентинович
Russian Federation

MD, Dr. Sci. (Medicine), Professor, Assistant Professor

д-р мед. наук, профессор, доцент

shebenkovmihail@gmail.comhttps://orcid.org/0000-0002-9309-66915633-5491NovozhilovVladimir A.НовожиловВладимир Александрович
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

novozilov@mail.ruhttps://orcid.org/0000-0001-6006-91127052-0205PodkamenevAlexey V.ПодкаменевАлексей Владимирович
Russian Federation

MD, Dr. Sci. (Medicine), Professor

д-р мед. наук, профессор

podkamenev@hotmail.comhttps://orcid.org/0000-0002-0126-31907684-9637SvarichVyacheslav G.СваричВячеслав Гаврилович
Russian Federation

MD, Dr. Sci. (Medicine), Professor, Professor Assistant

д-р мед. наук, профессор, доцент

svarich61@mail.ruIrkutsk State Regional Children’s Clinical HospitalИркутская государственная областная детская клиническая больницаIrkutsk State Medical Academy of Postgraduate Education ― branch office Russian Medical Academy of Continuous Professional EducationИркутская государственная медицинская академия последипломного образования ― филиал Российской медицинской академии непрерывного профессионального образованияNorth-Western State Medical University named after I.I. MechnikovСеверо-Западный государственный медицинский университет имени И.И. МечниковаSaint-Petersburg State Pediatric Medical UniversityСанкт-Петербургский государственный педиатрический медицинский университет18072025230720252931831981906202519062025Copyright ©; 2025, Eco-VectorCopyright ©; 2025, Эко-Вектор2025Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://jps-nmp.ru/jour/article/view/882

The first edition of the clinical guidelines on anterior abdominal wall hernias, developed by specialists from the Russian Association of Pediatric Surgeons, includes information on the diagnosis and treatment of this disease. The authors used data of domestic and international clinical trials, including systematic reviews and meta-analyses.

The clinical guidelines underline the role of ultrasound examination of the scrotum organs in diagnosing the inguinal hernia, if findings of clinical examination of a child are doubtful. Criteria and indications for emergency and conservative treatment of a strangulated inguinal hernia are described. In case of oblique hernias, the treatment is directed to disconnecting the communication of the vaginal process of the peritoneum (which is in fact a hernial sac) with the abdominal cavity, so as to prevent protrusion of the abdominal organs through the inguinal canal. The authors underline that despite the fact that the only effective method of treating inguinal hernias is a surgical one, still the choice of a surgical technique depends on the surgical team and resources of their medical setting.

In addition to inguinal hernia, the presented clinical guidelines describe basic modalities for diagnosis and treatment of umbilical hernia and hernia of the white line of the abdomen.

Первая редакция клинических рекомендаций по грыжам передней брюшной стенки, разработанная специалистами Российской ассоциации детских хирургов, содержит информацию по диагностике и лечению заболевания, основанную на данных отечественных и международных клинических исследований, включая систематические обзоры и метаанализы.

В клинических рекомендациях отмечена роль ультразвукового исследования органов мошонки в диагностике паховой грыжи, при сомнительных данных клинического обследования ребёнка. Описаны критерии и показания к экстренному и консервативному лечению при ущемлённой паховой грыже. Отмечено, что выбор метода хирургического лечения паховой грыжи у ребёнка, несмотря ни на что, определяется хирургической бригадой и возможностью медицинской организации, при этом единственным эффективным методом лечения паховых грыж на современном этапе является оперативное лечение, суть которого при косых грыжах заключается в разобщении влагалищного отростка брюшины, каковым, по сути, и является грыжевой мешок, с брюшной полостью, с целью предотвращения выхождения органов брюшной полости за пределы брюшной стенки.

Кроме паховой грыжи, в представленных клинических рекомендациях описаны основные подходы в диагностике и лечении пупочной грыжи и грыжи белой линии живота.

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