METHOD OF PLASTY OF ANTERIOR ABDOMINAL WALL HERNIAS Russian patent published in 2012 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, in particular, to surgery, to methods of plasty of anterior abdominal wall hernias. Method includes plasty of hernia defect with preperitoneal or axillary location of modeled rectangular synthetic mesh endoprosthesis, cut out in form of basic part with two symmetric petals on its long sides. Basic part of endoprosthesis is fixed to posterior leaves of recti sheaths. Muscular-aponeurotic weakening cuts are formed on recti sheaths, through which petal part is passed from inside outside, and tightened. Endoprosthetis petals aree fixed to anterior petals of recti sheaths. Petal part of endoprosthesis is located in subaponeurotic layer of anterior abdominal wall.

EFFECT: method makes it possible to reduce complications: formation of seroma or hematoma, reduction of physiological mobility of abdominal wall, contamination of prosthesis, reduction of its size, rejection, wound suppuration, formation of ligature fistulas, minimal injury of surrounding tissues (catching vessels and nerves into suture); reduced is risk of development of syndrome of abdominal hypertension, crimping and displacement of endoprosthesis.

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