AUTOPLASTY COMBINED WITH AUTODERMOPLASTY IN THE TREATMENT OF RECURRENT INGUINAL HERNIA
https://doi.org/10.17238/issn2072-3180.2021.1.16-22
Abstract
Introduction. The results of treatment of inguinal hernias are unsatisfactory. 13% of all hernia repairs in the world are performed due to recurrent inguinal hernia (RIH). Most often, relapses occur after autoplastic surgery (29–30%). Modern alloplastic methods of hernia repair, open or closed, are not devoid of relapses. Even after total preperitoneal alloplasty, they reach 10–15%. In addition, the disadvantage of these operations is their high cost.
Materials and methods. Retrospective analysis of case histories of 99 patients with RIH operated on in 1999–2020 in whom were used autoplasty methods with autodermoplasty was performed: 1. Preperitoneal autodermoplasty of the posterior wall of inguinal canal with autoplasty of the anterior wall; 2. Posterior wall autoplasty of the inguinal canal using a relaxing incision of the anterior wall of the sheath of rectus muscle with autodermoplasty.
Results. There were 6 (6,1%) complications in the early postoperative period and 7 (7%) cases of recurrences in the long term.
Conclusion. Preperitoneal autodermoplasty with autoplasty of the anterior wall of the inguinal canal insufficiently protects the inguinal region from the recurrence: 5 (12,5%) hernia recurrences were revealed among the operated 40 patients in the long term. Autoplasty of the posterior wall of inguinal canal with relaxing incisions of the aponeurosis of the anterior leaf of sheath of rectus muscle with autodermoplasty according to proposed methods was the most reliable. No recurrences were found among the 40 operated patients (follow-up of 12 years).
About the Authors
A. A. Botezatu
Department of surgical diseases, medical faculty, SEI «Transnistrian State University named after T.G. Shevchenko»; Surgical department of SI «Republican clinical hospital»
Moldova, Republic of
Moldova, Republic of
Botezatu Alexander Antonovich — Docent, Doctor of Medicine, Professor, Head; ; surgeon
25th October str., 128, MD-3300, Tiraspol, Transnistrian Moldavian Republic
Mira str., 33, MD-3300, Tiraspol, Transnistrian Moldavian Republic
Yu. S. Pascalov
Department of surgical diseases, medical faculty, SEI «Transnistrian State University named after T.G. Shevchenko»; Surgical department of SI «Republican clinical hospital»
Moldova, Republic of
Moldova, Republic of
Pascalov Yurii Stepanovich — surgeon, assistant; ; surgeon
25th October str., 128, MD-3300, Tiraspol, Transnistrian Moldavian Republic
Mira str., 33, MD-3300, Tiraspol, Transnistrian Moldavian Republic
E. V. Marakutsa
Department of surgical diseases, medical faculty, SEI «Transnistrian State University named after T.G. Shevchenko»; Surgical department of SI «Republican clinical hospital»
Moldova, Republic of
Moldova, Republic of
Marakutsa Eugenii Victorovich — surgeon, PhD in medicine, associate Professor; surgeon
25th October str., 128, MD-3300, Tiraspol, Transnistrian Moldavian Republic
Mira str., 33, MD-3300, Tiraspol, Transnistrian Moldavian Republic
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Review
For citations:
Botezatu A.A., Pascalov Yu.S., Marakutsa E.V. AUTOPLASTY COMBINED WITH AUTODERMOPLASTY IN THE TREATMENT OF RECURRENT INGUINAL HERNIA. Moscow Surgical Journal. 2021;(1):16-22. (In Russ.) https://doi.org/10.17238/issn2072-3180.2021.1.16-22
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