[Auto-dermal monophilic plastic surgery of ventral hernia].

Area of Science:

• Surgical innovation
• Hernia repair techniques
• Regenerative medicine

Background:

• Postoperative ventral hernias present a significant surgical challenge.
• Recurrence and complications like lymphorrhea impact patient outcomes.
• Existing plasty methods require optimization for improved efficacy.

Purpose of the Study:

• To introduce and evaluate a novel autodermic plasty technique for surgical management of ventral hernias.
• To assess the efficacy of an armored autologous skin graft in reducing complications.
• To determine the long-term outcomes and recurrence rates of the modified plasty method.

Main Methods:

• A modified autodermic plasty using an autologous skin graft reinforced with a monophilic thread was developed.
• A pedicled hernial sac was utilized to cover the graft, aiming to minimize lymphorrhea.
• The technique was applied to 93 patients undergoing ventral hernia repair.

Main Results:

• The surgical method demonstrated good long-term results in all 93 patients.
• Postoperative complications were significantly reduced to 3.5%.
• Mortality was low at 1%, and no instances of hernia recurrence were observed.

Conclusions:

• The suggested variant of autodermic plasty is an effective method for managing postoperative ventral hernias.
• This technique shows promise in reducing postoperative complications and eliminating recurrence.
• The use of an armored autologous skin graft offers a viable solution for complex hernia repairs.