Postoperative Period After Surgical Treatment of Patients With Inguinal Hernias by Non-Tension Hernioplasty Using Implants and Auto-Tissue Flaps

Introduction. The article presents the results of observation of the postoperative period of surgical treatment of patients with inguinal hernias using tension-free hernioplasty using implants and autologous tissue flaps.

Aim of research. Reducing the number of complications in the postoperative period in patients with inguinal hernias, developing a hernioplasty method with less dependence on the availability of consumables.

Materials and methods of research. 759 patients with inguinal hernias. Place of study: State Budgetary Institution RO "City Clinical Hospital No. 11" and State Budgetary Institution RO "Ryazan Regional Clinical Hospital". Study period: hernioplasties were performed from 2006 to 2021, the duration of observation of the postoperative period of each patient was 1 year. Patient selection criteria: male gender, the presence of an inguinal hernia, age over 18 years, a herniotomy operation performed using the Desard method as modified by the authors, the peculiarity of which is the formation of a flap from the aponeurosis of the external oblique muscle, covering the spermatic cord, with fixation of its free end to the inguinal ligament (n=39) – main group, Bassini method (n=454), Lichtenstein method (n=266) – control group (n=720) in planned or emergency, informed consent signed by the patient for the operation and participation in the study.

Treatment results. In the main group, the postoperative period was characterized by a decrease in the number of complications in comparison with the group of planned and emergency patients operated on according to Lichtenstein, and was comparable in comparison with the group of patients operated on according to Bassini.

Conclusion. Based on the results of our research, we can conclude that the use of the Desard method, as modified by the authors, reduced the number of complications in the postoperative period in planned and emergency patients with inguinal hernias; a hernioplasty method with less dependence on the availability of consumables was proposed.

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