[[Substantiation of choisce of the kind, localization and method of the implant fixing in alloplasty of the abdominal wall complex defects].]

The method of the implant fixation for prophylaxis of complications after alloplasty of complex abdominal wall defects was proposed. Taking into account physico-mechan- ical parameters of implant, degree of anisotropy, in accordance to mechanical and morphological characteristics of the abdominal wall musculo-aponeurotic structures, it is possible to individualize the choice maximally, to plan the alloplasty kind, and to determine the method of optimal surgical treatment objectively.

[PREVENTION OF INFLAMMATORY COMPLICATIONS AFTER CHOLECYSTECTOMY IF BROWN STONES IN THE GALL BLADDER AND ITS DESTRUCTIVE CHANGES].

We analyzed the results of surgical treatment of 360 patients for complicated defects of the abdominal wall, which carried out alloplastic for the period 2005­2015. In 332 (92.2%) patients were diagnosed comorbidities that require combined surgical treatment, in 16.4% of them ­ the intra­abdominal. Deformation of the abdominal wall, which required surgical correction, detected in 274 (76.1%) patients. Using differentiated approach allowed not only to firmly close a variety of localization and size of defects, at the same time eliminate the associated diseases that require surgical treatment, avoiding reoperations and associated complications, emotional and financial burden.

[APPLICATION OF VARIOUS KINDS OF ALLOPASTY, DEPENDING ON DEGREE OF THE ANTERIOR ABDOMINAL WALL TISSUES DEFICIENCY].

There were results adduced, concerning application of various kinds of alloplasty, done for complex defects of anterior abdominal wall, depending on degree of it tissues deficiency, what was determined, using the method proposed. Application of the method have permitted to estimate objectively the anterior abdominal wall tissues deficiency, and to individualize the choice of alloplasty method for the treatment results improvement.

[Surgical treatment of postop large size abdominal hernia in patients with obesity]. / Khirurhichne likuvannia pisliaoperatsiinoï hryzhi zhyvota velykoho rozmiru u khvorykh z ozhyrinniam.

There were 140 patients with morbid obesity operated on for postoperative abdominal hernia. In 2 (1.4%) patients an acute cardiopulmonary insufficiency occurred, and in another 2 (1.4%) an acute thrombophlebitis of the lower extremities veins. Two patients died. The hernia recurrence have occurred in 3 (2.1%) patients operated according to Mayo method in terms from 1 to 5 years later.