SURGICAL TREATMENT OF POSTOPERATIVE VENTRAL HERNIA

Treatment of patients with hernias of the anterior abdominal wall is of particular relevance due to the steady increase in the number of patients and the dissatisfaction of surgeons with the results of treatment [5]. Hernia repair for incisional hernias outside specialized surgical departments is accompanied by relapses in 54.8% of patients, and during the first year after surgery, relapses occur in 72.5% of cases, and in the first three years - in 90.2% [1]. The relapse rate decreases when choosing the optimal method of surgery, which combines the basic principles of plastic surgery and a good knowledge of the anatomy of the area where the surgery is performed. Until today, there is no unified classification of methods for surgical treatment of median ventral hernias. Most authors divide them into two groups: plastic methods using local tissues and plastic methods using additional lamellar materials. Combined application of these two groups of methods is possible. In the group, plastic with local tissues is distinguished: defect closure with immersion sutures under the