The original technique of hernioplasty of median ventral postoperative hernias and its results

Introduction. In order to improve the results of surgical treatment in patients with median postoperative ventral hernias, an original technique of non-tensioning plastic surgery using a polypropylene mesh graft has been developed. A comparative analysis of the results of treatment with a group of patients operated on traditionally was performed.Materials and methods of research. A retrospective analysis of 129 cases of non-tensioning plastic surgery «onlay» of postoperative ventral hernias of median localization was carried out at the surgery center of GBU RO ROKB. 2 groups of patients were formed. The «main» group included patients after hernioplasty using the original technique of non-tensioning hernioplasty - 63 patients, the «control» group consisted of 69 patients who underwent traditional non-tensioning hernioplasty. The basis of the original technique is the use of a frame thread in the preperitoneal space, which is captured when applying U-shaped sutures that fix the mesh endoprosthesis.Treatment results. A comparative analysis of the long-term results of operations with follow-up periods from 2 to 55 months showed that out of 63 patients operated according to the original method, there was no recurrence of hernia, while out of 64 patients in the control group, 8 people (12,5 %) had a relapse.Conclusion. The original technique of hernioplasty «onlay» has statistically proven advantages over the generally accepted method of non-protracted hernioplasty technique «onlay» - the absence of recurrence of hernias for a long time after surgery, is a safe and publicly available method of surgical treatment of patients with postoperative ventral hernias of median localization.