Jafar A. Prophylaxis and treatment of the injured complications after a herniotomy with an alloplasty in occasion of the restrained hernia

It is established, that the bacteriemic level of dissemination is taped only at patients with a necrosis of the restrained organ. Excising of soft tissues with an adjoining part aponeuroses near a hernia reduces quantity and a degree of dissemination. Antibacterial prophylaxis allows to suppress residual disseminations of wounds. In experiment on animals it is shown, that for depression of a level of a traumatic inflammation and an edema, and also for formation of more high-grade cicatrix large meshwork the grid is better for placing above aponeuroses, and small meshwork – under aponeuroses. It is shown, that intraabdominal pressure at the restrained hernia depends on its sizes and authentically above, than at uncomplicated hernias. The syndrome of " a small abdominal cavity » does not develop, if after a herniotomy with sutures aponeuros intraabdominal pressure increases up to 30 % from initial. At higher body height of pressure the alloplasty of type of "patch" is shown. The methods developed and introduced in practice preoperative, introperative and postoperative prophylaxis and treatment injures complications have allowed to execute an alloplasty at 98,2 % sick of the restrained hernia including in conditions of a contaminated wound, to lower number of postoperative complications on 5,3 %, to avoid formation of fistulas, excision alloplant and relapses of disease.