[Alloplasty of giant postoperative abdominal hernia in middle aged and aged patients]

Surgical treatment of giant postoperative abdominal hernia was performed in 73 patients aged 63-73 yrs using additional plastic materials (polyurethane, polypropylene). The combined hernioplasty without stretching of tissues with disposition of implant in the hernial sac duplication was performed in 57 (78.1%) patients, in whom the abdominal wall defect revealed was 151-200 cm2; hernioplasty, forming artificial abdominal wall from the duplicated implant without reducing of the abdominal cavity volume--in 16 (21.9%) patients, in whom the hernial defect exceeded 200 cm2. An acute pulmonary-cardiac insufficiency had occurred in 2 (2.7%) of patients. One patient died. Recurrent hernia after the combined hernioplasty performance had occurred in terms from 1 to 5 years in 1 (1.9%) patient.