RETROSPECTIVE ANALYSIS OF LONG-TERM RESULTS OF ENDOVIDEO SURGICAL TREATMENT OF INGUINAL HER- NIA BY LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL HERNIOPLASTY

Abstract

The urgency of the treatment of inguinal hernias is due to the widespread occurrence of this pathology (3-7% of the population), a significant incidence of people of working age (40% of all cases of hernias), and a relatively high relapse rate (10-30%). The first publications on the development of transabdominal preperitoneal plasty (TAPP) technique are appearing in Russia, while the minimum relapse rate (0.8-2.2%) is reported. The negative features of laparoscopic operations include postoperative neuralgia and paresthesia, the development of hematomas and the accumulation of serous fluid in the inguinal region, a long period of development of the technique, the high cost of equipment and supplies. Domestic explants and herniostaplers appeared on the market. There are single reports of the results of their use. This requires dynamic screening of the immediate and long-term results of the use of new materials, the study of the consequences of treatment at the stage of acquiring operational experience. Objective: to generalize the accumulated experience and study the immediate and long-term results of transabdominal preperitoneal plasty. Direct results for 2 months were studied in 60 patients. Of these, 45 were questioned in a remote period. The quality of life was assessed using the standard SF-36 Health status survey. 12 out of 45 patients surveyed underwent examination and ultrasound. The results of the use of explants and staplers of domestic and foreign production are compared. An analysis of the data revealed a good quality of life for patients in the distant postoperative period after TAPP, a low relapse rate, which gives reason to continue using this method. There were no statistically significant differences in the frequency of complications in patients with the installation of domestic and foreign explants and the fixators used. A small number of observations require further research.

Keywords

inguinal hernia / transabdominal preperitoneal plasty / recurrence / postoperative complications / quality of life

References

[1] 1. Белоконев, В.И. Национальные клинические рекомендации по герниологии раздел «Паховые грыжи» / В.И. Белоконев, Н.А. Ермаков, В.В. Ждановский [и др.] // Министерство здравоохранения РФ. - 2017. - 41 с.

[2] 2. Киреев, А.А. Сравнительный анализ непосредственных и отдаленных результатов паховых аллогерниопластик / А.А. Киреев, Д.Ю. Богданов, Ш.А. Алишихов, М.В. Колесников // Endosk. Hir. - 2009. - №4. - С.6-11.

[3] 3. Криворучко, И.А. Осложнения лапароскопической пластики паховых грыж / И.А. Криворучко [и др.] // Харківська хірургічна школа. - 2015. - №3 (72). - С.123-125.

[4] 4. Сигуа, Б.В. Эндовидеохирургическое лечение двусторонних паховых грыж / Б.В. Cигуа, В.П. Земляной, Д.С. Сёмин, Г.Н. Горбунов // Вестник Российской Военно-медицинской академии. - 2016. - №3. - С.79.

[5] 5. Andresen, K. Mesh fixation methods and chronic pain after transabdominal preperitoneal (TAPP) inguinal hernia surgery: a comparison between fibrin sealant and tacks / K. Andresen, A.Q. Fenger, J. Burcharth, H.C. Pommergaard, J. Rosenberg // Surg. Endosc. - 2017. - №31(10). - Р.4077-4084.

[6] 6. Bullen, N.L. Open versus laparoscopic mesh repair of primary unilateral uncomplicated inguinal hernia: a systematic review with meta-analysis and trial sequential analysis / N.L. Bullen, L.H. Massey, S.A. Antoniou, N.J. Smart, R.H. Fortelny // Hernia. - 2019. - №23(3). - Р.461-472.

[7] 7. Johansen, N. Nationwide Results on Chronic Pain After Bilateral Transabdominal Preperitoneal Inguinal Hernia Repair / N. Johansen, C.D. Vyrdal, T. Bisgaard // Scand. J. Surg. - 2019.

RIGHTS & PERMISSIONS

Botnikova S.V., Shvedyuk V.V., Botnikov N.A.