Peritoneal sealing of prolene prosthesis during laparoscopic hernioplasty in patients with inguinal hernia

Authors

  • I. I. Bulyk Shalimov National Institute of Surgery and Transplantation of NAMS of Ukraine
  • R. V. Bondaryev O. Bohomolets National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2022.2.13125

Keywords:

inguinal hernia, repair, electric welding, complications

Abstract

The aim of the work: to assess the effectiveness of peritonization of a prolene prosthesis in patients with inguinal hernias by the electrowel­ding method in comparison with the application of a continuous suture.

Materials and Methods. We performed surgical treatment of 81 patients with inguinal hernia. All patients underwent TAPP using a mesh of standard size. In 45 patients, the peritoneum was sealed over the prosthesis using a continuous suture (group 1). In 36, sealing was carried out using our proposed electrowelding technique (group 2).

Results and Discussion. There was a reduction in the operation time in patients of group 2 (102.7 min vs 112.45), the terms of inpatient (2.15 vs 2.95 days) and outpatient treatment (5.15 vs 6.05 days). Patients in group 2 had a significantly (p<0.05) lower frequency of inguinal hematoma in the early postoperative period – 8.3 % vs 28.9 % (OR 0.22, 95 %, CI 0.06–0.86, p=0.04; χ2= 4.11), inguinal neuralgia – 2.8 % vs 20.0 % (OR 0.11, 95 %, CI 0.01–0.95, p=0.04; χ2=4.01) and paresthesia of the inguinal area on the side of the operation – 11.1 % vs 33.3 % (OR 0.25, 95 %, CI 0.07–0.84, p=0.03; χ2=4.33). The use of electric welding for the peritonization of a prolene prosthesis during TAPP can reduce the time of surgery, the terms of inpatient and outpatient treatment of patients, and reduce the frequency of specific complications in the postoperative period.

References

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Published

2022-09-14

How to Cite

Bulyk, I. I., & Bondaryev, R. V. (2022). Peritoneal sealing of prolene prosthesis during laparoscopic hernioplasty in patients with inguinal hernia . Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 61–66. https://doi.org/10.11603/2414-4533.2022.2.13125

Issue

No. 2 (2022)

Section

EXPERIENCE OF WORK

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