LONG-TERM OUTCOMES OF VARIOUS METHODS OF HERNIOALLOPLASTY AND THE IMPLANTS USED IN MEN WITH INGUINAL HERNIAS

Abstract

This article presents the results of a study aimed at investigating the long-term clinical outcomes of various hernioplasty techniques and the effectiveness of the implants used in patients who underwent operative treatment for inguinal hernia. Depending on used treatment methods patients were divided into 3 groups: control group (58 patients), who underwent hernioalloplasty using the I.L.Lichtenstein method with a conventional prolene mesh; the first study group-(27 patients), who underwent hernioalloplasty using the Trabucco method with rigid and semi-rigid T1 and T2 prostheses with memory of shape «Hertra», and the second study group (24 patients), who underwent hernioalloplasty using the I.L.Lichtenstein method with a partially absorbable monocrylprolene composite mesh «Ultrapro» (Ethicon). The ratio of different types of IH according to the classification of the European Hernia Society (EHS,2007), in the groups of patients was approximately the same, and did not differ significantly from each other (p>0,05). It was established that hernioalloplasty with a partially absorbable monocrylprolene composite mesh «Ultrapro» according to the I.L.Lichtenstein method is the most optimal and reliable surgical method for plastic surgery of IH in male-patients due to the simple technique of surgical intervention, a reliable low (p<0,01) frequency of late complications, in comparison with hernioalloplasty according to the I.L.Lichtenstein method with a conventional prolene mesh (2,1 times), and a non-fixed implant with memory of shape «Hertra» according to the Trabucco method (1,8 times), the best indicators of quality of life and the absence of relapses.