mossjМосковский хирургический журналMoscow Surgical Journal2072-3180ООО «ПРОФИЛЬ – 2С»mossj-4Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASEОСОБЕННОСТИ И ОТДАЛЕННЫЕ РЕЗУЛЬТАТЫ ПРИМЕНЕНИЯ САМОФИКСИРУЮЩИХСЯ ИМПЛАНТОВ В ЛЕЧЕНИИ БОЛЬНЫХ С ПАХОВЫМИ ГРЫЖАМИХаритоновС. В.KharitonovS. V.prof.kharitonov@gmail.comРодоманГ. В.RodomanG. V.prof-rodoman@gmail.comХаритоновС. С.KharitonovS. S.svyatoslav8888@gmail.comЗиняковаМ. В.ZinyakovaM. V.zmv@pochta.ruФГБОУ ВО «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Минздрава РоссииРоссияPirogov Russian National Research Medical University. Russian FederationRussian FederationГБУЗ «Городская клиническая больница №13 Департамента здравоохранения города Москвы»РоссияCity Clinical Hospital №13, Moscow Department of Public Health. Russian FederationRussian Federation201731072020011015Copyright © Харитонов С.В., Родоман Г.В., Харитонов С.С., Зинякова М.В., 20202020Харитонов С.В., Родоман Г.В., Харитонов С.С., Зинякова М.В.Kharitonov S.V., Rodoman G.V., Kharitonov S.S., Zinyakova M.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.mossj.ru/jour/article/view/4

Проведено проспективное исследование с целью изучения результатов пластики пахового канала с применением самофиксирующегося имплан- та ParieteneTM ProGripTM. Выявлено, что интенсивность и продолжительность боли в раннем послеоперационном периоде, местные тканевые реак- ции и ультразвуковая картина раневого процесса принципиально не отличается от наблюдений использования легких макропористых композици- онных полипропиленовых сеток. Основные различия в результатах лечения зарегистрированы в отдаленном послеоперационном периоде. Отличия характеризовались низкими показателями частоты возникновения боли и стойкой парестезии, степени ограничения физических нагрузок, ранней нормализацией показателей физического и психологического компонентов здоровья.

This is prospective research of results inguinal canal repair with self-griping mesh ParieteneTM ProGripTM. Proved that the intensity and duration of pain in early postoperative period, local tissue reactions and ultrasound picture of the wound process is not different from the observations of the use the lightweight composite polypropylene mesh. The main differences in outcomes registered in late postoperative period. They were characterized by low rates of incidence of persistent pain and numbness, the degree limitation of physical activity, an early normalization indicators of physical and mental health components.Key words: inguinal hernia; hernia repair; mesh; chronic pain; quality of life.

паховая грыжагерниопластикаимплантхроническая болькачество жизниinguinal herniahernia repairmeshchronic painquality of lifeReferencesAwad SS, Yallampalli S, Srour AM, et al. Improved outcomes with the Prolene Hernia System mesh compared with the time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. Am. J. Surg. 2007;194(2):274.Awad SS, Yallampalli S, Srour AM, et al. Improved outcomes with the Prolene Hernia System mesh compared with the time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. Am. J. Surg. 2007;194(2):274.Beltrán MA, Cruces KS. Outcomes of Lichtenstein hernioplasty for primary and recurrent inguinal hernia. World J. Surg. 2006;30(12);2281-2287.Beltrán MA, Cruces KS. Outcomes of Lichtenstein hernioplasty for primary and recurrent inguinal hernia. World J. Surg. 2006;30(12);2281-2287.Droeser RA, Dell-Kuster S, Kurmann A, et al. Long-term follow- up of a randomized controlled trial of Lichtenstein's operation versus mesh plug repair for