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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">pmj</journal-id><journal-title-group><journal-title xml:lang="ru">Тихоокеанский медицинский журнал</journal-title><trans-title-group xml:lang="en"><trans-title>Pacific Medical Journal</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1609-1175</issn><publisher><publisher-name>TGMU</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.34215/1609-1175-2025-1-27-33</article-id><article-id custom-type="elpub" pub-id-type="custom">pmj-2874</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>ОБЗОРЫ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>REVIEWS</subject></subj-group></article-categories><title-group><article-title>Коморбидный фон у больных грыжами передней брюшной стенки</article-title><trans-title-group xml:lang="en"><trans-title>Comorbid background of patients with anterior abdominal wall hernias</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1939-7514</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивачев</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivachev</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Ивачев Александр Семенович – д-р мед. наук, профессор кафедры «Хирургия»,</p><p>440028, Пенза, ул. Лермонтова, 3, корп. 10</p></bio><bio xml:lang="en"><p>Alexander S. Ivachev, Doctor of Medical Sciences, Professor of the Department of Surgery,</p><p>440028, Penza, Lermontov St., 3 building No. 10</p></bio><email xlink:type="simple">kniper2007@yandex.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Митрошин</surname><given-names>А. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Mitroshin</surname><given-names>A. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>440028, Пенза, ул. Лермонтова, 3, корп. 10</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Макаров</surname><given-names>А. Г.</given-names></name><name name-style="western" xml:lang="en"><surname>Makarov</surname><given-names>A. G.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Пенза</p></bio><bio xml:lang="en"><p>Penza</p></bio><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ивачева</surname><given-names>Н. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Ivacheva</surname><given-names>N. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>440028, Пенза, ул. Лермонтова, 3, корп. 10</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Киселев</surname><given-names>В. Е.</given-names></name><name name-style="western" xml:lang="en"><surname>Kiselyov</surname><given-names>V. E.</given-names></name></name-alternatives><bio xml:lang="ru"><p>440028, Пенза, ул. Лермонтова, 3, корп. 10</p></bio><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Давыдова</surname><given-names>А. А.</given-names></name><name name-style="western" xml:lang="en"><surname>Davydova</surname><given-names>A. A.</given-names></name></name-alternatives><bio xml:lang="ru"><p>440028, Пенза, ул. Лермонтова, 3, корп. 10</p></bio><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Пензенский государственный университет, Медицинский институт</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Penza State University, Medical Institute</institution><country>Russian Federation</country></aff></aff-alternatives><aff-alternatives id="aff-2"><aff xml:lang="ru"><institution>Пензенская областная клиническая больница им. Н.Н. Бурденко</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Penza Regional Clinical Hospital named after N.N.Burdenko</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2025</year></pub-date><pub-date pub-type="epub"><day>11</day><month>05</month><year>2025</year></pub-date><volume>0</volume><issue>1</issue><fpage>27</fpage><lpage>33</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Ивачев А.С., Митрошин А.Н., Макаров А.Г., Ивачева Н.А., Киселев В.Е., Давыдова А.А., 2025</copyright-statement><copyright-year>2025</copyright-year><copyright-holder xml:lang="ru">Ивачев А.С., Митрошин А.Н., Макаров А.Г., Ивачева Н.А., Киселев В.Е., Давыдова А.А.</copyright-holder><copyright-holder xml:lang="en">Ivachev A.S., Mitroshin A.N., Makarov A.G., Ivacheva N.A., Kiselyov V.E., Davydova A.A.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.tmj-vgmu.ru/jour/article/view/2874">https://www.tmj-vgmu.ru/jour/article/view/2874</self-uri><abstract><p>Грыжевая болезнь передней брюшной стенки считается одним из наиболее распространенных заболеваний в абдоминальной хирургии. Количество операций в связи с этим не уменьшается, и поиск наиболее рационального объема хирургического вмешательства продолжается и по сей день. Важной проблемой в герниологии являются сопутствующие заболевания, которые могут быть провоцирующими факторами развития грыжевой болезни и которые влияют на выбор метода и продолжительность хирургического лечения. Своевременное выявление и коррекция сопутствующих заболеваний способствуют снижению риска рецидива грыж, уменьшению количества раневых и общих послеоперационных осложнений. Наиболее распространенными заболеваниями, требующими обязательного предварительного выявления и лечения, являются сахарный диабет, аденома предстательной железы, нарушения дыхания, сопровождающиеся изнуряющим кашлем, нарушение моторно-эвакуаторной функции толстой кишки. Разработка оптимального алгоритма лечения пациентов с грыжами брюшной стенки на фоне тяжелых сопутствующих состояний позволит улучшить результаты хирургического лечения.</p></abstract><trans-abstract xml:lang="en"><p>Anterior abdominal wall hernias are considered one of the most common diseases in abdominal surgery. In this regard, the number of operations has seen no decrease, and the search for the most effective surgical intervention continues to this day. An important herniology problem is comorbidities that could be provoking factors in the development of hernia disease and influence the choice of method and duration of surgical treatment. Timely detection and comorbidity adjustment make it possible to reduce the risk of reherniation and the number of wound and general postoperative complications. The most common diseases requiring mandatory prior detection and treatment are diabetes mellitus, prostate adenoma, respiratory disorders with a consumptive cough, and impaired motor-evacuation function of the large intestine. The development of optimal treatment for patients with abdominal wall hernias and severe comorbidities will improve the results of surgical treatment.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>вентральная грыжа</kwd><kwd>послеоперационная грыжа</kwd><kwd>коморбидное состояние</kwd><kwd>грыжесечение</kwd><kwd>внутрибрюшное давление</kwd></kwd-group><kwd-group xml:lang="en"><kwd>ventral hernia</kwd><kwd>postoperative hernia</kwd><kwd>comorbid condition</kwd><kwd>herniotomy</kwd><kwd>intra-abdominal pressure</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Wegdam JA, de Vries Reilingh TS, Nienhuijs SW, Simons MP. 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