LAPAROSCOPIC HERNIOPLASTY AS A POSSIBLE CHOICE FOR TREATMENT OF STRANGULATED INGUINAL HERNIA

Abstract

The study investigated the capabilities and outcomes of video-laparoscopic surgery for strangulated inguinal hernia using the TAPP (Transabdominal Preperitoneal) technique. The study included 161 patients. They were operated on in the period from January 2020 to June 2023 in the General Surgery Clinic of the Dnipro State Hospital and divided into two groups. The first group is the main group of 85 people (MG), who underwent laparoscopic hernioplasty - TAPP and the second is the comparison group of 76 (CG), who underwent traditional hernioalloplasty according to Lichtenstein with a diagnosis of strangulated inguinal hernia, of which 127 (79.3%) are men and 34 (20.7%) are women, the average age was 49.2 (23-75) years. The study found that the use of laparoscopic hernioplasty for strangulated inguinal hernia reduced the incidence of early postoperative complications by 2.16 times (p<0.05). The following advantages over open Lichtenstein operation are highlighted. These are the ability to diagnose concomitant pathology in the abdominal cavity, perform extended viscerolysis in hernial orifice area, lower intensity of postoperative pain, early activation of patients, a short general period of treatment and rehabilitation.