TRANSABDOMINAL PREPERITONEAL ALLOPLASTY OF INGUINAL HERNIAS USING A NANOMODIFIED MESH IMPLANT

Authors:

Abstract:

Surgical treatment of 142 patients with inguinal hernias who underwent transabdominal preperitoneal allohernioplasty was analyzed. The author's mesh was used in group I patients, and in group II patients, a classical polypropylene mesh was used. Statistically, significantly better results were obtained in patients of group I compared with group II: seroma was found in 1.4 % and 7.0 % of patients, respectively. Chronic pain was observed in 5.6 % of patients in group II compared to group I, with no such complications, hernia recurrence – in 8.5 % and 1.4 % of patients, respectively. The duration of inpatient treatment in group I was 2.3±1.2 days, in group II – 5.2±1.1 days. Surgical treatment of inguinal hernias using nanomodified polypropylene mesh was more effective than using classical polypropylene mesh, as evidenced by a decrease in the seroma frequency from 7.0±1.3 to 1.4±0.3 %, chronic postoperative pain – from 5.6±0.2 to 0 %, hernia recurrence – from 8.5±0.3 to 1.4±0.2 %.

Keywords:

inguinal hernia nanomodified polypropylene mesh postoperative wound complications

References:

1. Davlatov SS, Mardanov BA. Verificatsiya sistemnogo podchoda к vypolneniyu simultantnykh operatsiy na organakh bryuchnoy polosti i bryuchnoy stenke y bolnyckh s ventralnoy gryzhey. Schpitalna khirurhiya. Gyrnal imeni L.J.Kovalchyka. 2020; 3(91): 11–16. doi:10.11603/2414-4533.2020.3.11027. [in Russian]
2. Ioffe OJ, Kindser SL, Stezenko OP, Galuga TM, Omelchenko AV. Zastosuvannya vakuumnoyi terapii ran v likuvanni infekziynykh uskladnen z boku pislyaoperatsiynykh ran. Schpitalna khirurhiya. Zhurnal imeni L.J.Kovalchyka. 2020; 3(91): 70–76. doi:10.11603/2414-4533.2020.3.11464. [in Ukrainian]
3. Lutkovskyi RA. Laparoskopichna aloplastika hryzh biloyi liniyi zhivota poednanykh z diastazom pryamykh myaziv zhivota pry vykorystanni polipropilenovoyi sitku modyfikovanoyi vugletsevymy nanotrubkamy ta antyseptikom. World Science. 2020; 4: 20–23. doi:https://doi.org/10.31435/rsglobal_ws/30042020/7019. [in Ukrainian]
4. Malinovskyi AV, Galimon MM, Badion SY. Mini-laparoskopicheskie operatsii v sochetanii s Fast-Track protokolom pri zholchekamennoy bolesni i gryzhakh. Khirurhiya Ukrainy. 2019; 3(71): 30–37. doi:http://doi.org/10.30978/SU2019-3-30. [in Russian]
5. Feleshtynskyi JP, Lutkovskyi RA, Smishchuk VV, Vatamanyuk VF. Khirurhichne likuvannya pislyaoperatsiynykh gryzh zhivota gigantskoho rosmiru z vykorustannyam modyfikovanoyi polipropilenovoyi sitky. Khirurhiya Ukrainy. 2019; 1: 9–13. doi:http://doi.org/10.30978/SU2019-1-9. [in Ukrainian].
6. Bansal VK, Misra MC, Babu D. A prospective, randomized comparison of long-term outcomes: chronic groin pain and quality of life following totally extraperitoneal and transabdominal preperitoneal laparoscopic inguinal hernia repair. Surgical Endoscopic. 2013; 27: 2373–2382.
7. Bradley JF, Williams KB, Wormer BA. Value of glue fixation on long term Quality of Life in Laparoscopic Inguinal Hernia Repair. Hernia. 2013; 17: 118.
8. Elzakaky N, Elkayal E, Shavky A. Components separation technique in the management of large ventral hernias. Hernia. 2015; 19: 188.
9. Klinge U, Klosterhalfen В. Modified classification of surgical meshes for hernia repair based on the analyses of 1,000 explanted meshes. Hernia. 2012; 16(3): 251–258.
10. Millbourn D, Cengiz Y, Israelsson LA. Risk factors for wound complications in midline abdominal incisions related to the size of stitches. Hernia. 2011; 15: 261–266.

Publication:

«World of Medicine and Biology» Vol. 18 No. 79 (2022) , с. 90-93
УДК 617.557-007.43-089-06:539.55

DOI:

https://doi.org/10.26724/2079-8334-2022-1-79-90-93