[Combined reconstructive hernioplasty for small and middle-size hernia of the abdominal wall]

The results of prosthetic hernioplasty, performed in 61 patients for a small- and middle-size abdominal wall hernia (AWH) were analyzed. In a control group in 18 (29.5%) patients the IPOM-procedure was applied and in the main group in 43 (70.5%)--the combined plasty. Complications, which have had occurred in 2 (11.1%) patients of a control group and in 4 (9.3%)--of the main, were cured using conservative methods. While five-year followup the AWH recurrence was not noted. The introduction of the elaborated tactic of treatment, named the combined reconstructive hernioplasty, have permitted to improve the late functional and cosmetic results due to restoration of abdominal linea alba integrity.