[The surgical treatment of a postoperative ventral hernia occurring at the site of a McBurney approach]. / Khiruhichne likuvannia pisliaoperatsiinoï ventral'noï hryzhi, shcho utvorylasia na mistsi dostupu Mak-Berneia.

Results were studied of surgical treatment of 456 patients presenting with postoperative ventral hernias (POVH) in different sites of the body. In 50 (11%) patients POVH came forth after McBurney approach. The patients' age ranged between 41 to 73 years. Hernioplasty was done taking into account the size of the hernia and resistance of tissues that were sutured in layers, with resultant aponeurosis duplication having been formed, and in some cases with simultaneous reinforcement thereof with an autodermal strip and patch. The patients had come to be examined postoperatively in a 1-to-10-yr follow-up. Recurrence of hernia occurred in 6 (12%) in the wake of hernioplasty as recommended by Sapezhko, suturing of the hernia defect in layers with formation of aponeurosis duplication and immobilization of the suture line, with n = 3, 2, and 1 respectively.