ANALYSIS OF SURGERY FOR INGUINAL HERNIA UNDER HERNIA CENTER

The purpose of research - to evaluate the spectrum of surgical procedures performed in patients with inguinal hernias, in clinical practice, surgical hospital in Moscow. Material and methods. Cross-sectional study carried out with sequential selection of all patients with inguinal hernias operated in a planned manner in the surgical clinic CCH № 1 named after N.I. Pirogov in Moscow in the period from September 1, 2017 on December 31, 2017 The study was observational in nature, exclusion criteria were not. The study included 175 patients with inguinal hernias. Found 201 inguinal hernia, made 201 hernioplasty. Results. 42 (20.9%) patients underwent “open” alloplastic - Liechtenstein operation (in all cases a one-sided). Videolaparoscopic intervention conducted 133 patients (26 in the hernia observations wore a bilateral nature, only 159 procedures (79.1%)). TAPP hernioplasty performed in 140 cases (69.6% of 118 patients) TER hernioplasty - in 19 (9.5%, 15 patients). Lichtenstein operation performed usually patients with large hernial ring (3 cm). Among patients who underwent intervention Endovideosurgery dominated patients with hernial ring to 1.5 cm. Also, among patients who underwent open surgery, patients are often met with oblique hernias. Furthermore, Liechtenstein operation was performed in patients with severe concomitant therapeutic pathology, inguinal-scrotal hernia, endotracheal failure of anesthesia. Complications in the immediate postoperative period, fixed in 1 (0.5%) patients - after TAPP formed preperitoneal hematoma. The mean hospital stay of 2.6 days. Signs of relapse of the disease, the formation of chronic pain, septic, and venous thromboembolic complications were recorded. Conclusion. The vast majority of operations for inguinal hernia in the CCH № 1 named after N.I. Pirogov during the reporting period 2017 Endovideosurgery satisfied (79.1%). The widespread introduction of minimally invasive technologies endovideosurgical work according to current clinical guidelines, training of employees, the formation of a significant flow profile allows patients to surgical hospital of the city hospital to assist patients with inguinal hernias at the level of the world standards.

Hernia anterior abdominal wall, inguinal hernia, alloplastica, Laparoscopic plastic, endoscopic plastic, TAPP, TER, Lichtenstein operation