METHOD FOR TREATING POSTOPERATIVE VENTRAL HERNIAS Russian patent published in 2003 - IPC

FIELD: medicine, surgery. SUBSTANCE: one should remove muscular-aponeurotic layers of wound edges with the help of needle-type device. Moreover, if intraperitoneal pressure is not changed in the course of dosed removal of wound edges one should carry out plasty with local tissues to be butted at additional fixation of suturing line with preprepared autodermal netted fragment being chekeredly perforated. In case of increased intraperitoneal pressure the above-mentioned process of wound edges' removal should be stopped and preprepared one-piece composition autodermal fragment should be sutured. Preliminary preparation of autodermal fragment deals with the following stages: mechanical removal of epidermis and subcutaneous fiber, keeping the fragment and monofilamentous prolongly unresolving synthetic ligatures for 10-15 min in 5%-solution of ε- aminocaproic acid cooled up to 4-5 C, passing ligatures through fragment's dermal thickness being either parallel or at an angle to each other. In the first case, fragment should be perforated after these procedures. Needle-type device should be removed on the 5th-6th d after operation at the period of inflammation process decrease in wound area. The method in question enables to decrease the number of relapses and postoperative complications. EFFECT: higher efficiency of therapy. 11 dwg