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

Groin hernias are common in the human population: they occur in 27-43 % of men and 3-6 % of women. They account for 80 % of all abdominal hernias. Hernioplasty is one of the most commonly performed surgical interventions. Currently, non-tension hernioplasty is actively used. The Lichtenstein method of inguinal hernia repair and laparoscopy are the most common techniques worldwide.The results of the review show that different techniques of open and laparoscopic procedures with mesh hernioplasty have no significant effect on male infertility. However, prosthetic mesh hernioplasty may lead to adverse events such as ejaculatory duct obstruction, obstructive azoospermia, oligospermia, and the development of infertility in the male population due to fibrosis resulting from postoperative bleeding, adhesions, and postoperative exercise friction. Additional factors that may affect infertility may include patient age, employment status, psychological factors, and environment.Overall, it can be noted that the main attention should be focused on the standardization of surgical procedures and methods of prevention of intra- and postoperative complications in order to avoid or reduce their pathological impact on the reproductive health and quality of life of the patient.