Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical Surgery2070-478X2409-143XVoronezh State Medical University165710.18499/2070-478X-2022-15-4-333-341UnknownTwo-Stage Abdominal Wall Reconstruction in a Patient with a Complex Postoperative HerniaGogiaBadri Shotaevich<p>MD, PhD, Head of the Department of Herniology and Reconstructive Surgery</p>gogia@ixv.ruhttps://orcid.org/0000-0002-3587-8863ChertovaAnastasija Dmitrievna<p>Postgraduate Student of the Department of Herniology and Reconstructive Surgery,</p>chertova.anastasia@mail.ruhttps://orcid.org/0000-0002-4497-3942AljautdinovRifat Rushanovich<p>Candidate of Medical Sciences, Surgeon of the Department of Herniology and Reconstructive Surgery</p>alyautdinov@ixv.ruhttps://orcid.org/0000-0002-9916-9062KarmazanovskyGrigory Grigorievich<p><a href="https://context.reverso.net/%D0%BF%D0%B5%D1%80%D0%B5%D0%B2%D0%BE%D0%B4/%D0%B0%D0%BD%D0%B3%D0%BB%D0%B8%D0%B9%D1%81%D0%BA%D0%B8%D0%B9-%D1%80%D1%83%D1%81%D1%81%D0%BA%D0%B8%D0%B9/RAS+academician">RAS academician</a>, MD, PhD, Professor, Head Department of Radiology and Magnetic Resonance Research</p>karmazanovsky@ixv.ruhttps://orcid.org/0000-0002-9357-0998A.V. Vishnevsky National Medical Research Center of Surgery3112202215433334126102022Copyright © 2022, Gogia B.S., Chertova A.D., Aljautdinov R.R., Karmazanovsky G.G.2022<p>Surgical treatment of incisional hernia is an actual problem of abdominal surgery. Despite the improvement of surgical techniques, the results of surgical treatment cannot be considered satisfactory: the recurrence rate continues to be high and is due to failures in the reconstruction of complex ventral hernia. Although there are many works devoted to various aspects of the surgical treatment of patients with complex incisional hernias, the problem is not sufficiently resolved. The treatment of this category of patients is a difficult task for both surgeons and patients due to the high risk of general and local complications. A clinical case of surgical treatment of a patient with a complex incisional hernia is presented, in which it was possible to carry out a complete reconstruction of the anterior abdominal wall in two stages without "components separation" method.</p>incisional herniacomplex ventral hernialoss of domainipombridgingcase report.послеоперационная грыжасложная грыжапотеря доменаipom методикаметодика bridging[Poulose BK, Shelton J, Phillips S, Moore D, Nealon W, Penson D, Beck W, Holzman MD. Epidemiology and cost of ventral hernia repair: making the case for hernia research. Hernia. 2012;16(2):179-83. https://doi.org/10.1007/s10029-011-0879-9][Slater NJ, Montgomery A, Berrevoet F, Carbonell AM, Chang A, Franklin M, Kercher KW, Lammers BJ, Parra-Davilla E, Roll S, Towfigh S, van Geffen E, Conze J, van Goor H. Criteria for definition of a complex abdominal wall hernia. Hernia. 2014;18(1):7-17. https://doi.org/10.1007/s10029-013-1168-6][Hadad I, Small W, Dumanian GA. 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