Effectiveness of laparoscopic and traditional methods of surgical correction of inguinal hernias in boys according to transcutaneous oxymetry

Abstract

The analysis of the results of postoperative rehabilitation of 98 boys with inguinal hernias (aged from 1 month to 12 years) operated on traditional or laparoscopy techniques was made. All the patients were divided into 2 groups according to operative method. Patients of the 1st group (N=30, mean age of 1.5±0.15 years) underwent laparoscopic intervention according to the method of PIRS. In group 2 (N=68, mean age of 4.5±0.32) we performed surgical intervention by the traditional Duhamel method. In patients there was investigated tissue perfusion and oxygenation of the parenchyma of the testis by transcutaneous oxymetry before the operation and on the 7th, 14th, 30th days and in 6 months after its implementation. With the use of laparoscopic surgery in boys with inguinal hernias of all three age groups, in contrast to the traditional method of herniotomy, there was a slight decrease in the level of tissue oxygenation of the testis in the immediate period after surgery (14th day) with its significant improvement on the 30th das and in 6 months. After 6 months, an indicator of tissue oxygenation in the testicle when laparoscopic method was better than before surgery, due to the elimination of the negative effect of inguinal hernia on the elements of the spermatic cord and more safely technique of surgical intervention. The traditional method of surgical intervention, given its invasiveness, accompanied by a significant reduction in oxygenation of the parenchyma of the testis for at least 1 month after surgery in all age groups. Restoring the initial level of oxygenation is observed on average only in six months of observation. Laparoscopic method of surgical intervention is more organsaving, compared to traditional, in all age groups of boys with inguinal hernias.