INGUINAL HERNIAS IN ELDERLY PATIENTS. A NEW METHOD OF TENSION-FREE HERNIOPLASTY
Journal: Journal of the Grodno State Medical University (Vol.19, No. 3)Publication Date: 2021-07-15
Authors : S. M. Smotryn; S. A. Zhuk; V. S. Novitskaya;
Page : 280-284
Keywords : inguinal hernias; elderly patients; tension-free hernioplasty;
Abstract
Aim of the study. To develop a new method of tension-free inguinal hernioplasty in elderly patients, which will expand the arsenal of effective open methods of surgical treatment of inguinal hernias and improve the results of their treatment. Material and methods. A total of 172 elderly patients with inguinal hernias were treated. Hernioplasty according to the Lichtenstein method was performed in 83 patients, and according to the developed method – in 89 patients. The testicular volume and blood flow in a.testicularis were determined by ultrasound before surgery, in the early postoperative period, and 1 year after surgery. Results. The developed method of hernioplasty has the following advantages: 1) it permits to reduce significantly the contact area of the elements of the spermatic cord with a mesh implant; 2) the back wall of the inguinal canal is strengthened not only by the mesh implant, but the aponeurosis of the oblique abdominal muscle; 3) a window in a mesh implant corresponds to the diameter of the elements of the spermatic cord, 4) no decrease in testicular volume at the site of the operative intervention is observed in the late postoperative period. Conclusion. The proposed method of hernioplasty is simple to use and surpasses the well-known Lichtenstein method in a number of parameters.
Other Latest Articles
- MICROBIOLOGICAL EFFICIENCY OF ANTIBIOTIC COMBINATIONS AGAINST INVASIVE KLEBSIELLA PNEUMONIAE STRAINS
- FEATURES OF PEDIATRIC MULTIPLE SCLEROSIS
- MUTUAL EFFECTS OF DIABETES, OBESITY AND SARS-COV-2
- PATHOGENETIC MECHANISMS OF DEVELOPMENT OF GENETIC RESISTANCE TO ANTIBIOTICS IN TREATMENT OF SEVERE INFECTIONS IN INTENSIVE CARE UNITS
- NURSE’S SAFETY ATTITUDES AS PERCEIVED BY GERIATRIC PATIENTS IN HOMECARE INSTITUTIONS
Last modified: 2021-07-15 22:19:30