Gastropexy is a surgical procedure that helps prevent dehiscence after an abdominal wall hernia. It consists of fixing the anterior abdominal wall, which separates the abdominal organs from the free abdominal fluid. Gastropexy is performed on patients after removal of a hernial sac with damage to the anterior abdominal fascia and its ligamentous apparatus.
One of the gastropexy methods is Braitsev gastropexy. This operation was developed by the Russian surgeon V. A Braitsev. It was created in 1953 and since then has been one of the most effective ways to solve the problem of hernia complications.
Gastropexy is a highly effective surgical procedure for correcting hernial sacs. However, like any operation, it has its risks. The incidence of 3–6% of cases can be very high after surgery or the use of various sutures. In addition, the procedure can lead to infectious complications such as inflammatory swelling and abscess. And finally, a violation of the integrity of the ligaments can cause repeated hernial formation.
However, gastropexy is still used in practice and is widely used in various surgical clinics. Patients are treated in a specialized setting where specialists are available to perform the gastropexy procedure. Gastropexy may involve the use of various techniques such as mesothelial tissue sealing, aponeurotic defect closure, connective tissue strengthening, and others. The procedure is performed by closing the hernial opening through a healthy segment of the anterior abdominal wall.