Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector69030110.17816/RA690301WGARTDReviewsНаучные обзорыReview ArticleAnesthesia and analgesia in surgery for anterior abdominal wall hernia: a reviewАнестезия и аналгезия при операциях по поводу грыжи передней брюшной стенки: обзорhttps://orcid.org/0000-0003-2898-15285963-7932RomanovaOlga E.РомановаОльга Евгеньевна
Russian Federation
rom.olga21@yandex.ruhttps://orcid.org/0009-0005-8598-79282536-1337AlekseevAnton A.АлексеевАнтон Александрович
Russian Federation
aalekseev.aa@gmail.comhttps://orcid.org/0009-0009-5260-68339576-9598MaksimovaAnastasia A.МаксимоваАнастасия Андреевна
Russian Federation
am9165577382@yandex.ruhttps://orcid.org/0000-0001-5103-03041343-9793YavorovskiyAndrey G.ЯворовскийАндрей Георгиевич
Russian Federation

MD, Dr. Sci. (Medicine)

д-р мед. наук

yavorovskiy_a_g@staff.sechenov.ruThe First Sechenov Moscow State Medical UniversityПервый Московский государственный медицинский университет имени И.М. Сеченова (Сеченовский университет)22122025311220251942903001109202513112025Copyright ©; 2025, Eco-VectorCopyright ©; 2025, Эко-Вектор2025Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://rjraap.com/1993-6508/article/view/690301

Ventral hernias, or anterior abdominal wall hernias, represent a relevant surgical problem. An important aspect of high-quality recovery of the patient after this surgical intervention is the appropriate selection of anesthetic management and effective pain control. A scientific data search was conducted in medical databases including PubMed, Google Scholar, the Cochrane Library, and eLibrary. This review analyzes data from clinical studies and meta-analyses addressing various anesthetic techniques used in surgery for anterior abdominal wall hernia repair. Particular attention is given to regional anesthesia, which is currently considered a highly promising method for providing effective and safe high-quality analgesia. Current studies demonstrate that the use of regional anesthesia reduces the risk of opioid-related complications and shortens hospital length of stay compared with epidural, spinal, and general anesthesia.

The most extensively studied regional anesthesia techniques include the erector spinae plane block and the transversus abdominis plane block. However, the choice of the optimal anesthetic method for ventral hernia repair remains a subject of debate. Further research is required to establish a gold standard in this field.

Вентральные грыжи, или грыжи передней брюшной стенки, являются актуальной хирургической проблемой. Важный аспект качественного восстановления пациента после данного оперативного вмешательства — правильный выбор анестезиологической тактики и эффективный контроль боли. Проведён поиск в медицинских базах данных, таких как PubMed, Google Scholar, Cochrane Library, eLibrary. В данном обзоре представлен анализ данных клинических исследований и метаанализов, посвящённых различным методам анестезии при операциях по поводу герниопластики грыж передней брюшной стенки. Особое внимание уделяется регионарной анестезии, которая в настоящее время считается весьма перспективным методом эффективного и безопасного обеспечения высокого качества обезболивания. Современные исследования показывают, что использование регионарной анестезии снижает риск осложнений, связанных с применением опиоидных препаратов, а также уменьшает срок госпитализации пациентов по сравнению с эпидуральной, спинальной и общей анестезией.

Наиболее детально изучены такие техники регионарной анестезии, как блокада мышцы, выпрямляющей позвоночник (erector spinae plane block), и блокада поперечного пространства живота (transabdominal plane block). Однако вопрос выбора оптимального метода анестезии при герниопластике вентральных грыж остаётся дискуссионным. Для определения золотого стандарта требуется проведение дальнейших исследований в этой области.

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