[Pathogenesis of postoperative lumbar-lateral abdominal hernias and their allohernioplasty].

The results of histological investigation of musculo-aponeurotic tissues of lumbar-lateral abdominal portion were analyzed. There was established, that relaxation and atrophy of these tissues had occurred due to nervous structures and vessels cutting with consequent development of postoperative lumbar-lateral hernias. The plastic material fixation to the bearing structures of lumbar-lateral portion of abdominal wall, specifically to posterior wall of m.

[Optimization of surgical treatment of median postoperative abdominal hernias].

The analysis surgical treatment results in 1187 patients. ageing 30-80 yrs old, in 2000-2009 period, for median postoperative abdominal hernia (MPOAH) is presented. Autoplasty was performed in 43 (3.

[Differentiated approach to preperitoneal alloplasty for complex recurrent inguinal hernias].

The results of surgical treatment of complex recurrent inguina hernias in 138 patients (all of them are men), ageing 30-82 yrs old, were analyzed. In 75 patients, suffering unilateral inguinal hernia and destroyed inguinal ligament, the preperitoneal alloplasty method, elaborated in the clinic, was applied, using operative access through inguinal channel with prolene mesh fixation to lacunar ligament. In 18 patients the mesh was sutured, using herniostapler with spiral-like fixation devices.

[Differentiated approach to surgical treatment of inguinal hernia recurrence in accordance with morphologic characteristics of musculo-aponeurotic structures of inguinal channel].

In 44 patients, ageing 39-73 yrs and suffering inguinal hernia recurrence, the investigation of musculo-aponeurotic structures of inguinal region was conducted. In 21 patients, suffering primary inguinal hernia recurrence, in concurrence with the connective tissue complex degeneration the pronounced atrophy of tissues was revealed. In 23 patients, suffering multiple inguinal hernia recurrence, the tissues degeneration and atrophy were manifested significantly.

[Surgical treatment of inguinal hernia by a polypropylene net and PHS system].

Immediate and late results of surgical treatment were analyzed in 365 patients aged from 30 to 80 years with inguinal hernia using net of polypropylene and the PHS system in comparison with results of autoplastic operations, performed in 326 patients. Application of net of polypropylene and the PHS system allows to improve in patients the surgical treatment result significantly because of reliable strengthening of inguinal canal fundus without tension of tissues. Early postoperative rehabilitation and the lowering of recurrences occurrence justify significant advantages of such hernioplasty over autoplastic methods and its wide application in surgical treatment of primary inguinal hernia.

[The basis of surgical treatment for extensive postoperative abdominal hernia].

The hernioplasty method was elaborated by the authors. The method stipulates the prosthesis of polyurethane placement in the duplicature from the hernial sac and parietal peritoneum and is sewn under the hernial defect edge, which are then sewn contactly. With the application of method elaborated 36 patients were operated on, suffering from large abdominal hernia.

[Surgical treatment of inguinal hernia in weak elderly patients].

The results of inguinal hernia surgical treatment in 134 patients aged from 60 to 85 years, including 28 with hernia recurrence, are adduced. According to electromyographic and histological investigations of inguinal region the atrophy degree was established: common atrophy was diagnosed if the muscles bioelectric activity constituted 25-40 mcV, profound one--10-25 mcV. Autoplastic operation according to Bassini-Postempsky was done in 48 patients with common muscles atrophy, according to Sholdis-in 48, in 38 patients with profound atrophy of muscles the combined inguinal channel plasty with the implant of polyuretane preperitoneal disposition was done.