Lump in the lower abdomen after cesarean section. Causes of various seals on the seam after cesarean section

Many patients are faced with the problem of sealing the suture after a cesarean section. Pathology can develop under the influence of various reasons. To determine whether a lump on a stitch is dangerous, a woman should be examined at medical center. Only after this can a treatment method be selected. You also need to understand that the problem is not always pathological. In many cases, the seal does not pose a threat to the life and health of the patient.

A caesarean section is performed by cutting tissue in the abdominal area. The postoperative incision is sealed with medical materials. The muscle tissue is stitched with a ligature. A silk thread is applied to the skin. The uterus is held together with various materials. The choice of material depends on the type of section and characteristics of the operation. After a cesarean section, a recovery period begins. At this time, the seams should be covered with scar tissue. But the process does not always go smoothly. Some patients complain that the suture after caesarean section blushed. A lump on the abdomen after a cesarean section may appear for the following reasons:

development of a purulent process;
tissue infection;
use of low-quality material;
postoperative hematoma;
autoimmune reaction.

A common cause of suture sealing is a purulent process. Suppuration is observed under the influence of various factors. The process is common due to improper processing of the postoperative field. Damaged tissue is accompanied by the death of some cells. Dead cells accumulate on the surface of the wound. To enhance healing, the incision is coated with white blood cells. The mixing of dead tissue, white blood cells and dead skin particles leads to the formation of pus. Pus causes inflammation of the suture. The tissues begin to thicken.

A seal occurs on the suture after a cesarean section due to infection. Many infections depend on the activity of pathogenic microorganisms. Bacteria can enter the wound during poor-quality surgery or after cesarean with infrequent treatment. Pathogenic microorganisms multiply rapidly and cause changes in tissue structure. Bacteria feed on tissue cells. The area of tissue affected by pathogenic microbes becomes inflamed. The worsening of the process is accompanied by compaction. A woman discovers lumps on her wound. Bacterial infection is also determined by additional signs. The patient notices severe burning and itching. An ichor may appear on the surface of the seam. In order for the doctor to quickly select effective treatment, it is necessary to undergo additional examination.

Additional factors

The suture after a cesarean section may become thicker if low-quality medical material is used. The seal appears due to expired threads. This material causes a seal to form. To get rid of the problem, repeated surgery should be performed.

In the first days after a cesarean section, a lump forms due to a hematoma. Hematoma after cesarean section is a common problem. The bruise appears due to internal bleeding. The area of the abdominal region where there is a bruise is hard and dense on palpation. This problem does not require additional intervention in most patients. A few days after surgery, it resolves.

An autoimmune reaction rarely occurs in women. It is impossible to determine the disease in advance. The pathology is characterized by the rejection of medical material by the human body.

For unknown reasons, the body perceives the threads as a foreign body. This leads to the appearance of antibodies in the blood. These are special particles designed to capture foreign microorganisms. The response of the autoimmune system is unpredictable. This problem can only be solved by selecting another material or prescribing a drug to eliminate the activity of the system.

Formation of postoperative fistula

Ligature fistulas are a common problem after surgery. Pathology gradually appears in the muscle layer of the abdominal cavity. The problem got its name because of the peculiarities of its occurrence. The culprit of the disease is a ligature that is not completely decomposed. The threads on the muscle layer should completely decompose within a few weeks after a cesarean section. But under the influence of various negative reasons this does not happen. Part of the ligature is retained in the abdominal area.

The ligature causes inflammation in the damaged tissue. The process is accompanied by the death of cells in the muscle layer surrounding the thread. Dead cells accumulate on the surface of the ligature. The body responds to pathology by producing large numbers of white blood cells. Together with the tissue, leukocytes form pus.

Suppuration causes further death of the layers of the abdominal cavity. The problem cannot be detected immediately. The woman notices that a small bump appears on the surface of the stitches.

The compaction is accompanied by the appearance of a slight swelling similar to a boil. Some time after the operation, a purulent head forms on the top of the tumor. The skin is torn. Pus begins to drain from the fistula canal.

Ligature fistula is accompanied by additional symptoms. A woman should pay attention to the following signs:

throbbing pain in the suture area;
redness of the skin;
a feeling of fullness in the scar area.

The main sign of developing internal suppuration is throbbing pain in the suture area. Throbbing pain occurs due to the gradual death of tissue. You should also pay attention to the feeling of scar tissue swelling. This is also provoked by purulent fluid.

