Problems of pathogenesis and treatment of inguinal hernia
Herniotomy is rather frequent intervention in the structure of planned operations. Nowadays the problem of inguinal canal strengthening method remains an actual one. Despite of numerous scientific researches and huge practical experience, many clinical problems haven't been solved yet. The problem of optimal choice of the operative intervention method in case of direct and oblique hernias hasn't been also solved. High frequency of inguinal hernia relapses makes this disease a central one for many clinicians. Working out of new plastics methods, which can lead to decrease in relapse frequency, leaves much to be desired. Men who are able to work present the majority of hernia patients. Economic aspects in treatment are based on huge expenses on hospitalization and ambulant rehabilitation. Anatomical preconditions of hernia development are described in the literature sources, but metabolic and micro-morphological changes of connective structures of the inguinal region haven't been studied. In the article the view points of native and foreign scientists are presented concerning the problem of etiopathogenesis, treatment and preconditions for further study on the causes of hernia development at the biochemical and micro-morphological levels.