Methods of hernioplasty of inguinal hernias. Their advantages and disadvantages. (Literary review)

Introduction. Inguinal hernia is most common disease in structure of external abdominal hernias. Around the world, approximately 20 million patients with inguinal hernias are operated on annually. According to statistics, 13% of all hernia repairs in world are performed for recurrent inguinal hernia, regardless of method of hernioplasty.

Methods. Traditional methods of autoplasty of inguinal hernias are currently not recommended for use due to large number of relapses. Endoprosthetics according to Lichtenstein attracts with its easy and convenient execution technique, a low number of relapses – about 1,9 % of cases with small primary hernias, and with recurrent hernias reaching 10–15 % of cases. In addition, after it, in the long term, a number of specific problems are observed – 8– 15 % of cases, which significantly reduce the quality of life of patients and cause dissatisfaction with treatment. Alloplasty with TAPP and eTER methods is not recommended in patients with complex hernias and concomitant pulmonary heart diseases. With them, chronic pain syndrome reaches 23 %, and relapses from 12,0 to 13,5 % of cases. An important factor is their high cost.

Findings. The search for new methods for hernioplasty of inguinal hernias is justified. Prospective methods of autoplasty of posterior wall of inguinal canal: Desarda operation; hernioplasty using functional muscle tissue; with relaxing incisions and consolidation of autoplasty with autodermal grafts. With these methods, number of relapses is comparable to the results after alloplasty: postoperative complications were 2,3 %, and relapses were 1,3 %.

1. Aliev S.A. Evolyuciya metodov hirurgicheskogo lecheniya pahovyh gryzh. [Evolution of the methods of surgical treatment of inguinal hernias]. Vestnik hirurgii imeni I. I. Grekova, 2010, Vol. 165, № 5, pp. 109–113. (In Russ.).

2. Belokonev V.I., Pushkin S.Yu., Structure, frequency and causes of recurrent abdominal hernia formation. Materials of the VIII conference “Actual problems of herniology”. Moscow, 2011, pp. 24–25. (In Russ.).

3. Botezatu A.A. Combined plasty of anterior abdominal wall hernias using autodermal graft. M.; 2012, 217 p. (In Russ.)

4. Palermo M., Acquafresca P.A., Bruno M., Tarsitano F. Hernioplasty with and without mesh: analysis of the immediate complications in a randomized controlled clinical trial. Arq Bras Cir Dig., 2015, Jul-Sep; № 28(3), рр. 157–160. https://doi.org/10.1590/S0102-67202015000300002

5. Ashrafi D., Siddaiah-Subramanya M., Memon B., Memon M.A. Causes of recurrences after open inguinal herniorrhaphy. Hernia, 2019, № 23(4), рр. 637–645. https://doi.org/10.1007/s10029-018-1868-z

6. Smotrin S. M., Vizgalov S. A. Surgical treatment of inguinal hernias in the Grodno region [Electronic resource]. Actual problems of medicine: materials of the annual final scientific-practical conference. Grodno, 2018, pp. 702–704 [1 opt. disk]. (In Russ.)

7. Egiev V.N., Rudakova M.N., Svetkovskij M.D. Hernioplasty without tissue tension in the treatment of incisional ventral hernias. Hirurgiya, 2000, № 6, pp. 18–22. (In Russ.)

8. Hallén M, Sandblom G, Nordin P, Gunnarsson U, Kvist U, Westerdahl J. Male infertility after mesh hernia repair: A prospective study. Surgery. 2011, Feb; № 149(2), рр. 179–184. https://doi.org/10.1016/j. surg.2010.04.027

9. Cunningham HB, Weis JJ, Taveras LR, Huerta S. Mesh migration following abdominal hernia repair: a comprehensive review. Hernia. 2019 Apr;23(2):235-243. https://doi.org/10.1007/s10029-019-01898-9

10. Protasov A. V., Mihaleva L. M., Smirnova E. D. Influence of mesh implants in hernioplasty on the state of reproductive function. Klinicheskaya praktika, 2014, № 2, pp. 19–28. (In Russ.)

11. Kordzadeh A., Liu M.O., Jayanthi N.V. Male infertility following inguinal hernia repair: a systematic review and pooled analysis. Hernia, 2017, Feb; № 21(1), рр. 1–7. https://doi.org/10.1007/s10029-016-1560-0

12. Magomedov M. M., Magodmebekov R. E., Ismailov G. M. Systemic inflammatory response in alloplastic methods of treating inguinal hernias. Vestnik novyh medicinskih tekhnologij: elektronnyj zhurnal, 2017, № 2, pp. 139–144. (In Russ.)

