GERNIOPLASTY PROBLEMS AT PATIENTS WITH POSTOPERATIVE VENTRAL HERNIAS
The review of domestic and foreign literature on a problem postoperative the ventral of hernias is carried out. According to domestic and foreign authors now postoperative ventral hernias make to 20 - 26 % of all external hernias of a stomach, taking the second place on frequency after inguinal hernias. Frequency of recurrence of postoperative ventral hernias remains high, reaching 4,5 - 60 % after application of techniques of an autoplasty, and at alloplasty techniques - 3 - 19,5 %. The dissatisfaction with results of treatment postoperative the ventral of hernias motivated surgeons to develop more perfect methods of surgery with use of various fitting a prosthesis materials allowing to improve results of treatment and to minimize percent of complications. High intra belly pressure is the leading reason of pyoinflammatory complications, recurrence, a lethality at patients with big postoperative ventral hernias. The priority directions of scientific researches in a gerniology is improvement of the fitting a prosthesis plasticity and development of methods of prevention of inflammatory wound complications.