SEPARATION PROSTHETIC REPAIR FOR ABDOMINAL HERNIAS
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The results of the treatment of 107 patients with postoperative ventral and recurrent hernias were studied, in whom repair of the hernial defect was performed using onlay and sublay methods, as well as using separation repair with restoration of the normal topographic anatomy. The algorithm for choosing the method of repair - standard (onlay, sublay) or separation (anterior, posterior) - in postoperative ventral hernias W2, W3, W4 is based on the state of the musculo-aponeurotic structures of the anterior abdominal wall and on the indicator of intraoperative monitoring of the intra-abdominal pressure. Optimization of the tactical and technical aspects of the surgical treatment of patients with postoperative ventral hernias made it possible to reduce the frequency of immediate postoperative complications from 16.1% to 9.1% and of recurrence from 10.7% to 4.5% (p<0.05).
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