[Application of the mesh implants in the patients with eventration].

The causes of occurrence and clinical signs of eventration were analyzed. Such hemostasis disorders as hypoproteinemia, anemia, avitaminosis, pneumonia, hyperglycemia, coagulopathy constitute a common factors predisposing to eventration development. There was established, that eventration always coexists with progressing intoxication.

[Peculiarities of operative treatment of complicated forms of abdominal hernias].

The experience of treatment of 150 patients, suffering complicated forms of postoperative abdominal hernias (PAH), was summarized, In majority of patients the large and giant hernias, on a background of associated diseases, were revealed. It was established that complicated forms of PAH are associated with local or systemic infection component, causing the necessity of complex prophylactic measures conduction. Autoplastic and prosthetic methods of operations were applied; the indications for implantation procedures were elaborated.

[Optimization of prevention of postoperative purulent-inflammatory complications in patients, operated on for diseases of the abdominal cavity organs].

There were examined 59 patients with diseases of the abdominal cavity organs, in whom high risk of postoperative purulent-inflammatory complications was established. There were conducted 652 different sowing on various stages of operative intervention conduction to study up the operative field and the blood microflora. There was established, that in microbal scenery in the patients of the risk group the mixed bacterial-fungal infection prevails.

[Explantation of synthetic net-like materials in the treatment of large postoperative abdominal wall hernia].

The results of explantation of synthetic netted materials in 82 patients with vast and giant postoperative abdominal wall hernia were analyzed. Physical and biological properties of netted explants made from polypropylene permit to apply them while infectioning of the operative field occurs and providing measures of complex prophylaxis for purulent-inflammatory, broncho-pulmonary and cardio-vascular complications. The method of plasty choice depends on clinical situation present, the operative risk degree, the hernial defect size and magnitude and on the stage of prognosticated intraabdominal pressure raising.

[Classification criteria and modern principles of surgical treatment for postop abdominal wall hernia].

Issues of differentiated choice of hernial defect (HD) plasty in 546 patients with postoperative (PO) abdominal wall hernia (AWH), taking into account the most informative classification signs of the disease (the hernial protrusion size and localization, the HD width, frequency of recurrences) were discussed. Depending on character of topographic disorder in abdominal wall present four types of PO AWH were delineated. Diagnosis of the AWH type according to criterions proposed, using the ultrasonic and computer tomography data, had permitted to determine the technical conditions and to substantiate pathogenetically the expediency of radical hernioplasty performance in 483 patients and of palliative HD correction--in 63.