13. Strizheletskij V. V., Makarov S. A., Lomiya A. B. Experience of endovideosurgical technologies in the treatment of patients with inguinal hernias. Vestnik hirurgii imeni I. I. Grekova, 2017, Vol. 176, № 3, pp. 74–76. (In Russ.)

14. Shilov R.S., Mogilecz E.V., Kondrichina D.D. et al. Endoscopic total extraperitoneal hernioplasty in inguinal hernia surgery. Zhurnal Grodnenskogo medicinskogo universiteta, 2017, № 1, pp. 110–111. (In Russ.)

15. Method for tension-free inguinal hernia repair in the elderly: pat. BY 22317: MPK A 61 B 17/00 (2006.01) / S. M. Smotrin, A. N.Mihajlov, V. S. Novitskaya, S. A. Zhuk. № a 20160296; zayavl. 03.08.16; publ. 30.12.18. Afic. byul. № 6, 3 p. (In Russ.)

16. Hernia Surge Group. International guidelines for groin hernia management. Hernia, 2018, Feb; № 22(1), рр. 1–165. https://doi.org/10.1007/ s10029-017-1668-x

17. Nguyen D.K., Amid P.K., Chen D.C. Groin Pain After Inguinal Hernia Repair. Adv Surg., 2016, Sep; № 50(1), рр. 203–220. https://doi. org/10.1016/j.yasu.2016.04.003

18. Chen D.C., Morrison J. State of the art: open mesh-based inguinal hernia repair. Hernia, 2019, Jun; № 23(3), рр. 485–492. https://doi. org/10.1007/s10029-019-01983-z

19. Jeroukhimov I., Wiser I., Karasic E., Nesterenko V., Poluksht N., Lavy R., Halevy A. Reduced postoperative chronic pain after tension-free inguinal hernia repair using absorbable sutures: a single-blind randomized clinical trial. J Am Coll Surg., 2014, Jan; № 218(1), рр. 102–107. https://doi. org/10.1016/j.jamcollsurg.2013.09.010

20. Varley R., Lo C., Alkhaffaf B. Litigation claims following laparoscopic and open inguinal hernia repairs. Hernia, 2020, Oct; № 24(5), рр. 1113–1120. https://doi.org/10.1007/s10029-020-02173-y

21. Kudva A., Lakshminarayana B., Addala, P.K., Seetharama, P.A randomized control study on neurosensory outcomes of ilioinguinal neurectomy in Lichtenstein’s hernia repair. Arch Clin Exp Surg., 2016, № 5(2), рр. 94–99. https://doi.org/10.5455/aces.20150826033718

22. Joshi A. Prophylactic ilioinguinal neurectomy: Can it prevent chronic groin pain after Lichtenstein inguinal hernia repair? Journal of Kathmandu Medical College, 2015, May; № 4(2), рр. 39–44. https://doi. org/10.3126/jkmc.v4i2.15031

23. Vinnik Yu.S., Petrushko S.I., Gorbunov N.S., Nazar’yants Yu.A. Surgical treatment of hernias of the anterior abdominal wall. Krasnoyarsk, 2011, 260 p. (In Russ.)

24. Porrero J.L., Castillo M.J., Pérez-Zapata A., Alonso M.T., CanoValderrama O., Quirós E., Villar S., Ramos B., Sánchez-Cabezudo C., Bonachia O., Marcos A., Pérez B. Randomised clinical trial: conventional Lichtenstein vs. hernioplasty with self-adhesive mesh in bilateral inguinal hernia surgery. Hernia, 2015, Oct; № 19(5), рр. 765–770. https://doi. org/10.1007/s10029-014-1316-7

25. Pokala B., Armijo P.R., Flores L., Hennings D., Oleynikov D. Minimally invasive inguinal hernia repair is superior to open: a national database review. Hernia, 2019, Jun; № 23(3), рр. 593–599. https://doi. org/10.1007/s10029-019-01934-8

26. Sharma R., Fadaee N., Zarrinkhoo E., Towfigh S. Why we remove mesh. Hernia, 2018, Dec; № 22(6), рр. 953–959. https://doi.org/10.1007/ s10029-018-1839-4

