ABSTRACT
The study was conducted with the aim to improve the results of treatment of patients with inguinal hernia by the mode of glue fixation of mesh implant in laparoscopic hernioplasty. Laparoscopic hernioplasty was performed on 96 patients at the N.D. Monastyrsky Department of Surgery of North-Western State Medical University named after I.I. Mechnikov, on the base of L.G. Sokolov Clinical Hospital â 122, in the period from 2014 to 2016. The patients were divided into three groups: I group - 36 patients, who underwent laparoscopic transabdominal preperitoneal inguinal hernia repair (TAPP) without supplying of mesh implant under spermatic cord and its fixation with cyanoacrylate glue "B-Braun" with elimination of peritoneum defect above the implant with a thread V-loc; II group consisted of 34 patients, treated with laparoscopic TAPP without cutting of mesh implant and its fixation along the periphery with titanium staples with the subsequent closing of peritoneum defect with titanium staples. Group III included 26 patients who underwent total extraperitonеal laparoscopic hernioplasty without fixation of mesh implant. All patients were males. Complex analysis of the duration of surgical procedure, patients' quality of life, number of complications and level of abdominal pain in incipient post-operative period was carried out. Laparoscopic transabdominal preperitoneal inguinal hernia repair in combination with use of glue composition for fixation of mesh implant improves the quality of life of a patient during post-operative period, contributes to early discharge from the hospital and quicker recovery for resuming job activities.
Subject(s)
Capsule Endoscopy/methods , Hernia, Inguinal/surgery , Herniorrhaphy/methods , Laparoscopy/methods , Sutures , Tissue Adhesives/therapeutic use , Adult , Cyanoacrylates/therapeutic use , Follow-Up Studies , Hernia, Inguinal/pathology , Herniorrhaphy/instrumentation , Humans , Male , Middle Aged , Pain, Postoperative/diagnosis , Pain, Postoperative/physiopathology , Practice Guidelines as Topic , Quality of Life , Recurrence , Surgical Mesh , Treatment OutcomeABSTRACT
The authors demonstrate the results of treatment (16 patients) with giant paraesophageal and posttraumatic diaphragmatic hernia. The article represents the main principles of operation management, key moments of the choice of access, operative techniques and also the features of the usage of modern reticular implants.
Subject(s)
Diaphragm/surgery , Digestive System Surgical Procedures/methods , Endoscopy, Gastrointestinal/methods , Hernia, Diaphragmatic, Traumatic , Hernia, Hiatal , Herniorrhaphy , Aged , Comparative Effectiveness Research , Female , Hernia, Diaphragmatic, Traumatic/pathology , Hernia, Diaphragmatic, Traumatic/physiopathology , Hernia, Diaphragmatic, Traumatic/surgery , Hernia, Hiatal/pathology , Hernia, Hiatal/physiopathology , Hernia, Hiatal/surgery , Herniorrhaphy/instrumentation , Herniorrhaphy/methods , Humans , Intraoperative Care/methods , Male , Middle Aged , Organ Size , Polypropylenes/therapeutic use , Treatment OutcomeABSTRACT
An experience with treatment of 42 patients with large and giant hernias of the anterior abdominal wall is described. The treatment used plasty with a polypropylene net by the method used in the clinic. Long-term results were followed up in 36 patients during the period from 6 months to 5 years. Recurrences of hernias were not noted.
Subject(s)
Hernia, Ventral/surgery , Surgical Mesh , Adult , Aged , Female , Follow-Up Studies , Hernia, Ventral/diagnosis , Humans , Male , Middle Aged , Polypropylenes , Time FactorsABSTRACT
An experience with treatment of 23 patients with sliding hiatal hernias is described, in 3 of them (13%) the hernias were great and fixed. Operations on them were performed through a transthoracic access. After bringing the stomach down into the abdominal cavity the fundoplication and crurorhaphy with the esophageal opening strengthened with a polypropylene net were performed. Long-tern results were good.