New Alloplasty Method for Large Incisional Ventral Hernias

The following tension-free hernioplasty methods, depending on the location of the implant to the muscular-aponeurotic layer of the anterior abdominal wall, are: on-lay over the aponeurosis; sub-lay retro muscular, and in-lay in the form of a patch.The article describes the main methods of plastic surgery on the anterior abdominal wall with a critical analysis.Given the unresolved infection problem, the high risk of wound complications, and hernia recurrence in the long term, the authors proposed strategies to prevent these complications, which consist of combining an improved method of anterior abdominal wall plasty with photodynamic therapy through laser activation of the antibacterial effect of the domestic antiseptic drug FarGALS, which allowed two times reduce the likelihood of infection in the wound; and stimulate wound healing processes.

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