Anti-adhesive plastic surgery of the inguinal canal in the treatment of inguinal hernias (Clinical and experimental work)
https://doi.org/10.17238/2072-3180-2025-2-47-26
Abstract
Introduction. According to Russian and European surgeons, the data of long-term results of surgical treatment of inguinal hernias have conflicting opinions about the use of polypropylene nets (Lichtenstein, TEP, TAPP), indicating a deterioration in fertility in men. Without detracting from the advantages of these techniques, we propose plastic surgery of the inguinal canal with a parietex anti-adhesive mesh.
The aim of our work is to improve the results of surgical treatment of inguinal hernias and preserve male fertility in the reproductive age.
Materials and methods. To substantiate the proposed operation for inguinal hernias, we conducted experimental work on 12 animals. During the period 2019–2024, we operated on 166 patients, including 79 patients using our own technique, including recurrent inguinal hernias.
Results. Examination of patients of childbearing age with inguinal canal plastic surgery with anti-adhesive mesh paritex, before and after surgery, revealed no change in fertility indicators. In addition, no cases of recurrence have been identified. Conclusion. This technique can be recommended as an alternative for the treatment of the most common forms (small, medium, recurrent, non-reversible) inguinal hernias.
About the Authors
Z. R. Gazieva
«Dagestan State Medical University" of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Gazieva Zainab Rashidovna – postgraduate student at the Department of Faculty Surgery
367005, Republic of Dagestan, Makhachkala, Lenin Square, building 1
R. M. Gaziev
«Dagestan State Medical University" of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Gaziev Rashid Magomedovich – MD, Head of the Department of Faculty Surgery
Lenin Square, Makhachkala, 367005, Republic of Dagestan
A. S. Alkadarsky
«Dagestan State Medical University" of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Alkadarsky Aliskender Selimovich – Candidate of Medical Sciences, Associate Professor, Head of Department of Pathological Anatomy
367005, Republic of Dagestan, Makhachkala, Lenin Square, p. 1
H. Z. Omarova
«Dagestan State Medical University" of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Omarova Khadizhat Zagirbegovna – PhD, Associate Professor of the Department of Faculty Surgery
367005, Republic of Dagestan, Makhachkala, Lenin Square, p. 1
I. G. Kiblaev
«Dagestan State Medical University" of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Kiblaev Ilyas Gadzhievich – PhD, Associate Professor of the Department of Operative Surgery
Lenin Square, building 1, Makhachkala, 367005, Republic of Dagestan
M. Sh. Gadzhiev
HUZ "Design Bureau" Russian Railways-Medicine"
Russian Federation
Russian Federation
Gadzhiev Magomed Shamilovich – surgical resident of the highest category
367015, Republic of Dagestan, Makhachkala, Imam Shamil Ave., 54
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Review
For citations:
Gazieva Z.R., Gaziev R.M., Alkadarsky A.S., Omarova H.Z., Kiblaev I.G., Gadzhiev M.Sh. Anti-adhesive plastic surgery of the inguinal canal in the treatment of inguinal hernias (Clinical and experimental work). Moscow Surgical Journal. 2025;(2):47-54. (In Russ.) https://doi.org/10.17238/2072-3180-2025-2-47-26
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