FEATURES OF HERNIOPLASTY AND ABDOMINOPLASTY IN PATIENTS WITH POSTOPERATIVE VENTRAL HERNIA AND ABDOMINOPTOSIS

Abstract. An analysis of the results of a comprehensive examination and surgical treatment of 121 patients with ventral hernia and concomitant morbid obesity using a differentiated approach to the choice of the method of hernioplasty and abdominoplasty is presented. Improvement of the technical aspects of non-stretch methods of hernia alloplasty with implantation of the endoprosthesis using the combined onlay + sublay method in combination with abdominoplasty made it possible to level the recurrence of the disease (in the comparison group, recurrence was 12.5%). The proposed algorithm for adequate preoperative preparation and choice of the method of hernia allo- and abdominoplasty in patients with abdominal hernias and abdominoptosis made it possible to reduce the incidence of postoperative complications from 14.8% to 8.9% (p=0.045), including wound complications from 11.5% to 4.5%.