Surgical treatment of recurrent postoperative ventral hernias

摘要

Function of external respiration was assessed with diplography and spirography in all our patients who had undergone surgery. Results of examination were compared with ones of healthy patients. Spirography was performed with pneumobandage which permits to simulate tension of abdominal wall and increase of intraabdominal pressure to 80 mm Hg. It is concluded that "straining" methods of plastic reconstruction of anterior abdominal wall lead to high risk of pulmonary embolism due to increased intraabdominal pressure and altitude of diaphragm's cupola. Transverse plastic reconstruction in combination with dermolipectomy leads to lower tension of aponeurosis tissues. Combined plastic surgeries with synthetic net implants decrease risk of hernia's recurrence in long-term period. gryzh.