The doctor makes the diagnosis after initial treatment of the fistula canal. An antiseptic solution is injected into the lumen. Hydrogen peroxide has a good effect. Peroxide breaks down the pus and removes it from the canal. After thoroughly cleaning the fistula, the doctor examines the cavity. A ligature residue is found in the muscle layer. You cannot leave material in the channel. It will cause further tissue destruction.

Treatment is carried out through surgery. The doctor removes the remaining threads from the canal. A new suture is not placed on the wound. After the intervention, the woman remains in hospital treatment. This is necessary to further monitor the healing rate. It is also necessary to ensure that a new fistula does not form.

Neoplasm with lymph

A lump over the incision after a cesarean section may form due to the formation of a lymphatic cavity. This occurs against the background of dissection of the lymphatic channels.

All layers of tissue are nourished by the lymphatic system. During a caesarean section, several layers of tissue are cut. The channels are also damaged. After the operation, the tissues are held together with threads. Lymphatic channels and vessel walls remain damaged. In most women, the vessels and canals heal on their own. In some cases, the internal lymphatic channel does not heal. The liquid that moves through the channel enters the free space. A small cavity filled with lymph is formed in the peritoneum.

This tumor is called seroma. To determine its presence, you need to pay attention to the following signs:

round growth on the skin;
redness of the skin in the affected area;
burning sensation.

The main sign of seroma is the formation of a round, red growth on the skin. In most cases, seroma does not require treatment. She is able to heal on her own. If the seroma persists for a long time, it is necessary to open the surface of the seroma and release excess lymph. The wound is washed with a solution of chlorhexidine or sterile liquid furatsilin. Gradually the damage will heal on its own.

Uncharacteristic scar tissue

The suture after a cesarean section may become thicker for other reasons. The surface of the wound after surgery is covered with a thin film, which forms a scar. Normal scar tissue should not rise above the skin. Immediately after formation, the tissue is red in color. After some time, the seam brightens and becomes less noticeable to others. But sometimes the scar does not form correctly. Under the influence of negative factors, rumen cells begin to actively multiply. A keloid scar forms on the wound. The causes of a keloid scar are as follows:

previous infection;
disruption of the update process.

Keloid tissue cannot harm the patient's health. A problem arises psychological nature. The scar spoils appearance. Doctors recommend treating keloid scars using cosmetic techniques.

A hard scar can be eliminated using a laser. The laser beam has a warming effect on the tissue. She is melting. A burn forms on the scar. It is not recommended to remove the burn crust yourself. It should disappear completely after some time.

You can resort to grinding. The working surface of the grinding apparatus rotates at high speed. Under the influence of friction, the convex part of the scar is gradually eliminated. Several treatments may be needed to achieve a good result.

Preventive measures

To avoid problems, you must follow your doctor's advice. To get a good result, you need to properly postpone the recovery period. The first days after a cesarean section, you need to follow the rules for processing the incision. The sutures are processed by medical personnel for several days. The procedural nurse can teach the patient how to cleanse the wound independently. In order for the sutures to heal correctly, it is necessary to use an antiseptic solution and a drying agent.

Initially, the seam is washed with an antiseptic liquid. Processing is carried out until the contaminants are completely removed. After removing the crust, the edges of the wound should be lubricated with a drying agent. For this purpose, you can use brilliant green or fucorcin. Treatment must be carried out at least once a day. This will help prevent the development of infection or inflammation.

It is also necessary to seal the surface of the suture with a postoperative dressing. Bandages can be purchased at a pharmacy. Manufacturers offer a large selection of dressings from various materials.

After the formation of thin scar tissue, a woman should closely monitor her health. The following should cause concern:

the appearance of redness around the seam;
the appearance of blood or ichor from the wound;
changes in the characteristics of vaginal discharge;
pain in the incision area.

Redness of the tissues surrounding the sutures may be due to the development of inflammation or infection of the wound. The appearance of blood and ichor from the wound a few weeks after a cesarean section is dangerous. This phenomenon can occur during the initial form of suppuration.

Caesarean section is a difficult and traumatic operation for a woman. After surgery, it is recommended to carefully monitor the characteristics of the suture. If palpation reveals a hard scar, you should visit a doctor. The specialist will determine the cause of the compaction and select an effective treatment.

