AGE FEATURES APONEUROSIS OF THE EXTERNAL OBLIQUE ABDOMINAL MUSCLES, THE TRANSVERSE FASCIA IN THE GROIN AREA AND THEIR SIGNIFICANCE IN SURGICAL TREATMENT OF PATIENTS WITH BILATERAL INGUINAL HERNIA
Inguinal hernia repair is one of the most commonly performed surgical procedures. According to V. Zebrowski and MT Elbashira, VI Orohovskogo of stationary operations almost 15% is held by inguinal hernia [1, 4]. A significant proportion of patients with inguinal hernia consists of patients with contralateral formations. Most authors include bilateral inguinal hernias to complex types of abdominal hernias, which presupposes the particular tactics and technologies for their treatment. [5] This is due, with unsatisfactory results eliminate complex hernias, performed in general surgical wards. In particular, according to the FA Eryasheva, AD Nicholas et al., J.P. Ritz et H.J. Buhr relapse rate while eliminating complicated inguinal hernia is 50%, and postoperative complications occur in every second patient [3]. No defined technology features eliminate bilateral inguinal hernias, allowing with maximum efficiency to realize organizational and technical capacities of modernizing the Russian health care. Based on the analysis of stationary performance bilateral inguinal hernia diagnosed in 12.8% of inguinal hernia patients. [2] These data do not correlate very well guess RS Reid [6] believes that the contralateral inguinal hernias should be identified at every second man over eighty years. Thus, at present there is no consensus on the frequency of kontralateralnyh hernias, modes of plastic inguinal canal and Remedy bilateral inguinal hernias. These circumstances have defined the goal and objectives of the study.