27. Arregui M.E. Surgical anatomy of the preperitoneal fasciae and posterior transversalis fasciae in the inguinal region. Hernia, 1997, Jan; № 1, рр. 101–110. https://doi.org/10.1007/BF02427673

28. McKernan J.B., Laws H.L. Laparoscopic repair of inguinal hernias using a totally extraperitoneal prosthetic approach. Surg Endosc., 1993, Jan-Feb; № 7(1), рр. 26–28. https://doi.org/10.1007/ BF00591232

29. Ivanov Yu.V., Avdeev A.S., Panchenkov D.N. i dr. The choice of surgical treatment of inguinal hernia. Vestnik eksperimental’noj i klinicheskoj hirurgii, 2019, Vol. XII, № 4, pp. 274–281. (In Russ.)

30. Sazhin A.V., Klimiashvili A.D., Kochiaj E. Laparoscopic transabdominal preperitoneal and total extraperitoneal inguinal hernioplasty, advantages and disadvantages. Rossijskij medicinskij zhurnal, 2015, № 6, pp. 46–49. (In Russ.)

31. Ishutov I.V. et al. Operation at inguinal hernias in a private clinic in Samara. Materials of IV All-Russian Congress of herniologists. Moscow, 2019, pp. 50–52. (In Russ.)

32. Krishna A., Misra M.C., Bansal V.K., Kumar S., Rajeshwari S., Chabra A. Laparoscopic inguinal hernia repair: transabdominal preperitoneal (TAPP) versus totally extraperitoneal (TEP) approach: a prospective randomized controlled trial. Surg Endosc., 2012, 26(3), pp. 639–649. https:// doi.org/10.1007/s00464-011-1931-7

33. Siddaiah-Subramanya M., Ashrafi D., Memon B., Memon M.A. Causes of recurrence in laparoscopic inguinal hernia repair. Hernia, 2018, Dec; № 22(6), рр. 975–986. https://doi.org/10.1007/s10029-018- 1817-x

34. Shouldice E.E. Surgical treatment of hernia. Annual meeting of Ontario Medical association, 1944, District № 9, September, № 10, рр. 3–28.

35. Welsh DR, Alexander MA. The Shouldice repair. Surg Clin North Am, 1993, Jun; № 73(3), рр. 451–469. https://doi.org/10.1016/s0039- 6109(16)46030-5

36. Bracale U., Melillo P., Piaggio D., Pecchia L., Cuccurullo D., Milone M., De Palma G.D., Cavallaro G., Campanelli G., Merola G., Stabilini C. Is Shouldice the best NON-MESH inguinal hernia repair technique? A systematic review and network metanalysis of randomized controlled trials comparing Shouldice and Desarda. Int J Surg., 2019, Feb; № 62, рр. 12–21. https://doi.org/10.1016/j.ijsu.2019.01.001

37. Desarda M.P. Physiological repair of inguinal hernia: a new technique (study of 860 patients). Hernia, 2006, Apr; № 10(2), рр. 143–146. https://doi.org/10.1007/s10029-005-0039-1

38. Vlasov V. V. Desarda operation – creation of a “new” posterior wall of the inguinal canal in the treatment of inguinal hernia. Gerniologiya, 2008, № 2 (18), pp. 11–17. (In Russ.)

39. Mitura K., Romańczuk M. Comparison between two methods of inguinal hernia surgery--Lichtenstein and Desarda. Pol Merkur Lekarski, 2008, May; № 24(143), рр. 392–395. (Polish.)

40. Szopinski J., Dabrowiecki S. Advanced internet software in providing multicenter trials on the base of comparison of the Desarda and Lichtenstein techniques in primary hernia repair – preliminary results. 63-rd Congress of the Association of Polish Surgeons (12–15 Sept, 2007). Poznan, Poland, 2007, 32 р.

41. Ge H., Liang C., Xu Y., Ren S., Wu J. Desarda versus Lichtenstein technique for the treatment of primary inguinal hernia: A systematic review. Int J Surg., 2018, Feb; № 50, рр. 22–27. https://doi.org/10.1016/j. ijsu.2017.11.055

42. Seredin S. A., Baulin A. V., Ivachev A. S., Ivacheva N. A. About a new method of inguinal autogernioplasty. Izvestiya vysshih uchebnyh zavedenij. Povolzhskij region. Medicinskie nauki. Klinicheskaya medicina, 2012, № 1(21), pp. 112–117. (In Russ.)

