Method of prosthetics of the closure function of the inner inguinal ring during Lichtenstein surgery

A method for the formation of a muscular cuff in the area of the inner inguinal ring with oblique inguinal hernia is proposed. The clinical result was evaluated in 189 (64.5%) male patients with unilateral oblique inguinal hernias (the main group). Right-sided hernias were detected in 104 cases (55%), left-sided hernias - in 85 (45%). The control group included 104 (35.5%) patients operated according to the classic Lichtenstein method. Right-sided hernias were diagnosed in 56 cases (53.8%), left-sided hernias - in 48 (46.2%). Both groups corresponded to each other in age, the period of herniation and the presence of concomitant diseases. The results in both groups were compared by the presence of relapse within 5 years after surgery. In the control group, 1 (4.7%) relapse was diagnosed among patients with grade III expansion of the inner inguinal ring. According to the intensity and duration of the pain syndrome in the postoperative period, the duration of the operation, and the postoperative bed day, the results in both groups were similar.