Open AccessEXTRAPERITONEAL ACCESS FOR THE TREATMENT OF INGUINAL HERNIA
Author(s) -
Alex Polyakov,
А А Поляков,
I.V. Mikhin,
I.V. Mikhin,
O. A. Kosivtcov,
О. А. Косивцов,
L. A. Ryaskov,
Л А Рясков
Publication year - 2019
Publication title -
vestnik rossijskoj voenno-medicinskoj akademii
Language(s) - English
Resource type - Journals
eISSN - 2687-1424
pISSN - 1682-7392
DOI - 10.17816/brmma13061
Subject(s) - medicine , inguinal hernia , laparotomy , hernia , surgery , general surgery
. Inguinal hernia is one of the most common diseases and occurs mainly in men of working age. The development of surgery and endoscopic technology made it possible to look at this pathology from the other side and move on to pathogenetically substantiated minimally invasive methods of treatment. The aim of the study. To improve the results of the endohernioplasty in inguinal hernias by improving the techniques and determining the advantages and disadvantages of various options for positioning mesh. Materials and methods. The paper reflects the experience of 203 endovideosurgical allohernioplasty in 161 patients using transabdominal preperitoneal (TAPP) and extraperitoneal techniques (TEP, e-TEP). Results. Intraoperative damage to the sigmoid colon occurred twice with sliding inguinal hernias on the left at the beginning of TAPP, one injury required a laparotomy, the other was eliminated laparoscopically. When performing 55 extraperitoneal hernia repair, there were no complications. Long-term results were traced from 6 to 36 months; no relapses were identified. Conclusion. Due to its advantages, the endovideosurgical technique for the treatment of inguinal hernias is a priority, e-TEP access are easier to learn and can be used even in difficult cases, expanding the surgeon’s capabilities and is the first step to master extraperitoneal approaches to other abdominal hernias.