[Technology of hernioplasty of inguinal hernia using miniapproach].
A new method of treatment of inguinal hernias is proposed. The method is based on projecting the inguinal ring onto the skin under the USI control and using suprainguinal preperitoneal oblique-transverse miniapproach, dissection of the hernia sac, fixing the mesh explant in the preperitoneal space by pi-shaped sutures, thus making the operative trauma minimal and improving the rehabilitation of the operated patients. The clinical topographic-anatomical and ultrasonic methods of investigation were used. The technology was applied in the operative treatment of 89 patients with inguinal hernias. Six episodes of recurrence were noted in the 1-4 year period following the displacement of the mesh explant because of the absence of fixation and little size of the mesh. The proposed technology is an alternative to video-laparoscopic methods of treatment.
D013505:Digestive System Surgical Procedures / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006552:Hernia, Inguinal / Q000601:surgery*; D006801:Humans; D008297:Male; D019919:Prosthesis Implantation / Q000379:methods*; D012189:Retrospective Studies; D013526:Surgical Mesh; D016896:Treatment Outcome