TREATMENT OF POSTOPERATIVE VENTRAL HERNIAS IN ELDERLY PATIENTS

Postoperative ventral hernias in most cases occur in elderly patients who have previously undergone surgery. Treatment of that category of patients is complicated by the presence of comorbidities such as ischemic heart disease. The age-related involution of collagen formation and connective tissue dysplasia leads not only to atrophy of the musculoaponeurotic layer of the anterior abdominal wall but also to dysplasia of the striated cardiac tissue which aggravates the course of coronary heart disease forming additional anomalies of the heart. Therefore, such category of patients are in the high anesthetic risk and require thorough preoperative and postoperative means.