Hernioplasty in the day patient facility

Objective. The goal of the study is to examine hernia incidence and morbidity pattern in adult population assigned to Municipal Clinical Hospital № 4 (Ulyanovsk) from 2001 to 2015. In order to improve the results of hernia treatment, the study was also aimed at analyzing hernia repair conducted in the day patient facility. Materials and Methods. The authors studied statistical reports of Municipal Clinical Hospital № 4 (Ulyanovsk), as well as protocols (from 2001 to 2015) of surgical department of the day patient facility. Patients in the remote postoperative period who underwent hernioplasty were examined. Results. During 2001-2015 hernia incidence was 9.2, and morbidity rate was 52.9 per 10,000 people. Day patient facility carried out 400 hernia repairs in 387 patients. Hernia incidence in men was 4 times more, than in women; inguinal hernia incidence in men was 7 times more. Inguinal hernia accounted for 68.5 % of the total hernia number. Since 2010, rigid polypropylene mesh Optomesh has been used for plastics of inguinal, umbilical hernias and abdominal white line hernias. Optomesh Thin Light MA-271-0PMT-019 (for men) and MA-271-0PMT-020 (for women), 45*100 mm, are convenient in work because of the optimal shape and dimensions for the inguinal canal plastics. If the plastic reconstruction of the posterial abdominal wall was conducted by the Trabucco and Bassini method, reherniation has not been revealed. Conclusion. To treat inguinal hernias successfully and to reduce the incidence of recurrent disease, correction of the deep inguinal ring and transverse fascia is necessary as an addition to hernioplasty. Suture-less combined hernioplasty with rigid polypropylene mesh is the best method to treat inguinal hernias, multiple abdominal white line hernias, and combination of umbilical hernia with abdominal white line hernia. For inguinal hernioplasty, rigid anatomical Optomesh Thin Light mesh MA-271-0PMT-019 (for men) and MA-271-OPMT-020 (for women), 45*100 mm, are effective. Outpatient surgery minimizes risks of hospital-acquired infection, it is economically justified, and it satisfies patients' requests.