Journal of Experimental and Clinical SurgeryJournal of Experimental and Clinical SurgeryВестник экспериментальной и клинической хирургии2070-478X2409-143XVoronezh State Medical University named after N.N. Burdenko94010.18499/2070-478X-2012-5-1-213-218Review of literatureОбзор литературыResearch ArticleSublay retromuscular technique in tension-free repair of abdominal wall herniasРетромускулярная пластика брюшной стенки синтетическими эндопротезами по поводу грыжParshikovVladimir VyacheslavovichПаршиковВладимир Вячеславович
Russian Federation

Doctor of Medical Sciences, Professor of the Department of Hospital Surgerynamed after B.A. Koroleva of the Nizhny Novgorod State Medical Academy

доктор медицинских наук, профессор кафедры госпитальной хирургии имени Б.А.Королева Нижегородской государственной медицинской академии

pv1610@mail.ruHodakVladislav ArturovichХодакВладислав Артурович
Russian Federation

Doctor-surgeon of the city hospital № 35, Nizhny Novgorod

врач–хирург городской больницы №35, г. Нижний Новгород

pv1610@mail.ruPetrovVsevolod VsevolodovichПетровВсеволод Всеволодович
Russian Federation

Doctor-surgeon of the city hospital № 35, Nizhny Novgorod

врач–хирург городской больницы №35, г. Нижний Новгород

pv1610@mail.ruRomanovRoman VilemovichРомановРоман Вилемович
Russian Federation

Candidate of Medical Science, Assistant of the Department of Hospital Surgerynamed after B.A. Koroleva of the Nizhny Novgorod State Medical Academy

кандидат медицинских наук, ассистент кафедры госпитальной хирургии имени Б.А.Королева Нижегородской государственной медицинской академии

pv1610@mail.ruNizhny Novgorod State Medical AcademyНижегородская государственная медицинская академияCity hospital №35Городская больница №3519012012512132180903201702042017Copyright ©; , Parshikov V.V., Hodak V.A., Petrov V.V., Romanov R.V.Copyright ©; , Паршиков В.В., Ходак В.А., Петров В.В., Романов Р.В.Parshikov V.V., Hodak V.A., Petrov V.V., Romanov R.V.Паршиков В.В., Ходак В.А., Петров В.В., Романов Р.В.http://creativecommons.org/licenses/by-nc-nd/4.0https://vestnik-surgery.com/journal/article/view/940

The tissue joining technique is one of the Most controversial issues in surgery, Which can not be overestimated [19, 20, 23]. Importantly, The topic was once again underlined by the At the All-Russian Conference of Surgeons in 2010. This problem is closely related to the treatment of one Of the most numerous categories of patients Of patients with hernias [13]. Methods hernias on Are in the focus of attention of surgeons for many Years [65,76]. The most complex sections of the herniolo- The issues of postoperative care Ventral hernias [5,35,61]. First of all, this is Associated with a large number of recurrences of thisPathology (up to 50%), despite the accumulated ten- Experience and perfection of technology Of operations [2]. In addition, the contingent of patients With large and gigantic hernias representsA problematic group of patients, both for Ha, and for an anesthesiologist, and the problem is operational - anesthesia risk is far from being resolved [38,85]. In recent years, plastic local tissue- I finally lost my position to the modern Technologies based on the use of synthetic Endoprostheses for the closure of abdominal defects Walls [1]. Using the grid allowed us to solve a number of Problems, perform plastic surgery without stretching the tissues and Increase intra-abdominal pressure, warn Certain local and systemic complications [10,20]. Application of non-stretch plastic is active Is implanted in emergency surgery [15,27,12,31].

Техника соединения тканей является одним из наиболее дискутабельных вопросов в хирургии, значение которого трудно переоценить [19,20,23]. Важность данной темы была в очередной раз подчеркнута на Всероссийской конференции хирургов в 2010 г. Указанная проблема тесно связана с лечением одной из самых многочисленных категорий пациентов – больных с грыжами [13]. Методики грыжесечений находятся в центре внимания хирургов в течение многихлет [65,76]. К наиболее сложным разделам герниологии относятся вопросы лечения послеоперационных вентральных грыж [5,35,61]. В первую очередь, это связано с большим количеством рецидивов данной патологии (до 50%), несмотря на накопленный десятилетиями опыт и совершенствование техники выполнения операций [2]. Кроме того, контингент пациентов с большими и гигантскими грыжами представляетсобой проблемную группу больных, как для хирурга, так и для анестезиолога, а проблема операционно - анестезиологического риска далека от разрешения [38,85]. В последние годы пластика местными тканями окончательно уступила свои позиции современным технологиям, основанным на применении синтетических эндопротезов для закрытия дефектов брюшной стенки [1]. Использование сетки позволило решить ряд проблем, выполнить пластику без натяжения тканей и повышения внутрибрюшного давления, предупредить определенные локальные и системные осложнения [10,20]. Применение ненатяжной пластики активно внедряется в неотложную хирургию [15,27,12,31].

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