Міні-інвазивні способи лікування пахвинних гриж

M. Yu. Krestianov

doi:10.11603/2414-4533.2016.3.6807

Автор(и)

M. Yu. Krestianov Національна академія післядипломної освіти ім. П. Л. Шупика

DOI:

https://doi.org/10.11603/2414-4533.2016.3.6807

Анотація

Вибір малоінвазивного підходу до лікування пахвинних гриж на сьогодні залишається спірним питанням. Дві найпоширеніші техніки – лапароскопічна трансабдомінальна преперитонеальна пластика (TAPP) та тотальна екстраперитонеальна пластика (TEP), при яких сітчастий імплант встановлюється в преперитонеальний простір для повного перекриття слабких місць пахвинної ділянки, не відрізняються за рівнем рецидивів, але мають певні відмінності за тривалістю операції, кривою навчання, рівнем інтра- та післяопераційних ускладнень, вартістю втручання. Порівняння вищеназваних технік дає можливість визначити оптимальну тактику з урахуванням індивідуальних особливостей конкретного пацієнта.

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