ULTRASONIC DIAGNOSTICS IN SURGERY INGUINAL HERNIA

Abstract

Background. The possibilities of ultrasound research in choosing the method of tension or atensional inguinal inguinal hernioplasty at the stage of preoperative preparation are not well understood. Objective. To evaluate the topographic and anatomical parameters of the inguinal interval for hernias in men of various age groups using ultrasound morphometry and to develop an algorithm for choosing the method of inguinal hernioplasty at the stage of preoperative preparation. Material and methods. 133 patients with inguinal hernias were examined. The height of the IS, TMT of the upper wall of the inguinal canal and its length were determined using ultrasound and intraoperative morphometry, as well as the volume of the testicle and the nature of blood flow in a.testicularis before surgery, on day 5 of the postoperative period and a year after hernioplasty. Results. The morphometric parameters of IS in hernias depend on the type of inguinal hernia and the age of the patient. At the stage of preoperative preparation is an ultrasound of the inguinal gap and calculated the coeffcient selection method, tension or tensional inguinal hernioplasty according To the formula: K = h : m, where h is the height of the inguinal gap (mm), m – the total thickness of the muscles of the upper wall of the inguinal canal (mm). When K≥4.83 choose atension methods of hernioplasty, and when K<4.83-tension methods of hernioplasty. Conclusions. Ultrasound at the stage of preoperative preparation allows you to objectively assess the state of the muscle-aponeurotic structures of the IS and choose the method of tension or atension hernioplasty.

Keywords

• ultrasound examination
• inguinal hernias
• choice of hernioplasty method