METHOD FOR PREVENTING FORMATION OF POSTOPERATIVE VENTRAL HERNIAS IN HIGH-RISK PATIENTS Russian patent published in 2025 - IPC A61B17/00 A61B17/04 A61F2/90 

FIELD: medicine.

SUBSTANCE: invention refers to clinical medicine, namely to surgery. Peritoneum is closed. Mesh implant is placed in the retromuscular space. Aponeurosis is closed. At the first stage of closure of the aponeurosis, an external leaf of the sheath of the rectus abdominis muscle is inserted at distance of 1 cm from the wound edge. Mesh implant and an internal leaf of the rectus sheath are pierced at distance of 1 cm from the wound edge. Thereafter, an external side of the mesh implant is pricked out in the centre. Mesh implant is pierced again at distance of 0.5 cm from the centre. Further, an internal leaf of the rectus sheath is pricked out at distance of 1 cm from the wound edge. Mesh implant is passed through again. External leaf of the rectus sheath is punctured at distance of 1 cm from the wound edge. At the second stage of closure of the aponeurosis, an opposite outer leaf of the rectus sheath is inserted at distance of 0.5 cm from the edge of the defect of the aponeurosis. Then another external leaf of the rectus sheath is captured at distance of 0.5 cm from the edge of the defect of the aponeurosis. Such sutures are applied at distance of 1 cm from each other along the entire length of the postoperative wound.

EFFECT: method enables forming a dense connective tissue scar, fixing the mesh implant, thereby preventing postoperative ventral hernias in high-risk patients, reducing the rate of complications and developing chronic pain syndrome.

1 cl, 2 dwg, 1 tbl, 5 ex