Relevance. The analysis of scientific, medical and patent documentation indicates that in the literature available to us there is no definition of indications for the use of one or another method of hernioplasty, taking into account various risk factors. The solution of these problems is an urgent and priority problem of modern herniology.

Objective of the study: To develop a program for the choice of surgical tactics for ventral hernias.

Research material. Based on the analysis of the results of surgical treatment of 228 patients with ventral abdominal hernias, the authors developed a program for scoring preoperative criteria that affect the choice of the optimal method of hernioplasty, taking into account the individual characteristics of the organism.

Research results. In the main group of patients, we detected a relapse of the disease in one patient, which was 0.9% of the total number of patients examined in the long-term postoperative period. Relapse was noted in a patient from the 2nd subgroup who underwent hernioalloplasty with defect suturing. The relapse was caused by the insufficient area of the alloprosthesis.

Findings. The scoring of perioperative risk criteria in patients with incisional ventral hernias allows choosing the optimal method of plastic surgery, taking into account the individual characteristics of the organism and improving the results of treatment. With pronounced apron-like deformity of the abdomen in obese patients, it is preferable to perform open hernioalloplasty with DLE.

Hernioalloplasty,, scoring, program.

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