Efficiency assessment of laparoscopic vs open alloplasty for incisional ventral hernias

Materials and methods. During the period from 2009 to 2020 in clinic of Department Surgery Proctology Shupyk National Healthcare University Ukraine, surgical treatment 217 patients with IVH was analysed.The choice laparoscopic hernioplasty or open allohernioplasty made taking into account size abdominal wall defect width rectus diastasis. By intraoperatively conducting a study during surgery for an diastasis involving approximation muscles measurement IAP, it found that measuring up 5 cm IAP increases 5.6 ± 1.3 mm Hg is closed without undue tension supporting tissues.Depending on method treatment, were divided 2 groups.In group I, 109 (21.5%) small medium-sized underwent allohernioplasty, particular, 63 preperitoneal alloplasty 46 retromuscular alloplasty.Conclusions. For cm, placement mesh implant elimination optimal. In comparison contributes significant reduction incidence seroma (from 35.2% 3.7%), postoperative wound suppuration 6.5% 0%), inflammatory infiltrate 4.6% chronic pain 6.4% 2.6%), recurrence hernia 0%).