CHANGES IN SPERMATOGENESIS AFTER SIMULATED INGUINAL HERNIA REPAIR IN EXPERIMENT.

The Lichtenstein method revolutionized the treatment of inguinal hernias. But this method is accompanied by serious complications, as evidenced by the publications of recent years. Such complications include the development of fibrous changes in the scrotum, deejaculation, obstructive azoospermia, oligospermia. Therefore, in the treatment of inguinal hernia, the so-called isolation methods are becoming more and more relevant, which implies complete isolation from the rope mesh and does not affect spermatogenesis. Aim of the study - to compare the morphological parameters of sperm before and after hernia surgery in the groups that underwent modeled herniaplasty by Lichtenstein's method and with spermatic cord isolation from a mesh by Gvenetadze. 16 male rabbits aged 12 months ± 3 months, weighing 3.5 ± 0.5 kg were included in the study. Of these, 8 (50%) underwent hernioplasty by Lichtenstein's method, and 8 (50%) - with complete isolation of Bagirak. Gvenetadze's method. Rabbits were divided into two groups. The first group: 8 rabbits, which underwent Lichtenstein's hernia surgery. The second group: 8 rabbits, which underwent hernioplasty with complete isolation of the sacrum using the Gvenetadze method. In both groups, a spermomorphocytological study was performed 2 days before the operation and 3 months and 6 months after the operation. The study included a complete spermomorphocytological examination by studying the following sperm parameters: sperm volume, color, turbidity, ejaculatory time, stickiness, odor, PH, number of spermatozoa in 1 ml, number of spermatozoa in the whole ejaculate, live spermatozoa, motile spermatozoa, progressive motile spermatozoa, Normal morphological of permatozoites Molds, leukocytes, erythrocytes, lipoid bodies, spermagglutination, fungi, bacteria, mucus. Semen were collected 2 days before surgery, 3 months after surgery, and 6 months after surgery. The sperm was obtained using the so-called "artificial vagina". Our study showed that inguinal hernia repair with spermatic cord isolation does not affect spermatogenesis.

[Our experience of treatment inguinal hernia].

Inguinal hernia is the most common of all of all hernia surgical procedures. Surgery has generally been recommended for all inguinal hernias. The original method of reconstruction of the transverse fascia in patients with inguinal hernia was introduced. Treatment results in 1200 patients with inguinal hernias were analyzed and 558 (46,5%) cases of right-side inguinal hernia, 426 (35,5 %) - left-side inguinal hernia, 96 (8%) - both-sided inguinal hernia, 78 (6,5%) - recurrent inguinal hernias, 42 (3,5%) - multiple recurrent hernias, 608 (51%) - oblique inguinal hernia, 452 (38%) - straight inguinal hernia, 52 (4%) - oblique and straighten duct inguinal hernia, 51 (4%) - combined inguinal hernia (oblique and straight ) on one side, 29 (2%) - combined inguinal hernia (oblique on one side and straight on the other side), 777 (65%) - free inguinal hernia were revealed. Transversal fascia by prolen mesh technique is pathogenetically relevant and has shown good results.

[Treatment of abdominal hernias by cellular endoprosthesis].

Abdominal hernias are the most common conditions requiring surgery. The objectives of abdominal hernial repair are to minimize recurrence of the disease. The prosthetic hernioplasty, which was introduced by Stoppa and Rives, became one of the widely accepted. Long-term results of the surgical treatment using new modification of Rives-Stoppa technique were presented. The medical records were reviewed of 143 patients who underwent hernial repair. The decrease of complications such as infections, seromas, and hematomas, and tissue inflammation were reported. This technique is safe with a low risk of complications and a low rate of recurrence.

[Analysies of different methods of treatment of osteoarticular system disorders].

The aim of the present work was the analyses of different methods of treatment of patients with osteoarticular system disorders. The case histories of 80 patients aged 25-85 with long cortical bone and backbone damages were studied to reveal the best method of treatment. The investigation covered the period from 2004-2008. It was revealed that osteosynthesis allows to avoid the development of osteoporosis and promotes bone reconstruction.

[Interleukin 2 (Ronkoleukin) and its effect on immune state in children with acute hematogenous osteomyelitis].

The object of the present research was to study the effect of recombinant interleukin-2 (Ronkoleikin) on immune system in children with acute hematogenous osteomyelitis of long cortical bones. The investigation was conducted on 13-15 year old 30 patients with acute hematogenous osteomyelitis of long cortical bones. It was found that Ronkoleukin in sick children with acute hematogenous osteomyelitis of long cortical bones leads to improvement in humoral immune system. The pro- and anti inflammatory cytokine content is normalized.