October 20, 2011 08:38

I'll tell you about my first birth. When I gave birth to a child and lay in the delivery room with ice on my stomach, nothing hurt... I was filled with a feeling of happiness, despite the presence of tears, both internal and external (by that time already sewn up)... I remember my thoughts then that I could repeat everything again and right now for the sake of my dear little lump. When they put me on a gurney to take me to the ward, I thought: “Yes, I actually can walk on my own. That they’re taking me like I’m some kind of sick person”... The first surprise for me was when the next day I got up to go to the toilet. Before I could reach it, my vision darkened, my head began to spin... I barely managed to grab the wall to avoid falling... This is due to blood loss during childbirth and, as a result, a sharp decrease in hemoglobin. Further, due to the presence of stitches, I could not sit, only lie and stand. And after each toilet, treat the seams with unscented laundry soap... (I think bactericidal would be suitable here too). As for the toilet... It was generally tough... At least for the next 1.5 months. I even had thoughts about not eating anything at all, so as not to walk... It’s stupid, of course, but when you EVERYTHING HURTS (!!!) below the waist and you’re ready to climb the wall, that’s not what might come to mind... It turns out , physical therapy helps to recover (relieve swelling). If there is one in the maternity hospital, it is very good. I gave birth from Thursday to Friday and on Friday they didn’t touch me at all (except for injections that cause uterine contractions). They did not have physical therapy on the weekend. And I was discharged on Wednesday. So I only received this treatment for three days. And it should be noted that the swelling has become much less. I asked why it occurs, they told me that it was from novocaine. Anesthesia is still given with novocaine. Strange, is it really impossible to think of anything better? (((Regarding intimate life with my husband, I can say that after giving birth I didn’t have it for 4 months. Until the gynecologist scolded me for mocking my husband... I said that everything still hurts, what does it feel like? like, I have one big bruise, she answered: “Well, you’re a woman. Choose a suitable position...”, etc. I listened to her advice. Perhaps she was right, I had to start somewhere in order to return to my old life... Yes, of course, all this is forgotten, and I forgot for a while, but now here I am. I’m about to give birth for the second time, and again something comes flooding in... So girls, prepare yourself for the fact that you will have to recover, let’s say, not easily and quickly. The only joy is those for whom we endure all this - our children... And another one of my memories is when I was driving home from the maternity hospital, looking at the women around me, and thinking that everyone who gave birth should be given an order. Nothing less. We are all heroines. It's a pity that men don't always understand this.

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6 August 2014 17:36

Horror!!! Girls, why are you writing negative comments here? I agree that everything is individual for everyone, for some it is easier, for others it is more difficult, but after all, people who have never given birth are reading this, and can you imagine what it’s like for them? The girl must be ready for childbirth! not for the worse, but specifically for childbirth, but how she will go through it is another question... and each one will endure everything in her own way. The first time I gave birth to a baby with my buttocks, and not head first, they frightened me, they said that it was so difficult... without painkillers and other things (it was impossible for some reasons), but as it turned out, everything was not as they promised me... and only one person told me reassured me, saying that the pain that we need to try to endure will only be during pushing. That’s how it turned out for me, the contractions weren’t painful, my stomach could have hurt before, so it was the usual pain, and they pushed once or twice and there he was, the baby, it seemed to me that only 5 minutes had passed. So don’t write comments here that recovery takes a long time and is terrible, that giving birth is just a complete bummer, etc. Anything can happen, and everyone has all these problems and best moments will endure and survive in its own way. I will soon have my second birth, and I knew what to expect, but there was fear, but after reading some of the comments here, I had the feeling that I had never given birth and had no idea what to expect and what to be prepared for, I will Now to drive away from yourself these terrible stupid thoughts and memories of what you read...

Well, it’s okay, I dealt with it!

And the uterus contracted much more painfully than after the first birth. When my son ate (due to which the uterus began to contract), his eyes popped out of pain. I thought I was about to make a face again And the contractions were not only painful, but also long-lasting..
And everything else after childbirth is garbage!

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Laparoscopy is a modern surgical technique that is used to diagnose and treat many diseases of the abdominal cavity and genitourinary system. Modern surgery most often uses the laparoscopic method of treatment - it is characterized by minimal trauma, no risk of accidental damage to blood vessels and internal organs, and a short recovery period.

But, as after any other surgical intervention, after laparoscopy some complications may develop, for example, the postoperative suture turns red or a slight compaction appears under it. Should you panic in this case and when should you see a doctor?

Why does a seal appear under the postoperative suture?

The main difference between laparoscopy and conservative surgery is that it does not require traditional penetration into the abdominal cavity. Three small punctures with a diameter of up to 2 cm are made on the anterior wall of the abdomen, into which surgical instruments are inserted and all necessary surgical manipulations are performed.

