[Choice of a method of plasty of the anterior abdominal wall in patients with postoperative ventral hernias].

The individual characteristics of the structure of the anterior abdominal wall were studied for revealing the anatomical preconditions for the formation of postoperative ventral hernias in order to substantiate efficient methods of surgical treatment. It was established that patients with brachiomorphous build had anatomical features facilitating the formation of ventral hernias. The greatest strength of the fascio-aponeurotic complex of the anterior abdominal wall is characteristic of patients with a dolichomorphous constitution, while the least strength of the fascio-aponeurotic complex of the anterior abdominal wall is characteristic of patients with brachiomorphous constitution.

[Surgical treatment without recurrences ventral hernias as a social problem].

The authors have analyzed social aspects of surgical treatment of postoperative ventral hernias and described results of the surgical treatment of 149 patients. Specific measures used in preoperative preparation and in operative treatment of elderly and senile patients are considered. Long-term results of surgical treatment of 76 patients have been studied who had undergone plasty of the anterior abdominal wall with the application of a reticulate polypropelene explant.

[Multilayer deep hernioplasty by E. Shouldice method in inguinal hernias].

The article gives a detailed description of steps of performing multilayer deep hernioplasty after E. Shouldice. In order to substantiate the possibilities to perform the procedure the structure of the transverse fascia in the ilioinguinal area was investigated in 20 corpses without hernias as compared with those having hernias.