Effectiveness of various hernioplasty methods in young men (literature review)

Approximately 20 million hernia surgeries are performed worldwide each year. When using modern surgical methods, one of the unfavorable complications after alloplasty is chronic postoperative inguinal pain and reproductive dysfunction. Objective: The aim of the study was to evaluate the effectiveness of the original technique of prevention of complications of non-tension hernioplasty in patients with inguinal hernias. Materials and methods. The retro-prospective analysis included 114 patients aged 18 to 65 years who underwent surgery for an inguinal hernia in the amount of non-tensioning hernioplasty. According to the inclusion and exclusion criteria, 37 male patients aged 18 to 65 years were included in the main (prospective) group. These patients underwent surgical intervention in the amount of non-intensive hernioplasty according to the original technique. The comparison group (retrospective) included 77 male patients with inguinal hernia aged 18 to 65 years, who underwent surgery in the amount of non-extensive hernioplasty using the Lichtenstein technique. Results. The study evaluated the effectiveness of non-tensioning hernioplasty in 114 patients with inguinal hernias performed using the original technique (in 37 patients) in comparison with the results of non-tensioning hernioplasty using the Lichtenstein technique (in 77 patients). During the study, we were able to register a decrease in the frequency of postoperative complications after surgical treatment using the original method in the main group. Conclusions. The developed method of hernioplasty, in the postoperative period, reduces the development of foreign body sensation and the frequency of chronic pain, impaired vascular patency, the development of scrotal edema, funiculitis, and can also help reduce the development of reproductive dysfunction in young males. In this regard, the proposed method can be used for the surgical treatment of direct or oblique inguinal hernias.