The aim of the study is to improve the results of surgical treatment of ventral hernias in obese patients by improving the technical aspects of hernialloplasty. Materials and methods of research. The study is based on clinical and laboratory examination of 121 patients with ventral hernias who were operated on in the surgical department of the Samarkand branch of the RSCEMP for the period from 2016 to 2025. Study results. The improved technique of tension-free hernialloplasty in obese patients significantly reduced the incidence of postoperative complications (8.9% vs 14.8%, p = 0.045) and completely eliminated recurrence of ventral hernias in the late period. Conclusions. The developed method of tension-free hernioalloplasty using П-shaped sutures and an "on lay" endoprosthesis significantly reduces complications and recurrences of ventral hernias in obese patients, accelerates recovery and improves clinical results.

Ventral hernias, obesity, tension-free hernioalloplasty,

V.V. Zhebrovsky, F.N. Ilchenko Atlas of operations for abdominal hernias // Simferopol 2004. pp. 221-222 (in Rus).

Protasov A.V., Kalyakanova I.O., Kaitova Z.S. Choice of implant for hernioplasty of ventral hernias // Bulletin of the Peoples' Friendship University of Russia. Series: Medicine. - 2018. - Vol. 22. - No. 3. - P. 258-264 (in Rus).

Shonazarov I.Sh., Karimov S.S. Factors Influencing the Development of Recurrence after Hernioalloplasty of Postoperative Ventral Hernias // "Surgery Eastern Europe", 2025, volume 14, No. 2 – P. 278 - 286

Bhardwaj P. et al. Year-over-year ventral hernia recurrence rates and risk factors //JAMA surgery. – 2024. – T. 159. – No. 6. – pp. 651-658.

Fry B. T. et al. Surgical approach and long-term recurrence after ventral hernia repair //JAMA surgery. – 2024. – T. 159. – No. 9. – pp. 1019-1028.

Holihan J. L. et al. Ventral hernia repair: a meta-analysis of randomized controlled trials //Surgical infections. – 2017. – T. 18. – No. 6. – pp. 647-658.

Howard R. et al. Trends in surgical technique and outcomes of ventral hernia repair in the United States // Annals of surgery. – 2023. – T. 278. – No. 2. – pp. 274-279.

Lindmark M. et al. Risk factors for surgical complications in ventral hernia repair //World journal of surgery. – 2018. – T. 42. – No. 11. – pp. 3528-3536.

Misiakos E. P. et al. Current trends in laparoscopic ventral hernia repair //JSLS: Journal of the Society of Laparoendoscopic Surgeons. – 2015. – T. 19. – No. 3. – P. e2015. 00048.

Nielsen M. F., de Beaux A., Tulloh B. Peritoneal flap hernioplasty for reconstruction of large ventral hernias: long-term outcome in 251 patients // World journal of surgery. – 2019. – T. 43. – No. 9. – pp. 2157-2163.