Hernia postoperative ventral

Hernia postoperative ventral. Contributing moments of occurrence of these hernias are:

operating festering wounds, plugging the abdominal cavity through the wound, the use of operating mines, in which intersect the nerves of the abdominal wall. Generally, post-operative hernia nevpravimy and multi-chamber, due to severe adhesions in the area of ​​the surgical approach. Often these hernias reach considerable size, so that almost all of the intestine located in the hernial sac. When surgical intervention reduction in abdominal cavity contents of the hernia sac and suturing of the defect of the abdominal wall may lead to a sharp increase vtnutribryushnogo pressure, displacement of the diaphragm up and the appearance of acute respiratory failure. In this connection require special preoperative preparation of patients; dosed compression region of the abdominal cavity defect is best achieved by using the flight-suit.

Treatment operative. During the operation (for the prevention of adhesive obstruction in the postoperative period), it is advisable to divide the adhesions around the hernial ring. With significant size hernial ring should be used autodermalny flap or alloplastic material for plastics defect of the abdominal wall.

Prognosis is generally favorable.