Kerymov E. Operative treatment of post - operative incisional hernia, by using multiplelayer musculo-aponcurotic plasty and retromuscular autodermplasty.

The scientific research is aimed at the complex study of new outstanding methods of surgical management of ventral hernias - multiplier musculo-aponeurotic plasty and retromuscular autodermoplasty with laser deepithelization of skin-graft. 69 patients with large and gigantic postoperative ventral hernias were operated on using this methods. Topographo-anatomical and morphological analysis showed: that the main blood circulation and enervation of rectus abdominal muscles are preserved; the absence of significant muscular atrophy. With the help of laser deepithelization the skin graft is exposed to an evenly dosed heat and effectively sterilized. Clinical study of early and late postoperative periods with help of rheoparietography and electromyography showed low level of complications; physiologic effectiveness of these methods; absence of any functional failure of the rectus muscles. Thus, the aforementioned surgical methods could be recommended for the surgical management of complex ventral hernias.