Experience in performing posterior separation plasty in giant postoperative ventral hernias

Cover Page


Aim. To present the experience in performing posterior separation plasty according to Yu. Novitskiy, to evaluate the efficacy and safety of the technique.

Methods. The results of treatment of 22 patients with giant middle postoperative ventral hernias, treated in the surgical department №1 of Kazan City clinical hospital №7 in 2013-2016, were analyzed. 9 patients had open posterior separation plasty of the abdominal wall in Yu. Novitskiy’s modification performed (study group). Comparison group included 13 patients who had standard tension-free inlay-plasty.

Results. The average duration of surgery in the study group was 143.9±10.7 min, in comparison group - 136.6±12.1 min. In the study group there were no serious complications in the immediate postoperative period. In 3 cases at control ultrasound examination clinically insignificant seromas were found which did not require additional treatment and self-resolved within the period of 3 weeks. In one case there was lymphorrhea from the wound for 9 days. Healing of a surgical wound in all cases was by primary intention. Average hospital stay was 10.2±0.6 days. There were no lethal outcomes. Recurrence of the disease in the observed period was not registered.

Conclusion. Posterior separation plasty of the abdominal wall in Yu. Novitskiy’s modification is a safe and effective technique that allows recommending this surgery to the surgeons operating patients with giant postoperative ventral hernias.

About the authors

I S Malkov

Kazan State Medical Academy

Author for correspondence.
Email: vyacheslav_f@mail.ru
Kazan, Russia

V A Filippov

Kazan State Medical Academy

Email: vyacheslav_f@mail.ru
Kazan, Russia

R Sh Shaymardanov

Kazan State Medical Academy

Email: vyacheslav_f@mail.ru
Kazan, Russia

V N Korobkov

Kazan State Medical Academy

Email: vyacheslav_f@mail.ru
Kazan, Russia

R F Gubaev

City Clinical Hospital №7

Email: vyacheslav_f@mail.ru
Kazan, Russia

E E Erkhu

Kazan State Medical Academy

Email: vyacheslav_f@mail.ru
Kazan, Russia


  1. Пономарёва Ю.В., Белоконев В.И., Волова Л.Т., Гуляев М.Г. Морфологические основы причин рецидивов у больных с послеоперационной вентральной грыжей. Фундаментал. исслед. 2013; 9 (2): 263-266.
  2. Eriksson A., Rosenberg J., Bisgaard T. Surgical treatment for giant incisional hernia: a qualitative systematic review. Hernia 2014; 18 (1): 31-38. DOI: s10029-013-1066-y.
  3. Мусаев А.И., Токтогулов О.Ж. Критерии выбора обьёма пластики при больших и гигантских послеоперационных вентральных грыжах. Вестн. КГМА им. И.К. Ахунбаева. 2013; (4): 75-77.
  4. Баулин А.В., Баулин В.А., Хытин А.Н. О герниопластике глазами хирурга районной больницы. Бюлл. мед. интернет-конференций. 2013; 3 (8): 1045-1048.
  5. Клоков В.А. Значение «безнатяжной» пластики грыжевого дефекта в профилактике тромбоэмболических осложнений у больных послеоперационными вентральными грыжами. Сибирский мед. ж. (Иркутск). 2012; (2): 20-22.
  6. Паршиков В.В., Логинов В.И. Техника разделения компонентов брюшной стенки в лечении пациентов с вентральными и послеоперационными грыжами (обзор). Соврем. технол. в мед. 2016; 8 (1): 183-194. doi: 10.17691/stm2016.8.1.24.
  7. Heller L., McNichols C.H., Ramirez O.M. Component separations. Semin. Plast. Surg. 2012; 26 (1): 25-28. doi: 10.1055/s-0032-1302462.
  8. Carbonell A.M., Cobb W.S., Chen S.M. Posterior components separation during retromuscular hernia repair. Hernia. 2008; 12 (4): 359-362. doi: 10.1007/s10029-008-0356-2.
  9. Ennis L.S., Young J.S., Gampper T.J., Drake D.B. The «open-book» variation of component separation for repair of massive midline abdominal wall hernia. Am. Surg. 2003; 69 (9): 733-742; discussion 742-743. PMID: 14509319.
  10. Jones C.M., Winder J.S., Potochny J.D., Pauli E.M. Posterior component separation with transversus abdominis release: technique, utility, and outcomes in complex abdominal wall reconstruction Plast. Reconstr. Surg. 2016; 137 (2): 636-646. doi: 10.1097/01.prs.0000475778.45783.e2.
  11. Novitsky Y.W., Elliott H.L., Orenstein S.B., Rosen M.J. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am. J. Surg. 2012; 204 (5): 709-716. doi: 10.1016/j.amjsurg.2012.02.008.
  12. Pauli E.M., Rosen M.J. Open ventral hernia repair with component separation. Surg. Clin. Noth Am. 2013; 9 (5): 1111-1133. doi: 10.1016/j.suc.2013.06.010.
  13. Ramirez O.M., Ruas E., Dellon A.L. «Components separation» method for closure of abdominal-wall defects: an anatomic and clinical study. Plast. Reconstr. Surg. 1990; 86 (3): 519-526. doi: 10.1097/00006534-199009000-00023.
  14. Korenkov M., Paul A., Sauerland S. et al. Classification and surgical treatment of incisional hernia. Results of an experts’ meeting. Langenbecks Arch. Surg. 2001; 386 (1): 65-73. PMID: 11405092.
  15. Лапач С.Н., Чубенко А.В., Бабич П.Н. Статистические методы в медико-биологических исследованиях с использованием Excel. К.: Мирион. 2001; 408 с.



Abstract - 628

PDF (Russian) - 411


Article Metrics

Metrics Loading ...



© 2017 Malkov I.S., Filippov V.A., Shaymardanov R.S., Korobkov V.N., Gubaev R.F., Erkhu E.E.

Creative Commons License

This work is licensed
under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies