METHOD OF SURGICAL TREATMENT OF HERNIAS IN COMBINATION WITH ABDOMINOPLASTY

摘要

FIELD: medicine.;SUBSTANCE: invention relates to medicine, namely to surgery. Conduct suturing of the medial edges of rectus abdominal muscles from the xiphoid process to the lower third of the hypogastric region. Hernial protrusion with hernial contents is immersed in the abdominal cavity. Mesh implant with the formation of a window under the umbilical stalk is placed on the aponeurosis in the zone of the umbilical ring, fixed with U-shaped seams from the nickel-titanium filament to the aponeurosis and in the umbilical cord transition zone into the aponeurosis of the rectus abdominis muscles. Dermalipectomy is performed to the level of the umbilicus excision. Perform the transposition of the navel.;EFFECT: method prevents postoperative complications and recurrence of a hernia; increases the effectiveness of hernioplasty in abdominoplasty, excludes dissection of musculo-aponeurotic structures of the anterior abdominal wall, and also allows to prevent complication and relapse of the disease by eliminating the muscular-aponeurotic defect, strengthen the anterior abdominal wall using a biocompatible nickel-titanium mesh implant, retain the umbilical ring, which is very important from an aesthetic point of view.;1 cl, 1 ex, 6 dwg