ANALYSIS OF THE RESULTS OF SURGICAL TREATMENT OF VENTRAL AND POSTOPERA- TIVE HERNIAS USING LAPAROSCOPIC IPOM TECHNOLOGY IN PATIENTS WITH EXCESSIVE BODY WEIGHT
The results of treatment of 72 patients with postoperative ventral hernias for 2016-2017, 54 women and 18 men are presented. Of these, 52 patients were overweight, body mass index 14 exceeded 40 kg / m2. In 2 patients cirrhosis was revealed in the subcompensation stage. Dimensions of hernia gates were from 3 to 12 cm with postoperative ventral hernias. Performed laparoscopy, adhesion, isolation, suturing hernial defect with small dimensions. Then a mesh endoprothesis was inserted intraperitoneally. The plastic was performed with the Reperen endoprosthesis (Nizhny Novgorod). Fixation of the endoprothesis to the abdominal wall was performed by transfascial fixation and endocorporal suture. The using of laparoscopic intraperitoneal hernioplasty with the use of a composite endoprosthesis made it possible to improve the results of surgical treatment of ventral hernias, by reducing the traumatism and duration of surgical interventions, reducing the postoperative bed-day and the frequency of postoperative complications. In the analysis of long-term results using the questionnaire «SF-36» it was revealed that the indicators of physical and psychological components of patients' health are the closest to the parameters of conditionally absolute health