METHOD OF POSTOPERATIVE INCISING HERNIAS TREATMENT

摘要

FIELD: medicine, particularly, surgery. SUBSTANCE: method includes dissection of anterior layers of fascial sheaths of musculi rectus abdominis and aponeuroses of musculi onlique externus abdominis by two arcwise edging convergent incisions in region of musculcaponeurotic defect with departure from it at distance equalling one half of its width; suturing of formed medial fascial-aponeurotic grafts over middle line; suturing of defect by forming posterior walls of sheaths of musculi rectus abdominis; mobilization of posterior surface of musculi rectus abdominis and suturing of the latter between one another with use of tendinous intersections; laying in formed fascial-aponeurotic defect of autodermal transplant and suturing of its end per contiguitatem to edges of defect of sheaths of musculi rectus abdominis aponeuroses of musculi obliquus externus abdominis joined tendons of musculi obliquus internus and musculi transversus to posterior walls of sheaths of musculi rectus abdominis and also over middle line to newly formed posterior wall of fascial-aponeurotic cases of musculi rectus to prevent postoperative complications - recurrence. EFFECT: higher efficiency. 6 dwg