| 摘要 |
FIELD: medicine. ^ SUBSTANCE: invention relates to medicine, namely to surgery and can be applied for treatment of giant post-operational ventral hernias. After dissection of aponeurosis of rectus muscles of abdomen, indenting 4-5 cm from hernial ring edge, hernial sac is opened. Intraabdominal stage of operation is performed. By means of two pararectal cuts from both sides dissected are skin, subcutaneous fat to aponeurosis of external oblique and transverse abdominal muscles. Tendon part of external oblique, internal oblique and transverse abdominal muscles is excised. Implants in form of mesh endoprostheses are sewn to external oblique, internal oblique and transverse abdominal muscles and rectus abdominal muscle from both sides. Aponeurosis is sutuired together without tension on medium line with continuous suture "joint-to-joint". Above sutured aponeurosis of rectus abdominal muscles third mesh endoprosthesis is implanted. ^ EFFECT: improvement of results of giant post-operational ventral hernia treatment and reduction of number of recurrences and complications. ^ 1 ex, 1 dwg |
