Combined groin hernia surgeries

The summarized experience of surgery treatment of groin hernias with the use of combined surgery procedure is presented in the article. The goal of the research is to study combined methods of plastic surgery of the posterior wall of the inguinal canal with the aim to improve outcomes of groin hernia surgery treatment. The objective of the research consists in the development and study of the outcomes of combined plastic surgery conducted on the posterior wall of the inguinal canal with the use of Bassini’s procedure together with its simultaneous reinforcement by a surgical mesh during surgical treatment of IIIA, IIIB, IVA and IVB types groin hernia (classification according to L. Nyhus, 1993). The analysis of the results of groin hernia surgeries in 101 patients was carried out. The patients were divided into two groups. The first group included 67 patients after major groin hernia surgeries with the plastic surgery using Bassini’s procedure. The second group included 34 patients after surgeries with the use of combined hernioplasty. The data of all patients involved in the study were analyzed according to age, sex, duration of the hernia disease, and recurrence rate. The remote results were evaluated by recurrence rates during the period from 6 months to 4 years. In group 1 recurrence was found in 4 patients out of 67 (5,9 %). In group 2 recurrent hernia was identified in 1 patient out of 34 (2,9 %). The applied technique of combined hernioplasty allowed to reduce the recurrence rate for complex forms of groin hernia, compared with traditional techniques of tension hernioplasty. The combined technique allows to reduce implant loading in the early post-surgery period, which makes it possible for the scar tissue to develop around the mesh.