Abstract
<jats:p>INTRODUCTION. The laparoscopic IPOM hernioplasty technique using the domestic composite prolenic mushroom shaped prosthesis with polytetrafluoroethylene coating technology has been developed for the correction of ventral hernias with orifices up to 4 cm. However, publications on the use of this technique in patients with morbid obesity are limited.</jats:p> <jats:p>The OBJECTIVE was the comparative evaluation of the results of using the domestic composite prolenic mushroom-shaped prosthesis with polytetrafluoroethylene coating alone and in combination with bariatric intervention in patients with ventral hernias and morbid obesity.</jats:p> <jats:p>METHODS AND MATERIALS. The comparative study included 64 subjects with ventral hernias <4 cm and abdominal obesity. The body mass index (BMI) in the sample was ≥35 kg/m2. The patients were divided into 2 groups: group 1 (n=35) consisted of patients who underwent laparoscopic hernioplasty using the domestic composite prolenic mushroom-shaped prosthesis with polytetrafluoroethylene coating (LLC «Icon Lab GmbH», Russia) composite endoprosthesis, and group 2 (n=29) consisted of patients whose hernioplasty was supplemented by bariatric intervention.</jats:p> <jats:p>RESULTS. Of the early postoperative complications: in 1 case, a hematoma was observed (in a patient of group 1), 1 case in each group – the appearance of seromas. Recurrence of hernia occurred in 1 case in a patient of group 2. Weight loss over 12 months of observation in group 2 of patients was noted to be up to 28 kg/m2, while in patients in group 1, on the contrary, an increase in body weight of 8–12 kg was recorded (p<0.05).</jats:p> <jats:p>CONCLUSIONS. Performing bariatric intervention does not increase the time of hernioplasty surgery, does not increase the percentage of postoperative complications, while contributing to a 25 % reduction in patients’ weight over a 12-month observation period. In the case of a combination of a small (W1) ventral hernia with morbid obesity, in our opinion, it is advisable to perform hernioplasty using the domestic composite prolenic mushroom-shaped prosthesis with polytetrafluoroethylene coating, simultaneously with bariatric intervention.</jats:p>