[Application of auto-dermal hernioplasty for treatment of postoperative abdominal hernia]

The results of surgical treatment of 98 patients with postoperative abdominal hernia, in whom various methods of autodermal hernioplasty were applied, were summarized. In 33 patients for the hernial defect closure deepithelized cutaneous strip was used, in 22--free cutaneous flap, in 12--the defect was closed with the help of free armourized autodermotransplant, in 10 patients--with free cutaneous flap in combination with lavsan mesh. Recurrency after application of cutaneous strip had occurred in 41% of patients, of cutaneous flap--in 36.3%, armourized flap--in 23.1%, after the combined plasty--in 20%. Insufficient blood circulation in transplant is the cause of high recurrency rate after doing the plasty using free flaps. To eliminate this shortage and to improve the results of surgical treatment in 20 patients there was applied original method of autodermal hernioplasty using deepithelized cutaneous flap on two nourishing pedicles. Recurrency had occurred in one patient during follow-up from 1 to 5 years.