nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2021-10-3-504-510nmp-1213Research ArticleОРИГИНАЛЬНЫЕ СТАТЬИORIGINAL ARTICLESБалльно-прогностическая шкала оценки риска ущемления паховых и бедренных грыжScore-Predictive Scale for Assessing the Risk of Inguinal and Femoral Hernias Incarcerationhttps://orcid.org/0000-0002-4556-4913СигуаБ. В.SiguaB. V.

доктор медицинских наук, профессор кафедры факультетской хирургии им. И.И. Грекова

 Российская Федерация, 1910105, Санкт-Петербург, ул. Кирочная, д. 41 

Doctor of Medical Sciences, Professor of the I.I. Grekov Department of Faculty Surgery

 41 Kirochnaya St., St. Petersburg, 191015, Russian Federation 

badri.sigua@szgmu.ruhttps://orcid.org/0000-0001-7368-5926ЗемлянойВ. П.ZemlyanoyV. P.

доктор медицинских наук, профессор, заведующий кафедрой факультетской хирургии им. И.И. Грекова 

 Российская Федерация, 1910105, Санкт-Петербург, ул. Кирочная, д. 41 

Doctor of Medical Sciences, Professor, Head of the I.I. Grekov Department of Faculty Surgery

 41 Kirochnaya St., St. Petersburg, 191015, Russian Federation 

vyacheslav.zemlyanoy@szgmu.ruhttps://orcid.org/0000-0003-1527-3848КозобинА. А.KozobinA. A.

врач-хирург кафедры факультетской хирургии им. И.И. Грекова,хирургическое отделение № 2 

 Российская Федерация, 1910105, Санкт-Петербург, ул. Кирочная, д. 41 

Surgeon, I.I. Grekov Department of Faculty Surgery, Surgical Department No. 2

 41 Kirochnaya St., St. Petersburg, 191015, Russian Federation 

akozobin@mail.ruhttps://orcid.org/0000-0002-5630-4914СёминД. С.SeminD. S.

врач-хирург, кафедра факультетской хирургии им. И.И. Грекова, хирургическое отделение № 2

 Российская Федерация, 1910105, Санкт-Петербург, ул. Кирочная, д. 41 

Surgeon, I.I. Grekov Department of Faculty Surgery, Surgical Department No. 2

 41 Kirochnaya St., St. Petersburg, 191015, Russian Federation 

cosmo@list.ruФГБОУ ВО «Северо-Западный государственный медицинский университет им. И.И. Мечникова» МЗ РФРоссияI.I. Mechnikov North-Western State Medical UniversityRussian Federation202117112021103504510Copyright © Сигуа Б.В., Земляной В.П., Козобин А.А., Сёмин Д.С., 20212021Сигуа Б.В., Земляной В.П., Козобин А.А., Сёмин Д.С.Sigua B.V., Zemlyanoy V.P., Kozobin A.A., Semin D.S.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1213

 На сегодняшний день разработан алгоритм действий хирурга при вправившейся ущемленной грыже непосредственно при госпитализации пациента, но нет четких рекомендаций как быть дальше, после исключения ущемления: предлагать операцию в данную госпитализацию  или рекомендовать плановое оперативное  лечение. Чтобы аргументированно ответить на этот вопрос, необходимо прогнозировать вероятность повторного ущемления. Для решения данной проблемы  нами была предложена балльно-прогностическая шкала  оценки риска ущемления паховых и бедренных грыж. Применение данной шкалы на практике позволит выявлять  пациентов с высоким, умеренным и низким риском ущемления  паховой или бедренной грыжи и определять оптимальные  сроки для хирургического лечения.  

 Today, algorithms have been developed for actions after excluding hernia incarceration directly during the patient’s hospitalization, but there are no clear recommendations for how to proceed: to offer surgery in this hospitalization or  to recommend planned surgical treatment. To answer this question, it is necessary to assume the probability of repeated incarceration. To solve this  problem, we have suggested high, medium and low risk of incarceration of  inguinal or femoral hernia and determine the optimal timing of surgery. 

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The authors declare that there are no conflicts of interest present.