FEATURES OF TENSION-FREE INGUINAL HERNIOALLOPLASTY IN PATIENTS OF OLDER AGE GROUPS
Keywords:
inguinal hernia, older age group, surgical treatment.Abstract
A modified “tension-free” inguinal hernia alloplasty has been introduced into clinical practice in elderly and senile patients. By simultaneously fixing the mesh implant to the anterior and posterior walls of the inguinal canal, it was possible to level out technical difficulties, and by simplifying the suturing of tissue in a direction parallel to the horizontal plane, the stage of fixing the graft to the walls of the inguinal canal was significantly reduced from 17.4 ± 0.5 minutes to 9.6 ± 0.7 minutes. In general, when performing hernialloplasty using the modified “tension-free” method, the total operation time was reduced from 67.4±5.6 to 41.6±3.8 minutes (p<0.001). The method of combined treatment of inguinal hernia allows solving several problems simultaneously: fixing the graft to the walls of the inguinal canal by simplifying the suturing of tissue in a direction parallel to the horizontal plane, strengthening the walls of the inguinal canal and protecting the spermatic cord from possible external household injuries, preventing massive growth of connective tissue between the prosthesis and spermatic cord.
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