Optimization of fixation of a mesh implant in transabdominal preperitoneal alloplasty in patients with inguinal hernia

Authors

  • Ya. P. Feleshtinsky P. Shupyk National Medical Academy of Postgraduate Education
  • A. V. Kokhanevich P. Shupyk National Medical Academy of Postgraduate Education

DOI:

https://doi.org/10.11603/2414-4533.2019.1.9903

Keywords:

inguinal hernia, mesh implant, transabdominal preperitoneal alloplasty, relapse, glue fixation, postoperative pain

Abstract

The aim of the work: to improve the effectiveness of transabdominal preperitoneal alloplasty (TAPP) in patients with inguinal hernia by optimizing the fixation of a mesh implant.

Materials and Methods. For the period from 2010 to 2017 178 patients with inguinal hernia with the use of classical and advanced TAPP were operated. Depending on the TAPP method, the patients were divided into two groups. In the group I (89 patients), the classical TAPP technique was performed. In the group 2 (89 patients) we developed the TAPP method with the combined fixation of mesh implant (patent for utility model No. 113.997 dated 27.02.2017).

Results and Discussion. Immediate results showed: in 6 (6.7 %) patients of group I there was a marked postoperative pain, in the group II in 1 (1.1%). In patients of the group I of the serum of the peritoneal space of the inguinal area in 5 (5.6 %), in the group II – in 4 (4.5%). In group I (2.2 %), in the group II – 3 (3.4 %). Distant results of treatment: group I (81 patients) – chronic postoperative inguinal pain was observed in 5 (6.1 %), group II (82 patients) – in 2 (2.73 %). In 7 (8.6 %) patients of group І (81 patients), recurrence of inguinal hernia was revealed. Group II (82 patients) – relapse of the inguinal hernia was detected in 1 (1.2 %).

References

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Published

2019-03-25

How to Cite

Feleshtinsky, Y. P., & Kokhanevich, A. V. (2019). Optimization of fixation of a mesh implant in transabdominal preperitoneal alloplasty in patients with inguinal hernia. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (1), 5–9. https://doi.org/10.11603/2414-4533.2019.1.9903

Issue

No. 1 (2019)

Section

ORIGINAL INVESTIGATIONS

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