The modern ways in treatment patients with srrangulated hernia of abdominal wall

In a retrospective analysis there are 221 patients with strangulated hernia of abdominal wall in surgery department № 1 «The M.A. Podgorbunsky City Clinical Hospital № 3» in Kemerovo city, in a period from 2008 to 2012 years. In a control group there are 117 patients with hernia repair with local tissues. In a basic group there are 73 patients where we use mesh in plastic hernia, and in comparison group there are 31 patients with laparoscopic hernioplasty with mesh. After hernia repair with using local tissues of strangulated hernia was detected chronic pain in 21.6% patients, and backset - 18.6% of patients. In case when we used mesh in treatment of hernia the number of postoperative purulent complications had not increased, thereby 22,6% of patients had Chronic Pain Syndrome in long-term period; 34.2% patients had seromas, which increased postoperative bed-day in hospital to 20 days longer. The laparoscopic hernioplasty with mesh in strangulated hernia of abdominal wall decreased number of backsets in comparison with autoplasty from 18.9% to 0%. After laparoscopic hernioplasty with mesh in strangulated hernia of abdominal wall in comparison with "open” technique of operative treatment hernia, the number of seromas was 10 times less, an average postoperative bad-day decreased from 20 to 10 days, only 4.8% patients had Chronic Pain Syndrome.