CRITERIA FOR SELECTION OF PLASTIC PROCEDURE IN PATIENTS WITH POSTOPERATIVE COMPRESSED ABDOMINAL HERNIA.
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Abstract
An analysis of the results of a comprehensive examination and surgical treatment of 145 patients with ventral hernia and concomitant morbid obesity using a differentiated approach to the choice of the method of hernioplasty and abdominoplasty is presented. Improvement of the technical aspects of non-tension methods of hernia alloplasty with implantation of the endoprosthesis using the combined method " onlay + sublay " in combination with abdominoplasty made it possible to level the recurrence of the disease (in the comparison group, recurrence was 12.5%). The proposed algorithm for adequate preoperative preparation and choice of the method of hernia allo- and abdominoplasty in patients with abdominal hernias and abdominoptosis made it possible to reduce the incidence of postoperative complications from 14.8% to 8.9% (p = 0.045), including wound complications from 11.5% up to 4.5%.
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