Surgical treatment of incisional hernias with “loss of domain” (literature review)

Surgical treatment of patients with POVH and domain loss is today the cornerstone for herniologists of the world. The literature data concerning the surgical treatment of patients with giant postoperative ventral hernias with «loss of domain» has been analyzed. And the described methods of preoperative preparation (preoperative progressive pneumoperitoneum, injections of botulinum toxin type A and their combination) show good results in the treatment of patients with POVH, with a hernia defect width of more than 10 cm and accompanied by a loss of domain, which in some cases avoids separation plastics.