Surgery of abdominal wall hernias in Russia with special reference to new technical developments

Abstract

BACKGROUND: We analyzed historic date to follow up hernia surgery changes in Russia since 2002 till 2018 to find out the technical tendencies and to predict the development in the future. METHODS: Official annual statistic report data, mailing questionaries' of Russian Surgery Society, Russian Surginet community and internet survey, generated by surveymonkey.com were used to obtain information regarding inguinal and ventral hernia therapy in Russia. RESULTS: For the first 12 patients operated on in the new eTEP technique we recorded no surgical site infection and recurrence. All patients were satisfied with the procedure. The median operative time was 98 min (range: 82 – 160 min). Good cosmetics were achieved in all patients. CONCLUSIONS: Unfortunately, the principal method of umbilical and midline hernia repair in Russia is a double layer technique without paying attention to concomitant rectus diastasis. This is one of the main reasons for the high recurrence rate.

Keywords

• etep
• laparoscopic hernia
• rectus diastasis