The purpose of the work is to analyze the results of surgical treatment of hernias using different methods of hernioplasty. The results of treatment of 176 patients with abdominal hernias, which were monitored from 1995 to 2008, were analyzed. Patients were divided into 2 groups. The first group (85 patients) included patients who underwent surgical treatment with autodermal plasty. Second group (91 patients) consisted of patients who underwent hernioplasty using mesh allografts. All patients were comprehensively examined. In obese patients, an antimicrobial film was used to glue the skin under the mammary glands and “folds of the abdomen” to prevent microbial contamination of the wound. All operated patients had a normal postoperative condition, and the postoperative period in both groups was almost the same. We did not observe complications from the side of the postoperative wound in patients of the 1st group. The wounds healed by primary intention. All patients were discharged on the 8–10 day in satisfactory condition. 2 relapses were noted: in one patient 1 month after surgery, in the second — 10 years after surgery. In the 2nd group, suppuration of the postoperative wound was observed in a patient with a II degree of obesity. The average number of bed-days in the 2nd group was approximately the same as in the 1st group. The number of bed-days statistically significantly increased with an increase in the degree of obesity in these patients. Thus, the use of mesh allografts is an effective method of treating hernias and they should be used strictly according to indications. Autodermal plastic surgery using a skin flap is also a reliable surgical method for the treatment of hernias. A significant difference in the indices in the treatment of patients of both groups (with the exception of the cost of mesh allografts) was not found.

Chronic pelvic pain (HTB) remains a relevant multidisciplinary problem. Its symptoms are the result of interaction between psychological factors and dysfunction of the immune, neurological and endocrine systems. HTB is a serious problem for women. Approximately 14% of women experienced HTB at least once in their lives. HTB is grueling and related to significant costs and incidence, and its etiology is multifactorial, which often complicates medical treatment and treatment of associated symptoms. Best practice guidelines recommend an interdisciplinary and biopsychosocial approach to treatment. However, the problem of HTB requires further comprehensive study and expanding possible methods of effective pain control and improving the quality of life of the female population. The article systematizes literary sources on the genesis of pain, the principles of classification, diagnostics and management.