[Ambulatory surgery of inguinal hernias]

R Kh Magomedov, I B Rannev, A A Kutin, S S Naumov, M E Il'in
Khirurgiia 2008, (5): 60-4
415 patients with inguinal hernia were operated on in the period of 1996-2005yy. In 87 cases the abdominal wall reconstruction was performed using local tissues, Lichtenstein's method was employed in 139 patients and in 189 cases we performed the modificated combined reconstruction. The latter constitutes of the posterior inguinal wall reconstruction, using local tissues and mesh implantation to the medial part of the inguinal space. Postoperative complications after the combined reconstruction were registered in 12,7%, whereas after Lichtenstein and autoplasty 23 and 30% of patients, respectively, suffered from complications. The low seroma and genital edema incidence in patients where the combined inguinal reconstruction was used, are obviously due to the smaller size of the mesh, low traumatism of the operation and absence of tissue strain and spermatic cord compression. Follow-up results are better in the third group. Pain and <mesh sensation> are registered half more rare then in other groups. There were no hernia recurrence registered in the third group during the 6 years follow-up period.

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