Anti-adhesive plastic surgery of the inguinal canal in the treatment of inguinal hernias (Clinical and experimental work)

Introduction. According to Russian and European surgeons, the data of long-term results of surgical treatment of inguinal hernias have conflicting opinions about the use of polypropylene nets (Lichtenstein, TEP, TAPP), indicating a deterioration in fertility in men. Without detracting from the advantages of these techniques, we propose plastic surgery of the inguinal canal with a parietex anti-adhesive mesh. The aim of our work is to improve the results of surgical treatment of inguinal hernias and preserve male fertility in the reproductive age. Materials and methods. To substantiate the proposed operation for inguinal hernias, we conducted experimental work on 12 animals. During the period 2019–2024, we operated on 166 patients, including 79 patients using our own technique, including recurrent inguinal hernias. Results. Examination of patients of childbearing age with inguinal canal plastic surgery with anti-adhesive mesh paritex, before and after surgery, revealed no change in fertility indicators. In addition, no cases of recurrence have been identified. Conclusion. This technique can be recommended as an alternative for the treatment of the most common forms (small, medium, recurrent, non-reversible) inguinal hernias.