Evaluation of the Efficiency of Surgical Treatment of Patients With Inguinal Hernia After Auto and Alloplasty
Inguinal hernia is considered one of the most frequent pathologies in herniology and ranks second after acute appendicitis in abdominal surgery. The purpose of the study was to improve the results of surgical treatment of patients with inguinal hernia. Material and research methods. The work was performed on the basis of the National Surgical Center from 2020 to 2022. This paper analyzes the results of treatment of 118 patients with inguinal hernia operated on by various methods of autoplasty and alloplasty. Patients were hospitalized both on a planned and emergency basis. The average age for men was 46±12.1 years. To obtain reliable results of the study, the patients were divided into two groups: the comparison group included 50 (42.4%) patients and the main group consisted of 68 (56.7%) patients. Patients of both groups correspond in age, duration of the disease, type and localization of the hernia. Results and its discussion. The duration of surgery after autoplasty was 59.6+2.6, and after alloplasty it was 48.4+1.5 minutes (p<0.05). In the study of pain on the Verbal Descriptor Scale, it was shown that the pain syndrome more often bothered patients who underwent autoplasty, the indicator was 5.7+0.6 points, and in patients who underwent alloplasty it was 4.5+0.5. Two days after the operation, the indicators decreased further and amounted to 2.4+0.3 in the first group and 1.1+0.2 in the second group (p<0.05). In the first group, such complications were observed as: hematoma in the area of the surgical wound - 6,0% of cases, seroma - 16,0%, infiltrate - 10%, wound suppuration - 8,0%, pain - 22,0%, hematoma scrotum - 6,0%. In the second group, the following complications were revealed: hematoma - 4,4%, seroma - 4,4%, infiltration of the surgical wound - 5,9%. Conclusions. Alloplasty is considered a highly effective method, due to the non-stretching of tissues and a decrease in the frequency of recurrence in inguinal hernia. It is advisable for patients to perform alloplasty, as it allowed to reduce the duration of the operation, the frequency of pain and reduced the number of postoperative complications by 8,4 from 28.8%.