Transposition of rectus muscles of abdomen and autodermoplasty in the treatment of major and huge recurrent postoperative middle hernias

摘要

Experience of treatment of patients with major and huge recurrent postoperative middle hernias is analyzed. Control group consisted of 131 patients who were operated with Yanov's combined methods of autodermoplasty. Specific complications in early postoperative period were seen at 18 (13.7%) patients, 1 (0.7%) patient died. In long-term period recurrence was diagnosed at 26 (55.3%) of 47 operated patients with major hernias. Original combined methods of hernioplasty for major and huge recurrent postoperative middle hernias have been developed. Sixty-two patients were operated with these methods, specific complications in early postoperative period were seen at 8 (12.9%) patients, 2 (3.2%) patients of them died. Recurrence in long-term period was diagnosed at 1 (1.7%) patient. It is concluded that combination of O.Ramirez surgery with autodermoplasty is high effective.