After the operation, sutures are placed on the puncture sites, which are removed approximately 6-8 days after the procedure. Special surgical threads can also be used, which have the property of self-absorbing and do not require removal. Accordingly, after laparoscopic surgery, small scars remain, which over time become almost invisible.

Sometimes women notice that after laparoscopy a small seal appears under the suture. Do not be alarmed - this is normal healing of postoperative wounds. After some time, the compaction resolves and the skin acquires a normal color. But at this time, you should strictly follow all the recommendations and advice of your doctor, since after laparoscopy, as after any surgical intervention, the development of an adhesive process is possible.

What is the adhesive process?

Adhesive disease is a pathological, improper fusion of tissues after surgery. The adhesions themselves consist of scar tissue and can be felt as small, lumpy compactions in the area of postoperative sutures. The adhesive process occurs after any operation and is a natural “companion” of the healing process and scarring of postoperative tissue. Usually the adhesive process goes away on its own and does not require additional treatment.

Adhesive disease, in contrast to natural tissue restoration after laparoscopy, is characterized by abnormal, pathological growth and thickening of connective tissue. Adhesive disease requires special treatment under the strict supervision of the attending physician. To prevent adhesions from appearing in the pelvis after laparoscopy, you should carefully care for postoperative sutures and follow the necessary preventive measures.

Prevention of adhesions after laparoscopy

The first thing doctors advise 3-4 hours after laparoscopic surgery is to start moving. Slow walking is an excellent preventative measure that prevents the appearance of adhesions in the pelvic or abdominal area. Active movements prevent pathological fusion of connective tissue and normalize the process of suture restoration.
In some cases, drug therapy using anti-inflammatory drugs may be prescribed to prevent adhesions after laparoscopy. medicines or antibiotics. Also, to prevent adhesive disease, fibrinolytic medications are used, the main effect of which is aimed at reducing the production of fibrin, a protein substance that acts as the main “building material” for connective tissue.
Physiotherapy, which complements one of the above-mentioned preventive methods, shows excellent results in the fight against adhesions. Today, the most effective measures to help prevent the appearance of adhesions after laparoscopy are electrophoresis and the application of paraffin wax to the operated area.

Caring for sutures after laparoscopy

After discharge from the hospital, it is necessary to carefully care for postoperative sutures. This will help avoid the development of various complications, prevent the development of adhesive disease, and also speed up the process of recovery and tissue restoration.

Every day you need to treat the area of postoperative sutures with special antiseptic preparations, which will be recommended by the attending surgeon. You can also use regular brilliant green or iodine. But it should be remembered that no drug should be used without first consulting a doctor.
During the first days after laparoscopy, it is not recommended to wash the operated areas. Swimming is allowed only after 10-14 days. For hygiene procedures after surgery, you should not use your usual cosmetic products. Many experts advise choosing regular laundry soap.
Many women who have undergone the procedure believe that after the stitches are removed, care for the operated areas of the skin can be stopped. This is absolutely false. You should definitely consult with your surgeon about how long you need to care for your scars. As medical practice shows, antiseptic treatment must be continued for approximately 7 days after removal of the sutures.
Approximately 3-4 weeks after laparoscopy, it is allowed to use special absorbable ointments or creams that promote rapid healing of scars and make them less pronounced.

An operative method of delivery becomes inevitable when the fetus occupies the wrong place in the uterus or complications such as placenta previa or umbilical cord entanglement are present. Sometimes there are no direct indications for a cesarean section; it’s just that a woman, for example, no longer plans to have children and wants to undergo surgical sterilization during the operation.

Regardless of the reasons for delivery through surgery, it should be remembered that cesarean is an extensive abdominal intervention. During obstetrics, in order to remove the baby from the uterus, doctors have to make several incisions layer by layer. After the operation, the woman’s abdominal cavity is also sutured in layers, as a result of which a scar will remain on the anterior abdominal wall for life.

Types of sutures after cesarean

Depending on the technique used to make the tissue incision, a woman may receive different types of sutures:

vertical - applied when the incision is made vertically, from the navel to the pubic area;
transverse - the incision is made along the bikini line, called in medicine Jow-Cohen laparotomy;
in the form of an arc - the incision is made in the area of the skin fold above the pubis (Pfannenstiel laparotomy).

