Ways To Improve the Effectiveness of Treatment of Patients With Inguinal Hernias
Keywords:
inguinal canal hernia, treatment, Lichtenstein operationAbstract
234 male patients with various types of inguinal hernias were selected for the study. The patients were divided into two groups depending on the choice of treatment tactics: – the comparison group consisted of 96 (41.0%) patients with a herniated disc who underwent autoplasty of the hernia using traditional methods; - the main group consisted of 138 (59.0%) patients, of which 63 (45.6%) underwent the Lichtenstein technique, and 75 (54.4%) underwent “tension-free” hernialloplasty according to the modified technique we proposed. The use of an algorithm for selecting a tension-free method of hernia alloplasty depending on the condition of the tissues of the inguinal triangle made it possible to reduce the overall incidence of postoperative complications from 13.5% to 7.2% (p = 0.045). The Lichtenstein operation, as well as the use of its improved technique, made it possible to improve the quality of rehabilitation, reducing specific complications, including recurrent hernias, from 8.5% in the comparison group to 1.7% in the main group.
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