Long-term results of prosthetic plasty of extensive and giant incisional ventral hernias
Abstract
The problem of surgical management of extensive and giant incisional ventral hernias (IVH) is relevant around the globe despite the development of high technologies and the introduction of new treatment methods by leading surgical centers. The authors note that today there are unresolved issues of preventing the recurrence of the disease. The article provides a detailed comparative analysis of the long-term results of surgical management of such a category of severe patients. The introduction of an improved technique of tension-free IVH prosthetic plasty in conjunction with the proposed option for preventing the development of wound complications has significantly reduced the incidence of long-term complications, including wrinkling of the prosthesis, the formation of skin-prosthetic fistulas, and also negated the risk of prosthesis tearing off with the development of a paraprosthetic hernia.