Central Asian Journal of Medicine


Introduction. The research presents an analysis and results discussion of surgical treatment of postoperative ventral hernia accompanied with pendulous abdomen in patients with obesity. The aim of the research is to evaluate results of hernioplasty on the background of expansion of the surgery volume for correction of the abdomen ptosis, as well as to evaluate frequency of postoperative complications at the expense of additional abdominal plasty in the groups of patients with a combination of ventral hernia, pendulous abdomen and adiposity of various severity level. Materials and methods. Differentiated approach in the treatment of 174 patients with postoperative ventral hernias against the background of obesity substantially reduced the incidence of short-term and long-term complications. Results and discussion. Suggested method of assessment of volume of cellulocutaneous flap resection allowed to optimize the choice of combined tactics of (various methods of hernioplasty and abdominoplasty) surgical treatment of patients with VH and pendulous abdomen considering the localization and size of the defect, as well as degrees of abdominal ptosis. Modified type of classical abdominoplasty with the use of additional cross-section contributes to manipulate broadly in anticardium, reliable fix the explant and excess considerable volume of adipose tissue, thereby eliminating formation of the postoperative cellulocutaneous fold. The combination of formed neonavel with the suggested method allowed to improve aesthetic result of the surgical treatment. Conclusion. Abdominoplasty is not merely an aesthetic or cosmetic method of therapy, but also a technical surgical technique that contributes improving of hernioplasty results. Hernioplasty combined with abdominoplasty in patients with postoperative ventral hernia of abdominal wall associated with obesity which is performed after careful preoperative preparation, eliminates aesthetic inconvenience, contributing to the psychological and social rehabilitation, improving quality of life and giving satisfactorily cosmetic effect.

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