METHOD FOR CARRYING OUT VENTRAL HERNIOPLASTY Russian patent published in 2007 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: method involves making skin incision with old postoperative cicatrix excision being done as far as hernial gate length. Hernial sack is exposed to hernial gate edge and excessive hernial sack tissues are excised. Peritoneorrhaphy is carried out. Pocket is made on hernial gate periphery in preperitoneal space for setting endoprosthesis fixable with ligatures. After having sutured the peritoneum, aponeurosis and wound edges are brought close before setting the endoprosthesis. The edges are hold in reduced state. Polyethylene film is applied and pattern is cut out to close the hernial gate and detected defects with 5 cm overlay. The pattern is superimposed over skin and notches are marked on the pattern and skin in four angles 0.5 cm far from pattern boundary. The pattern is superimposed over polypropylene mesh and endoprosthesis is cut out. The endoprosthesis is sutured with ligatures in places corresponding to the pattern notches. The reduced wound is opened. Endoprosthesis is introduced into the pocket done in preperitoneal space. The ligatures are brought out to skin surface, where skin notches are available, and are fixed on holders. The aponeurosis and wound are tightly sutured layer-by-layer. The endoprosthesis is stretched in preperitoneal space in puling the ligature ends. The ligature ends are tied on pilots. The ligatures fixing the endoprosthesis are removed at the seventh-eight day.

EFFECT: reduced number of local postoperative complications; excluded ventral hernia recurrences.

3 dwg