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EXPERIENCE OF USING THE DEVICE FOR EXPOSURE OF ENDOSCOPIC ACCESS IN PATIENTS WITH OBESITY FOR THE PREVENTION OF TROCAR HERNIAS

The problem of the occurrence of postoperative ventral hernias after laparoscopic surgery still remains an urgent and major concern in surgery. This work aims to prevent the formation of ventral hernias after laparoscopy by introducing into practice a device for exposure. The study group included 21 patients with a body mass index of more than 45 kg / m2. The patients underwent surgery  laparoscopic longitudinal resection of the stomach. In order to suture the aponeurosis in the region of the third and fourth trocars (at the placement of universal 15 mm trocars), we developed and used a special device (Utility model Device for exposure of laparoscopic access in obese patients). The device we developed for exposure of endoscopic access was successfully put into practice: as a result of surgical treatment, the percentage of postoperative ventral hernias in 21 patients (100%) with morbid obesity was 0%. In order to secure the prevention of postoperative ventral hernias through trocar openings on the aponeurosis, it is recommended that they should be sutured using a special device when laparoscopic longitudinal resection of the stomach is being performed.