RESUMEN
The work presents results of a morphological investigation of tissues in the zone of implantation of synthetic material in creation of experimental model of ventral hernia. A comparative characteristic of a reaction of tissues on reperen and polypropylene is given. A number of principal advantages of reperen as compared with polypropylene were detected in plasty of hernial hilus. An analysis of the first experience of operative treatment of hernias by nonstrain methods using reperen in clinic is made.
Asunto(s)
Pared Abdominal/cirugía , Materiales Biocompatibles/efectos adversos , Hernia Abdominal/cirugía , Prótesis e Implantes , Animales , Humanos , Masculino , RatasRESUMEN
The article presents an experience with application of tension-free plasty of the anterior abdominal wall using reticular endoprostheses. New endoprostheses of Reperen are developed and applied, a method of sutureless fixation of polypropylene net in the abdominal wall tissues is proposed when performing plasty for great ventral hernias. Advantages of new methods are shown compared with analogs both in selective and in emergency surgery, in different age groups of patients. The direct and long-term postoperative results and parameters of quality of life are investigated.