Some possible ways of optimizing the surgical treatment of inguinal hernia

Authors

  • V. V. Benedykt I. Horbachevsky Ternopil National Medical University
  • A. M. Prodan I. Horbachevsky Ternopil National Medical University
  • I. Yu. Lavreniuk I. Horbachevsky Ternopil National Medical University
  • K. Yu. Yatsuk I. Horbachevsky Ternopil National Medical University

DOI:

https://doi.org/10.11603/2414-4533.2023.2.13990

Keywords:

inguinal hernia, hernioplasty, laparoscopic hernioplasty

Abstract

The aim of the work: to improve the results of surgical treatment of inguinal hernias, to develop, deepen and improve an individualized approach to surgery in each specific case.

Materials and Methods. A comprehensive examination of 90 male patients aged 25–82 years for inguinal hernia was carried out. 30 patients underwent a laparoscopic method of treatment using alloplastic materials, 15 patients underwent Desard’s hernioplasty, 15 with the use of alloplastic materials according to their own method (a modification of Desard’s hernioplasty), and in 30 cases – Lichtenstein’s hernioplasty.

Results and Discussion. Surgical treatment of inguinal hernia requires an individual approach to choosing a method of plastic surgery of the inguinal canal, which requires the surgeon to expand the scope of knowledge in this matter. When determining the method of surgical treatment of inguinal hernias, it is necessary to take into account the general functional state of the patient and local changes in the tissues of the inguinal area. In the presence of technical conditions, compensated for the patient’s functional state (comorbidity index up to 2 points and operative and anesthetic risk according to АСА<2 points), it is possible to perform laparoscopic hernioplasty. The modified method of surgical treatment according to Desarda is an effective alternative to the Lichtenstein method.

References

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Published

2023-07-25

How to Cite

Benedykt, V. V., Prodan, A. M., Lavreniuk, I. Y., & Yatsuk, K. Y. (2023). Some possible ways of optimizing the surgical treatment of inguinal hernia. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (2), 39–42. https://doi.org/10.11603/2414-4533.2023.2.13990

Issue

No. 2 (2023)

Section

ORIGINAL INVESTIGATIONS

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