Clinical effectiveness of various methods of inguinal hernia repair.

Abstract

Objective: Aim: To improve the results of surgical treatment of patients with inguinal hernias.

Patients and methods: Materials and Methods: The paper analyzes the results of surgical treatment of 198 patients who underwent inguinal hernia repair in the period from 2018 to 2024. The study was conducted at the clinical base of the Department of General Surgery of Uzhhorod National University - KNP «Uzhgorod City Multidisciplinary Clinical Hospital» of the Uzhgorod City Council of the SE «Clinical Hospital of Planned Treatment» The study was a bidirectional (ambidirectional study), namely, it included: 1) retrospective analysis ("case-control", randomized multicenter analysis); 2) prospective observation and treatment. The inclusion criteria in the study were: the presence of acquired inguinal hernia, hernioplasty according to the Lichtenstein, Shouldis method, TAPP hernioplasty (transabdominal preperitoneal hernioplasty) and TAPP with suturing of the internal inguinal ring (TAPP with SIIR ) and TEP - total extraperitoneal allohernioplasty, which was performed in the preperitoneal space without entering the abdominal cavity.

Results: Results: The smallest number of complications was recorded after laparoscopic TAPP and TAPP-SIIR hernioplasty, including in people with overweight and obesity. The results obtained were statistically processed with the inclusion of all possible risk factors that could affect the postoperative outcome of each specific patient. Based on the obtained values, χ2 in all cases was equal to or greater than the value of 3.99, which exceeds the critical value of 3.84; p=0.05..

Conclusion: Conclusions: A comprehensive differentiated approach to preoperative preparation of patients with inguinal hernias with correction of comorbid pathology, body mass index and factors that increase intra-abdominal pressure significantly reduces the frequency of early postoperative complications compared with standard treatment tactics (χ²>3.84; p≤0.05).