[The surgical procedure in spinal cord hernias of large size combined with hydrocephalus].

The paper analyzes the examination and treatment of 77 patients with myelomeningoceles. It is shown that the prognosis of treatment depends on the size and content of the hernial sac, the specific features of deformities of the liquor-containing system and the severity of liquor circulatory disorders. Both specific features of myelodysplasia manifestations and those of liquor circulatory disorders should be borne in mind in choosing the optimum surgical policy for myelomeningoceles. The optimum surgical approach to treating large-sized myelomeningoceles concurrent with hydrocephalus is demonstrated to one-stage plastic surgery of the hernial hilus and drainage of the subarachnoidal space of the terminal cistern into the abdomen.