Aspirantskiy Vestnik Povolzhiya, Vol 13, No 1-2 (2013)

The assessment of the plastics in patients with postoperative ventral hernias (PVG) is of great practical importance. The purpose of the study is to analyse and evaluate the dynamics of the historical aspect of the treatment results of the patients with hernias in the transition from tension to non-pull way of close abdominal wall defects. Ways of operating applied in patients with hernias, for the time period were significantly different. Until 1998, the foundation of the constituent tension by means of plastic suggested by Mayo, Sapezhko and local fabrics were basic. Non-pull combined methods of hernia repair with the use of synthetic grafts, sewn on the first and second embodiments, have been introduced since 1998. The change in the treatment approach to the patients with PVG reduced the number of the lack of operation possibility for the sick persons, for technical reasons, regardless of their size from 24.5% to 8.4%, and the complications arising in the postoperative period in 2.7% of patients with large hernias and giant sizes were comparable to those in patients with hernia of small size. Plastic of hernial ring by local tissues was believed to be possible only in patients with hernia of small size, regardless of their location.