Suture care after cesarean section: treatment, ointments, creams

Treatment of the postoperative wound and sutures is carried out several times a day in the maternity hospital, and this procedure is performed by nurse. To prevent weeping and the development of inflammatory processes in the suture area, the incision site is treated with a brilliant green solution twice a day, and then covered with a sterile gauze bandage.

Approximately on the 7th day, the sutures are removed, but the postpartum mother must continue to treat the wound with brilliant green at home until it is completely healed. After complete healing and scar formation, the incision site can be treated with an anti-inflammatory cream, which contains components that accelerate skin regeneration.

When suturing the wound surface with self-absorbing threads, the sutures do not need to be removed, however, to speed up their resorption, the doctor may recommend the use of special ointments and creams. These drugs will prevent the formation of compactions and swelling in the suture area.

How long does it take for a stitch to heal after a cesarean section?

The formation of a scar at the incision site is observed already by the end of the first week after delivery. From about this point on, the woman is allowed to take a shower and soap the seam area without making sudden movements or pressing on the incision site with a bathing sponge.

Complications on the suture after cesarean section

Unfortunately, the incision site does not always heal and does not bother the patient; some young mothers have to face complications.

The stitch after cesarean section hurts

Pain in the area where stitches are applied can bother a woman for several months. After complete healing of the wound surface, the suture may bother the patient when the weather changes, loads, or wearing tight clothes. Such sensations are normal and do not require the use of medications. The following symptoms are a reason to immediately seek medical help:

redness of the skin around the stitch;
local increase in body temperature;
swelling and sharp pain at the suture site;
discharge from the suture of fluid mixed with blood or pus;
a sudden increase in body temperature, accompanied by the above symptoms in the suture area.

Suture after cesarean section: festering, oozing

In the first few days after the operation, the suture may ooze clear liquid, but there should be no pus or scarlet blood coming out! Treatment with a solution of brilliant green will help prevent the development of complications.

If pus or bloody discharge appears from the suture a few days or weeks after a cesarean section, the woman should seek medical help; perhaps an infection has entered the wound and provoked the development of an inflammatory process.

Suture after cesarean: itchy

Itching in the suture area after surgical delivery occurs as a result of the formation of a postoperative scar. This process is accompanied by increased skin dryness and tissue tension, which leads to discomfort. In order not to accidentally introduce an infection into the wound, it is not recommended to touch the stitches with your hands; the use of special soothing anti-inflammatory creams and ointments will help reduce the itching of the skin.

Hematoma, lump on the suture, sealing of the suture after cesarean section

As a result of suturing and traumatizing the blood vessels in the area of the wound surface, a woman may develop a hematoma. Most often this occurs on the inner surface of the uterus, and the pathology can only be diagnosed through ultrasound. If the hematoma is not treated, then over time a compaction may form, which prevents normal tissue nutrition in this area and is a predisposing factor to the development of inflammatory processes.

Having gone through surgical delivery, a woman should be prepared for the fact that the suture on the anterior abdominal wall will not immediately become invisible and painless. In the first months and even years, the formation of bumps and various seals in the suture area is acceptable, which is associated with tissue healing processes. Such lumps will completely resolve only 1-2 years after the intervention, which the patient simply needs to come to terms with.

Can a uterine suture come apart after a cesarean section?

After a caesarean section, you should be extremely attentive to your health. Lifting weights, strenuous physical activity and early sexual activity can lead to suture dehiscence. A new pregnancy also poses a danger: due to the incompetence of the scar and as the uterus grows, there is a strong tension in the tissue, as a result of which the internal sutures can separate at the site of the incision. A new pregnancy after surgical delivery can be planned no earlier than 3 years after cesarean section.

Ligature fistula after cesarean section

The formation of a ligature fistula occurs as a result of the use of poor quality suture material or the woman’s individual intolerance to the used threads. The complication is characterized inflammatory process skin around the suture, which develops several weeks or months after surgery.

As the pathology progresses, a hole forms near the suture site, through which pus is released when pressed. Treatment of the hole and a course of antibiotics do not give the desired result, and treatment of this complication is carried out only surgically; during the intervention, the doctor will remove the ligature and the wound will soon heal.

Adhesions after caesarean section

Adhesions form after any surgical intervention; their formation is aimed at preventing purulent-septic processes in the pelvis. When adhesions form in excess, they speak of the development of adhesive disease, which can lead to subsequent ectopic pregnancies, intestinal obstruction, infertility.

Aesthetic correction of a suture after a caesarean section

A scar after a cesarean section, especially if the incision was made vertically, often becomes a reason for the formation of complexes in a woman, so she tries in every way to get rid of it.

