Open AccessMETHOD FOR INGUINAL HERNIA TREATMENT WITH XENOPERICARDIUM
Author(s) -
А. Н. Митрошин,
Valeriy Nikol'skiy,
E.V. Titova,
Konstantin Sergatskiy,
Aleksandr Gerasimov
Publication year - 2022
Publication title -
archiv euromedica
Language(s) - English
Resource type - Journals
eISSN - 2199-885X
pISSN - 2193-3863
DOI - 10.35630/2199-885x/2022/12/1.11
Subject(s) - connective tissue , inguinal canal , spermatic cord , prosthesis , medicine , abdominal wall , inguinal hernia , hernia , anatomy , surgery , cord , scar tissue , pathology
— Our experimental study shows the possibility of using a xenopericardial plate as a prosthesis in patients with inguinal hernias. The method of hernioplasty proposed by us is tension-free prosthetic technique. The advantage of the proposed method is the low probability of recurrence of a hernia in the area of the inner inguinal ring by strengthening both the posterior and anterior walls of the inguinal canal. Due to the fact that the spermatic cord, m. transversus abdominis and m. obliquus internus abdominis are in contact with the smooth antiadhesive surface of the xenopericardial plate, there is no formation of rough cicatricial fusion and no dysfunction of these structures. As an experiment, this method was tested on thirty Wistar rats with implantation of a prosthesis in the tissue of the anterior abdominal wall. Morphological and morphometric assessment of the tissue in the area of implantation shows that the formation of connective tissue around the implanted hernioprosthesis is very active. The final stage of the experiment (after 3 months) has revealed that the rough side of xenopericardial plate is tightly fixed to the underlying tissues. The xenopericardial plate contacting the tissues with the smooth side does not cause the formation of connective tissue, which protects this area from adhesions in the postoperative period.