METHOD FOR ALLOPLASTY APPLIED TO POSTOPERATIVE VENTRAL HERNIAS

摘要

FIELD: medicine.SUBSTANCE: method involves an incision of skin and subcutaneous fat, separation and preparation of a hernia sac and a plastic repair of a hernia defect with a synthetic mesh prosthesis in a preperitoneal or axillary position. The mesh prosthesis is formed of rectangular synthetic mesh prosthesis with making incisions from two opposite edges towards each other and cutting out strips. The strips are delivered through muscular-aponeurotic edges of a hernia orifice inside out, pulled up and sutured together with an opposite strip or portion of the synthetic mesh prosthesis at a nearest edge of the hernia defect. When the hernia defect edges brought together, the strips are sutured to opposite ones with the use of absorbable sutures. If bringing the hernia defect edges together appears to be impossible, the strip is sutured to a prosthesis portion at the nearest hernia defect edge with the use of absorbable sutures. Besides, at the site of bringing through the muscular-aponeurotic structures, the strips are selectively transected; the formed ends are sutured to the prosthesis portion at the hernia defect edge with the use of continuously absorbable sutures.EFFECT: method enables eliminating postoperative pain manifestations.5 cl, 1 ex, 3 dwg