[The choice of ventroplasty method using local tissues for postoperative large abdominal hernia]

Experience of treatment of 355 patients with large, gigantic, complex postoperative abdominal hernia, operated in the planned order in 1983-2000 yrs, is presented. Ventroplasty, using tissues of patients of their own, was done in all the patients. The one-stage, staged, T-like plasty was done, the hernial sac plasty, methods of trebled, quadrypled and increased sixfold were performed as well. The abovementioned ventroplasty methods application have permitted to eliminate the defects in musculoaponeurotic layer of abdominal wall of any size, localization and compexity. Immediate and late result was favourable. Mortality had constituted 0.6% (two patients died). Absence of hernial recurrency for follow-up to 17 years in 95.8% patients trusts efficacy of these methods of treatment and makes possible to recommend them for application in clinical practice.