An experience with operative treatment of 498 patients aged from 18 to 78 years with great and giant postoperative ventral hernias is presented. The patients were divided into several groups according to the kind of surgical intervention. An analysis of the nearest and long-term results (from 1 to 15 years) has shown that the fewer number of postoperative complications and recurrences was after using an additional strengthening of the abdominal wall tissues with split and full-thickness autoplastic skin grafts as well as polypropilene net. Autodermotransplants are highly effective in use, sufficient in organism.
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