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

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to surgery of ventral hernias. Hernial sac is opened and exposed with maximal preservation of flap with expressed vascularisation. Edges of hernial ring are sewn under flap of hernial sac by separate interrupted sutures. Suture line is covered with mesh implant, which is fixed on perimetre by means of uninterrupted suture. Longitudinal cut at the distance 2 cm from aponeurosis suture is made and flap of hernial sac is brought out through it with fixation on cut line by separate interrupted sutures. Peritoneum flap is sewn from one side of the nearest edge of mesh implant by additional sutures. Loose part of flap is used to cover entire mesh implant with its fixation on suture line by separate interrupted sutures.

EFFECT: method makes it possible to reduce number of recurrences due to additional strengthening of aponeurosis, to reduce complications, ensures possibility of application in case of hernias of any size.

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