Combined methods of hernioplasty of inguinal hernias

Abstract

In work three new methods of hernioplasty of the inguinal hernias, combining autodermoplasty with autoplasty are offered. In 163 (34,5%) cases preperitonealautodermoplasty in combination with autoplasty of anterior wall of the inguinal canal was applied. Long term postoperative observation (catamnesis of 11 years) revealed 6 (3,7%) relapses. Among 184 (37,8%) hernias with inguinal interspace of oval or fissured form, where consolidation of posterior wall of the inguinal canal was performed by Bassini method (North American variant) in combination with autodermoplasty, and in 140 (28,7%) patients with inguinal interspace of the triangular form of 5 cm and more in height, where the autoplasty with relaxing incision of rectus sheath in a combination with autodermoplasty was carried out, relapses were not diagnosed (catamnesis of 5 years). The differentiated approach to hernioplasty depending on a degree of destruction of posterior wall of the inguinal canal is justified by results of treatment.

Keywords

• паховые грыжи
• сочетание аутопластики с аутодермопластикой