43. Chernyh A. V., Lyubyh E. N., Vitchinkin V. G., Zakurdaev E. I. Anatomical rationale for the modification of mediated plastic surgery of the inguinal canal. Obshchaya i chastnaya hirurgiya. Novosti hirurgii, 2014, № 22(4), pp. 403–407. (In Russ.)

44. Chernyh A. V., Zakurdaev E. I., Maleev Yu. V. Biomechanical features of autogernioplasty of inguinal hernias with various relaxing incisions of the anterior wall of the rectus sheath. Chelovek i ego zdorov’e: Kurskij nauchno-prakticheskij vestnik, 2015, № 3, pp. 105–109. (In Russ.)

45. Patent № 498 Gosudarstvennyj reestr Ministerstva yusticii Pridnestrovskoj Moldavskoj Respubliki. Sposob gernioplastiki pahovyh gryzh. [Inguinal hernia repair method]: 20.08.2019/ Paskalov Yu. S., Botezatu A. A. (In Russ.)

46. McVay C.B. Inguinal and femoral hernioplasty; anatomic repair. Arch Surg., 1948, Oct; № 57(4), рр. 524–530. https://doi.org/10.1001/archsurg.1948.01240020531010

47. Halverson K., McVay C.B. Inguinal and femoral hernioplasty. Arch Surg., 1970, Aug; № 101(2), рр. 127–135. https://doi.org/10.1001/ archsurg.1970.01340260031005

48. Abramovich F.V. To the question of radical inguinal hernia surgery. Proceedings of the XVIII Congress of Russian Surgeons. Moscow, 1926. (In Russ.)

49. Novickaya V. S., Mihajlov A. N., Smotrin S. M. Ultrasound imaging and morphometric characteristics of the inguinal space in hernias in the elderly. Problemy zdorov’ya i ekologii, 2017, pp. 127–128. (In Russ.)

50. Paskalov Yu.S., Botezatu A.A., Rajlyanu R.I., Burlak V.A. Echofunctional indicators of musculo-aponeurotic structures in patients with inguinal hernia. Materials of IV All-Russian Congress of herniologists. Moscow, 2019, pp. 81–83. (In Russ.)

51. Paskalov Yu. S., Botezatu A. A., Rajlyanu R. I. Electrical efficiency of independent and stimulated contraction of the abdominal muscles of the upper border of the inguinal space. Vestnik Volgogradskogo gosudarstvennogo medicinskogo universiteta, 2019; № 69(1), рр. 100–105. https://doi. org/10.19163/1994-9480-2019-1(69)-100-105 (In Russ.)

52. Clay L., Stark B., Gunnarsson U., Strigård K. Full-thickness skin graft vs. synthetic mesh in the repair of giant incisional hernia: a randomized controlled multicenter study. Hernia, 2018, Apr; № 22(2), рр. 325–332. https://doi.org/10.1007/s10029-017-1712-x

53. Brezhnev V. P., Hadzhiev O. Ch. Surgical treatment of strangulated inguinal hernias in especially elderly patients. Materials of the scientific congress “IV international Pirogov readings dedicated to the 200th anniversary of the birth of N.I. Pirogov “, XXII Congress of Surgeons of Ukraine. Vinnica, 2010, Vol. I, pp. 49–50. (In Russ.)

54. Topchiev M. A., Parshin D. S., Nurmagomedov A. G. i dr. Deepithelialized autodermal graft as an alternative to alloplasty in the surgery of incisional and inguinal hernias. Materials of III All-Russian Congress of herniologists. Moscow, 2018, pp. 128–130. (In Russ.)

55. Botezatu A. A., Paskalov Yu. S., Rajlyanu R. I., Marakutsa E. V. Combined hernioplasty in the treatment of inguinal hernias. Materials of III AllRussian Congress of herniologists. Moscow, 2018, pp. 29–31. (In Russ.)

56. Shankaran V., Weber D.J., Reed R.L. 2nd, Luchette F.A. A review of available prosthetics for ventral hernia repair. Ann Surg., 2011, Jan; № 253(1), рр. 16–26. https://doi.org/10.1097/SLA.0b013e3181f9b6e6

57. Diaz J.J. Jr., Conquest A.M., Ferzoco S.J., Vargo D., Miller P., Wu Y.C., Donahue R. Multi-institutional experience using human acellular dermal matrix for ventral hernia repair in a compromised surgical field. Arch Surg., 2009, Mar; № 144(3), рр. 209–215. https://doi.org/10.1001/ archsurg.2009.12