SOME ASPECTS OF USING TENSION FREE METHOD OF SURGICAL TREATMENT OF INGUINAL HERNIA

Abstract

SUMMARY. The article presents the results of using a new, effective tension free method of surgical treatment of inguinal hernias with the use of a synthetic implant to reduce the likelihood of hernia recurrence and speed up labor and social rehabilitation of patients after surgery.

The aim – to create a new, effective, non-invasive method of surgical treatment of inguinal hernias using a synthetic implant to reduce the likelihood of hernia recurrence and speed up labor and social rehabilitation of patients after surgery.

Material and Methods. A comprehensive examination of 34 patients with inguinal hernia was carried out using generally accepted methods, as well as a sonographic examination of the anterior abdominal wall before surgery and at different times after surgical treatment.

Results. When determining the intensity of the pain syndrome according to VAS, the results were obtained: up to 3 hours postoperatively, the indicator was 22.9±2.1 mm; 3–6 hours – 28.9±2.5 mm (р<0.05), which did not require the administration of narcotic or even non-narcotic pain relievers. This indicates a significantly lower degree of pain syndrome intensity in patients after using Desarda hernioplasty. According to ultrasound, tissue swelling, seroma, and infiltrates in the suture zone were not detected. The postoperative wound healed with primary tension in all patients, and the patients were discharged from the surgical hospital for outpatient treatment on the second to fourth day after surgery. After 18–36 months, 24 patients were examined. None of them was diagnosed with hernia recurrence.

Conclusions. The use of both own tissues and a synthetic implant for plastic surgery of the inguinal canal increases the mechanical resistance of the newly formed back wall of the inguinal canal and makes it possible to increase the effectiveness of surgical treatment of inguinal hernias and reduce the risk of their recurrence.