METHOD OF SURGICAL TREATMENT OF LARGE AND GIANT VENTRAL HERNIA OF CHILDREN BORN WITH OMFALOCELE Russian patent published in 2017 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: hernial sac is separated, the hernial contents is separated from the hernial sac. Mobilizing the rectus abdominal muscles by separating them from the hernial contents. Performing the immersion of the hernial contents in the abdominal cavity. The hernial sac is excised, the plastic of the hernia gates is performed. When mobilizing the rectus abdominal muscles, the anatomical integrity of the vagina of the rectus abdominal muscles is preserved. To eliminate the ventral dystopia of the inferior vena cava, it is tensioned between the diaphragm and the liver, taking the latter downward. Mobilize the inferior vena cava from the abdominal surface of the diaphragm and the surrounding tissues, move posteriorly and place along and to the right of the vertebral bodies of the thoracic spine, parallel to it. Immersing the hernial contents in the abdominal cavity. Then the stretching of plastic of the hernial gates is performed by applying separate nodal sutures to the medial edges of the rectus abdominal muscles.

EFFECT: method prevents relapse by creating optimal conditions for performing tension hernioplasty by eliminating visceral-abdominal disproportion and eliminating ventral dystopia of the inferior vena cava.

4 cl, 10 dwg, 1 ex