LAPAROSCOPIC HERNIOPLASTY IN THE SURGICAL TREATMENT OF VENTRAL HERNIA

The purpose of this article is to review general information about ventral hernias and to compare two methods of laparoscopic hernioplasty. The first method is a standardized procedure. The second one is a modified method proposed by the Department of Surgery №2 of the National Bohomolets Medical University. Its essence lies in the fact that before fixation of allograft the circular ligament of the liver is dissected into two sheets up to the xiphoid process and then a graft is attached to them. English-language resources such as UpToDate, the Cochrane Database, PubMed, and other peer-reviewed articles were used for writing. Data provided by the Department of Surgery No. 2 of the A.A. Bogomolets National Medical University were used. According to the results provided by the Department of Surgery No. 2, there were no development of inflammatory complications, chronic abdominal pain, and adhesive intestinal obstruction. An additional stage of the operation, which allows to reduce the incidence of complications development. The given method allows reducing the incidence of complications, respectively, improving the quality of life of patients as well as increasing the level of laparoscopic treatment of ventral hernias. Laparoscopic hernioplasty, despite its successes, leaves much to be desired, as specific complications such as chronic abdominal pain, adhesive intestinal obstruction appeared along with it. Dissection of the circular ligament of the liver and fixation of the graft to it with partial peritonization allows to reduce the number of fixation points. Thus, this method reduces the incidence of complications.