Efficiency of various methods of surgical treatment of patients with inguinal hernias

Abstract

INTRODUCTION. The issue of a relapse-free treatment in herniology has not yet been resolved. Over the past few years due to the development and wider use of modern technologies, there has been an improvement in the quality of surgical care for patients with inguinal hernias. Approaches to preparation for surgical interventions, redistribution of surgical options and postoperative management of patients have also changed significantly.The OBJECTIVE of this work was to determine modern aspects of the treatment of patients with inguinal hernias and the effectiveness of various methods of surgical treatment in herniology, as well as to identify differences due to statistical heterogeneity in research results.METHODS AND MATERIALS. More than 2,000 domestic and foreign publications on the surgical treatment of inguinal hernias were subjected to preliminary analysis. Taking into account the inclusion and exclusion criteria, the review included 10 scientific studies published in domestic and foreign scientific journals from 2014 to 2022. We analyzed 2649 cases of surgical treatment of patients with inguinal hernias, assessing the results of treatment and the clinical effectiveness of various methods.RESULTS. When comparing methods of operations, the best results in terms of the frequency of relapses and the frequency of specific complications were obtained with transabdominal preperitoneal plastic surgery of inguinal hernias. The worst results in terms of the frequency of relapses were demonstrated by total extraperitoneal plastic surgery, in terms of the frequency of specific complications, the highest percentage belongs to Liechtenstein hernia repair. Taking into account the heterogeneity of patients in the studies, we can conclude that the use of transabdominal preperitoneal plastic surgery is a priority.CONCLUSION. The overall effectiveness of treatment of patients with inguinal hernias has significantly improved using modern principles of evidence-based medicine, standardized approaches to the management of surgical patients and the prevention of possible complications. Endovideosurgical operations widely introduced into practice all over the world have shown the best results in assessing the risk of relapses and specific postoperative complications. However, compared to other methods, the share of endovideosurgical operations is a smaller percentage.

Keywords

• review
• meta-analysis
• hernia repair
• inguinal hernia
• total extraperitoneal plastic surgery
• transabdominal preperitoneal plastic surgery
• liechtenstein hernia repair
• endovideosurgery
• tapp
• tep