Studiul include 29 cazuri de hernii ventrale laterale (Spiegel) ce alcătuiesc 1,01% din 1908 bolnavi cu hernii abdominale externe. Varsta bolnavilor a variat intre 34-84 ani, majoritatea taraţi de sex feminin. Cauza herniilor a fost efortul fizic, operaţiile suportate la peretele abdominal anterior – cat şi patologie colorectală. La majoritatea bolnavilor au fost depistate maladii concomitente – obezitate, maladii pulmonare, diabet zaharat, boala hipertonică. Tabloul clinic deseori poate simula apendicita acută sau cronică, colecistita cronică, patologie renală şi colonică in deosebi la pacienţii cu hernii mici şi mijlocii. Aceste hernii sunt mai frecvent intalnite decat diagnosticate pană la operaţie, deoarece nu intotdeauna se ţine cont de ele. Diagnosticul a fost complex şi a inclus examenul clinic, radiologic, ultrasonografia, tomografia computerizată şi examenul endoscopic la necesitate. In herniile voluminoase cu atrofia ţesutului musculo-aponeurotic in jurul porţii herniare cu pierderea de substanţă s-a efectuat plastia combinată biosintetică din autodermă perforată, localizată intraabdominal şi plasa sintetică deasupra fixate impreună sub tensiune, iar pe plasa sintetică lambourile formaţiunii herniare. Morfologic la distanţă s-a constatat că lamboul autodermal se concreşte intim cu plasa de propilen, formează un ţesut conjunctiv fibros cu colagenizare in care elementele celulare se reabsorb şi in sfarşit lamboul autodermal impreună cu plasa sintetică formează un strat bine adaptat şi rezistent. La distanţa complicaţii nu s-au inregistrat.

The study includes 29 external lateral abdominal hernia (Spiegel) representing 1.01% of 1908 patients with external abdominal hernias. Age of the patients was from 34 to 84 years, most of them were women. The causes of hernias were physical activities, surgeries on the anterior abdominal wall as well as colorectal pathology. Most patients had concomitant diseases - obesity, lung diseases, diabetes, and hypertension. The clinical picture can often simulate acute and chronic appendicitis, renal and large intestine pathology, especially in patients with small and mediumsized hernias. These hernias are more common than diagnosed before surgery because they do not always take into account. Diagnostics was comprehensive and included clinical and radiographic examination, ultrasound, CT and endoscopic examination if necessary. In the case of voluminous hernias with atrophy of muscle-aponeurotic tissues around the hernial gate and loss of substance, was performed a combined biosynthetic plastic from perforated autoderma located intraperitoneal and on top of it synthetic mesh connected under pressure, and on top of synthetic mesh - flaps of hernia formation. Morphologically in the distant period was noted the intimate adnation of autodermal flap with synthetic mesh, the formation of fibrous connective tissue with collagenization at which cellular elements are reabsorbed and eventually autodermal flap formed the resistant layer with synthetic mesh. There were no complications in the distant period.