PLASTY TECHNIQUE IN VENTRAL HERNIAS Russian patent published in 2009 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention refers to medicine, namely to hernial surgery. It involves plasty of a hernial defect with synthetic mesh prosthesis arranged in preperitoneal or axillary region. The rectangular synthetic mesh prosthesis is shaped with making incisions from two opposite edges or from four edges towards the opposite edges herewith cutting strips. The strips are delivered through musculoaponeurotic edges of hernial orifice inside out. When pulled up, each strip is sutured to the other one or to a segment of the synthetic mesh prosthesis at the edge of hernial defect. If complete approaching of the edges of hernial defect is possible, the prosthesis strips are cut out with incisions made from two long opposite edges only. The strips are delivered through musculoaponeurotic structures of approached edges of hernial defect. When pulled up to integrate the edges of hernial defect, the strips are sutured to the opposite ones. If complete approaching of the edges of hernial defect is impossible, the strips of the synthetic mesh prosthesis are cut out with incisions provided from all four edges. In cutting the angles, each strip been cut out and delivered through musculoaponeurotic structures, is sutured to the prosthesis segment at the edge of hernial defect. Thus the strips cut out in the prosthesis are 2-4 cm wide. They are delivered through musculoaponeurotic structures, while been spaced 2-4 cm from the edges of hernial defect and 2-4 cm from each other. The prosthesis width in-between the cut out strips is 4-8 cm provided possibility to integrate the edges of hernial defect. Whereas the integration thereof is impossible, dimensions of the prosthesis in-between the strips exceed those of the same hernial defect by 2-4 cm around.

EFFECT: method improves fixation reliability of the prosthesis within hernial orifice.

8 cl, 5 dwg