inguinal hernia. Ann. Surg. 2014;259(5):966-972.Droeser RA, Dell-Kuster S, Kurmann A, et al. Long-term follow- up of a randomized controlled trial of Lichtenstein's operation versus mesh plug repair for inguinal hernia. Ann. Surg. 2014;259(5):966-972.Fortelny RH, Petter-Puchner AH, Redl H, et al. Assessment of Pain and Quality of Life in Lichtenstein Hernia Repair Using a New Monofilament PTFE Mesh: Comparison of Suture vs. Fibrin-Sealant Mesh Fixation. Front. Surg. 2014;28(1);45.Fortelny RH, Petter-Puchner AH, Redl H, et al. Assessment of Pain and Quality of Life in Lichtenstein Hernia Repair Using a New Monofilament PTFE Mesh: Comparison of Suture vs. Fibrin-Sealant Mesh Fixation. Front. Surg. 2014;28(1);45.Hallén M, Sevonius D, Westerdahl J, et al. Risk factors for reoperation due to chronic groin postherniorrhaphy pain. Hernia. 2015;19(6);863-869.Hallén M, Sevonius D, Westerdahl J, et al. Risk factors for reoperation due to chronic groin postherniorrhaphy pain. Hernia. 2015;19(6);863-869.Magnusson J, Nygren J, Thorell A. Lichtenstein, prolene hernia system, and Ultrapro Hernia System for primary inguinal hernia repair: one-year outcome of a prospective randomized controlled trial. Hernia. 2012;16(3):277-285.Magnusson J, Nygren J, Thorell A. Lichtenstein, prolene hernia system, and Ultrapro Hernia System for primary inguinal hernia repair: one-year outcome of a prospective randomized controlled trial. Hernia. 2012;16(3):277-285.Nikkolo C, Lepner U. Chronic pain after open inguinal hernia repair. Postgrad. Med. 2016;128(1):69-75.Nikkolo C, Lepner U. Chronic pain after open inguinal hernia repair. Postgrad. Med. 2016;128(1):69-75.Nordin P, Bartelmess P, Jansson C, et al. Randomized trial of Lichtenstein versus Shouldice hernia repair in general surgical practice. Br. J. Surg. 2002;89(1):45-49.Nordin P, Bartelmess P, Jansson C, et al. Randomized trial of Lichtenstein versus Shouldice hernia repair in general surgical practice. Br. J. Surg. 2002;89(1):45-49.Porrero JL, Cano-Valderrama O, Castillo MJ, Alonso MT. Proposed technique for inguinal hernia repair with self-gripping mesh: avoiding fixation to undesired structures. Hernia. 2015;19(5);771-774.Porrero JL, Cano-Valderrama O, Castillo MJ, Alonso MT. Proposed technique for inguinal hernia repair with self-gripping mesh: avoiding fixation to undesired structures. Hernia. 2015;19(5);771-774.Ramshaw B, Abiad F, Voeller G, et al. Polyester (Parietex) mesh for total extraperitoneal laparoscopic inguinal hernia repair: initial experience in the United States. Surg. Endosc. 2003;17(3):498-501.Ramshaw B, Abiad F, Voeller G, et al. Polyester (Parietex) mesh for total extraperitoneal laparoscopic inguinal hernia repair: initial experience in the United States. Surg. Endosc. 2003;17(3):498-501.Sanders DL, Nienhuijs S, Ziprin P, et al. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair. Br. J. Surg. 2014;101(11):1373-1382.Sanders DL, Nienhuijs S, Ziprin P, et al. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair. Br. J. Surg. 2014;101(11):1373-1382.Awad SS, Yallampalli S, Srour AM, et al. Improved outcomes with the Prolene Hernia System mesh compared with the time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. Am. J. Surg. 2007;194(2):274.Awad SS, Yallampalli S, Srour AM, et al. Improved outcomes with the Prolene Hernia System mesh compared with the time-honored Lichtenstein onlay mesh repair for inguinal hernia repair. Am. J. Surg. 2007;194(2):274.Beltrán MA, Cruces KS. Outcomes of Lichtenstein hernioplasty for primary and recurrent