ExPERIENCE OF TRANSABDOMINAL PREPERITONEAL HERNIOPLASTY (TAPP) WITH A POLYPROPYLENE MESH ENDOPROSTHESIS WITHOUT TО USE OF A HERNIOSTEPLER
Among all surgical pathologies inguinal hernias are quite common, their proportion is 4, 9%. The aim was to study the early and late postoperative period for complications in patients with classical TAPP-technique of hernioplasty with a group of patients, without fixing the mesh polypropylene endoprosthesis. The study included 140 patients of working age with an established diagnosis of inguinal hernia. The main group included 69 patients with TAPP-plasty without fixing the mesh polypropylene implant. The control group included 71 patients with classical TAPP - plasty of inguinal hernias with fixation of a reticular implant with the help of a herniostepler. After the operative treatment, the duration of the surgical intervention, the severity of the postoperative pain syndrome, the frequency and severity of postoperative complications, and the dose of injectable analgesic agents represented by the opioid derivative were compared. The study shows the effectiveness of the use of an unfixed modification of classical TAPP - hernioplasty.