Surgical treatment for incarcerated inguinal and femoral hernias

The article presents the experience of surgical treatment for incarcerated inguinal and femoral hernias in Surgery Unit of the Clinical Hospital "Russian Railways - Medicine", Ulan-Ude. Ventral hernias are one of the most common pathologies in surgery all over the world, while the results of patient treatment remain unsatisfactory, there is a high level of complications and postoperative mortality. This is because of late referral of patients, delayed surgery, elderly and senile age of patients with a pronounced comorbidity and a subtle clinical picture. There are also problems of differential diagnosis, as well as tactical errors in choosing access, determining the scope of surgery and the method of plastics. The Nyhus method of surgery is pathogenetically substantiated for treatment of inguinal and femoral hernias, universal; it allows to clearly visualize the structure of inguinal-femoral region, examine the abdominal cavity, and resect impaired necrotized organs without additional median laparotomy, endotracheal anesthesia, which is important for patients of advanced age with concomitant severe pathology.