Polymorbidity in patients with recurrent inguinal hernia

Abstract

Summary. Concomitant pathology has a significant impact on the outcome of planned operations, as the total risk of individual diseases is less than the risk of their simultaneous presence.

The aim of the study – to research the nature of polymorbid diseases in patients with recurrent inguinal hernia, which will allow to carry out preventive measures at the stages of treatment and to improve the results of surgical treatment.

Materials and Methods. A comprehensive examination of 31 men in inpatient treatment for recurrent inguinal hernias (type IV by L. M. Nyhus, 1993). Along with the ge­nerally accepted methods of examination of patients, electro­cardioscopy, echocardioscopy, ultrasound examination of the abdominal cavity were performed. To determine polymorbidity, the Charlson index was evaluated.

Results. A comprehensive assessment of polymorbi­dity in patients with recurrent inguinal hernia before surgery will allow individualizing the tactics of management before surgery and in the perioperative period. The presence of comorbidities in patients with inguinal hernia, especially cardiovascular pathology (comorbidity index 2 and pain score) encourages the widespread introduction of perioperative program "fast track surgery" to minimize postoperative complications, including early recurrence, as well as rapid recovery.

Conclusions. Comprehensive assessment of polymorbidity in patients with recurrent inguinal hernia will allow to individualize the tactics of management before surgery and in the preoperative period. The presence of comorbidities in patients with inguinal hernia, especially cardiovascular pathology (comorbidity index 2 and pain score) encourages widespread implementation of the preoperative program "Fast track surgery" to minimize postoperative complications, including early recurrence, and rapid recovery.