inguinal hernia. World J. Surg. 2006;30(12);2281-2287.Beltrán MA, Cruces KS. Outcomes of Lichtenstein hernioplasty for primary and recurrent inguinal hernia. World J. Surg. 2006;30(12);2281-2287.Droeser RA, Dell-Kuster S, Kurmann A, et al. Long-term follow- up of a randomized controlled trial of Lichtenstein's operation versus mesh plug repair for inguinal hernia. Ann. Surg. 2014;259(5):966-972.Droeser RA, Dell-Kuster S, Kurmann A, et al. Long-term follow- up of a randomized controlled trial of Lichtenstein's operation versus mesh plug repair for inguinal hernia. Ann. Surg. 2014;259(5):966-972.Fortelny RH, Petter-Puchner AH, Redl H, et al. Assessment of Pain and Quality of Life in Lichtenstein Hernia Repair Using a New Monofilament PTFE Mesh: Comparison of Suture vs. Fibrin-Sealant Mesh Fixation. Front. Surg. 2014;28(1);45.Fortelny RH, Petter-Puchner AH, Redl H, et al. Assessment of Pain and Quality of Life in Lichtenstein Hernia Repair Using a New Monofilament PTFE Mesh: Comparison of Suture vs. Fibrin-Sealant Mesh Fixation. Front. Surg. 2014;28(1);45.Hallén M, Sevonius D, Westerdahl J, et al. Risk factors for reoperation due to chronic groin postherniorrhaphy pain. Hernia. 2015;19(6);863-869.Hallén M, Sevonius D, Westerdahl J, et al. Risk factors for reoperation due to chronic groin postherniorrhaphy pain. Hernia. 2015;19(6);863-869.Magnusson J, Nygren J, Thorell A. Lichtenstein, prolene hernia system, and Ultrapro Hernia System for primary inguinal hernia repair: one-year outcome of a prospective randomized controlled trial. Hernia. 2012;16(3):277-285.Magnusson J, Nygren J, Thorell A. Lichtenstein, prolene hernia system, and Ultrapro Hernia System for primary inguinal hernia repair: one-year outcome of a prospective randomized controlled trial. Hernia. 2012;16(3):277-285.Nikkolo C, Lepner U. Chronic pain after open inguinal hernia repair. Postgrad. Med. 2016;128(1):69-75.Nikkolo C, Lepner U. Chronic pain after open inguinal hernia repair. Postgrad. Med. 2016;128(1):69-75.Nordin P, Bartelmess P, Jansson C, et al. Randomized trial of Lichtenstein versus Shouldice hernia repair in general surgical practice. Br. J. Surg. 2002;89(1):45-49.Nordin P, Bartelmess P, Jansson C, et al. Randomized trial of Lichtenstein versus Shouldice hernia repair in general surgical practice. Br. J. Surg. 2002;89(1):45-49.Porrero JL, Cano-Valderrama O, Castillo MJ, Alonso MT. Proposed technique for inguinal hernia repair with self-gripping mesh: avoiding fixation to undesired structures. Hernia. 2015;19(5);771-774.Porrero JL, Cano-Valderrama O, Castillo MJ, Alonso MT. Proposed technique for inguinal hernia repair with self-gripping mesh: avoiding fixation to undesired structures. Hernia. 2015;19(5);771-774.Ramshaw B, Abiad F, Voeller G, et al. Polyester (Parietex) mesh for total extraperitoneal laparoscopic inguinal hernia repair: initial experience in the United States. Surg. Endosc. 2003;17(3):498-501.Ramshaw B, Abiad F, Voeller G, et al. Polyester (Parietex) mesh for total extraperitoneal laparoscopic inguinal hernia repair: initial experience in the United States. Surg. Endosc. 2003;17(3):498-501.Sanders DL, Nienhuijs S, Ziprin P, et al. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair. Br. J. Surg. 2014;101(11):1373-1382.Sanders DL, Nienhuijs S, Ziprin P, et al. Randomized clinical trial comparing self-gripping mesh with suture fixation of lightweight polypropylene mesh in open inguinal hernia repair. Br. J. Surg. 2014;101(11):1373-1382.

The authors declare that there are no conflicts of interest present.