How to remove a scar after a caesarean section?

First of all, in order to make the scar less noticeable, immediately after the wounds have healed, you should begin performing cosmetic procedures - the cream, which includes mumiyo, must be rubbed into the scar twice a day. According to patient reviews, over time the scar becomes pale and less noticeable.

Suture repair after caesarean section

If a woman is dissatisfied with the results of caring for the suture area and she is still not satisfied with the appearance of the anterior abdominal wall, she can decide on a radical procedure - plastic surgery. Before you undertake such an intervention, soberly evaluate possible risks, since similar to a caesarean section, plastic surgery has its downsides.

Is it possible to get a tattoo on a cesarean scar?

Many women decide to correct the appearance of the anterior abdominal wall by tattooing the suture area. This is not prohibited, but you should wait until a normal scar has formed and the tissue has completely healed.

Irina Levchenko, obstetrician-gynecologist, website specially for the site

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anonymously

Good afternoon. 2.5 years ago I gave birth to a child by caesarean section (due to high blood pressure), a year ago I noticed a lump on the left above the suture. The lump bothers me, it itches, sometimes there is a sharp pain. At first, especially often, pulling and cutting pains occurred in the first days of menstruation, but now it hurts a lot for several days, then it doesn’t bother me for a week, and so on periodically. First, I was examined by a gynecologist, the examination and ultrasound did not reveal any abnormalities in women, so I was referred to a surgeon. I visited several surgeons, one sent me for surgery, saying they would cut it open and see what it was. The second surgeon re-referred for an ultrasound to a gynecologist and an examination to an oncologist. An ultrasound scan from a gynecologist revealed no abnormalities. On my own initiative, I did an ultrasound of this particular lump, the results are as follows: “In the left iliac region, in the thickness of the muscle tissue, at a depth of 3 to 9 mm, an irregularly shaped hypoechoic formation is visualized, heterogeneous in structure due to cystic and hyperechoic inclusions, measuring 25* 40mm, with fuzzy unevenness! contours (Conclusion: volumetric formation of the anterior abdominal wall).” I’m worried that the pain has begun to intensify, and I feel tired and tense in the lower back. This morning I noticed that the lump began to stick out more and in its place a pale bruise appeared in its place, which was the color of a burgundy, which especially frightened me. I have an appointment with the oncologist only on Tuesday, but I don’t know if I should go to the surgeon again because of the bruise that has appeared? What could it even be?

Hello. You have several options: it could be endometriosis, an intermuscular encysted hematoma, or even a hernial protrusion, and finally some kind of oncological formation. I would advise you to undergo surgical treatment (with further tissue histological examination), during which a correct diagnosis can really be made. And a correct, and most importantly, timely diagnosis is the key to proper treatment. Good health to you.

Consultation with a surgeon on the topic “bump in the area of the cesarean scar” is given for informational purposes only. Based on the results of the consultation received, please consult a doctor, including to identify possible contraindications.

About the consultant

Details

Surgeon of the highest qualification category. Work experience in planned and emergency surgery for 26 years.

He graduated from the Kuibyshev Medical Institute in 1990 with a degree in general medicine. Internship in surgery at Regional Hospital No. 1 of Ulyanovsk.

He underwent repeated advanced training and advanced training at the bases of Ulyanovsk State University, Penza, N-Novgorod on the topics: “Current issues of emergency surgery of the thoracic and abdominal organs”, also in St. Petersburg on “Endovideosurgery of the abdominal organs and retroperitoneal space”.

Performs various types of planned and emergency surgical interventions, operations for purulent processes.

During my work, I mastered various surgical techniques:

removal of benign tumors of the skin and subcutaneous tissue (atheroma, lipoma, fibroma, etc.) of various locations;
opening of abscesses, phlegmons, felons, necrectomy of various localizations, including amputation and disarticulation of both fingers and limbs (upper and lower), for example. for diabetic or atherosclerotic gangrene;
various types of hernia repairs for inguinal, femoral, umbilical, postoperative hernias, both tension and non-tension types of plastic surgery;
gastric resection according to B-1, B-2 c various types anastomoses;
cholecystectomy (laparotomy) with various types of both external and internal (IDA) drainage of the common bile duct;
little experience in laparoscopic operations, mainly assisting with cholecystectomies and appendectomies;
appendectomy;
suturing of perforated ulcers of the stomach and duodenum;
splenectomy;