[A plastic surgery method in vast defects of the anterior abdominal wall]

The developed method of plastic repair of anterior abdominal wall's vast defects is intended for use in reconstructive-plastic herniology for closure in layers of total defects of the abdominal wall without reduction of abdominal cavities volume, in oncology and traumatology--for repair of abdominal wall's integrity after excision of massive tumors or damaged tissues. In correction by this method of large muscular-aponeurotic defects of abdominal wall the own tissues of the patient (greater omentum, hernial sac) and lavsan explants of author's construction are used maximally. New abdominal white line is formed, all the loted or insufficient tissues of abdominal wall are replaced. 88 patients with defects of anterior abdominal wall of different origin were operated by this method. Long-term results were followed up for 11 years, there was no recurrence, in 3 patients moderate relaxation in the area of hernioplasty was revealed, due to nonobservance of recommendations in early postoperative period. Patients with large hernias and defects of anterior abdominal wall should be operated in specialized surgical clinics.