Methods of improvement of treatment results in patients with strangulated inguinal hernias

Abstract

OBJECTIVE. The authors investigated the ways of improvement the results of treatment and diagnostics of patients with strangulated inguinal hernias. MATERIAL AND METHODS. An analysis of diagnostic and treatment results was made in 136 patients. The main group included 52 patients who underwent treatment at the period from 2015 till 2016. An individual treatment and diagnostic strategy was applied for these patients, where diagnostic and therapeutic laparoscopy was actively used. The control group consisted of 84 patients who were treated at the period from 2011 till 2014. There was a common diagnostic and treatment strategy. That management led to late diagnostics and unsatisfactory treatment results. RESULTS. The research showed that the rate of common complications decreased from 25 to 1,9 % and the rate of local complications reduced from 29,8 to 5,7 % (p < 0,05). The lethality dropped from 8,3 to 0 %. CONCLUSIONS. The application of individual diagnostic and treatment approach allowed doctors to reduce levels of common and local complications and morbidity rate in patients with strangulated inguinal hernias.

Keywords

• strangulated inguinal hernia
• diagnostics
• laparoscopic hernioplasty