[Recurrence of external abdominal hernias]

Results of 3009 elected herniotomies in adults (1761) and children (1248) for inguinal, postoperative ventral and umbilical hernias were analyzed. Out of 734 (57%) adults operated for inguinal hernia recurrences were seen in 28 (3.95%) cases: after Girare-Spasokukotsky-Kimbarovsky plastic operation--in 12 (2.5%), Martynov plistic operation--6 (9.5%), Bassini plistic operation--2 (1.5%), other methods--5. Recurrences were also revealed in 18 children. Experience of treatment of 224 patients with uncomplicated postoperative ventral hernias was also analyzed, 105 of them underwent autodermal Yanov's plistic operation. Small hernias were in 75 patients, middle--size in 56, large--in 66, giant--in 27. Of 224 patients 138 (61.6%) were followed-up, recurrences were revealed in 10 patients, in 9 (6.5%) of them--after autodermal plistic operation. It is demonstrated that plistic operation on posterior wall of inguinal canal is preferable. Plistic operation of anterior wall is justified in small oblique inguinal hernias. Recently, four-layer plistic operation on posterior wall of inguinal canal by Schouldice was introduced in the Hospital. The best results of postoperative hernias treatment were achieved in muscular-aponeurotic plastic repair with local tissues. When it is impossible other methods must be applied. Of present methods, autodermal Yanov's plastic operation is the most favorable with good long-term results.