Comparative analysis of the outcomes of treatment with inguinal canal repair according to the Lichtenstein technique and laparoscopic hernioplasty (TAPP) in patients with an inguinal hernia

The analysis of the treatment outcomes of 358 patients with an inguinal hernia, treated surgically from 2015 to 1016 in the department of sur-gery No17 of Municipal Clinical Hospital named after S.P. Botkin, has been conducted. Among them there were 320 men (89,4%) and 38 women (10,6%). An average age of the patients was 51,6±17,3 years. 9 (2,5%) patients presented with a recurrent inguinal hernia. Inguinal canal repair (according to the Li-chtenstein technique) was performed in 233 patients (65,1%, the first group), and laparoscopic hernioplasty (TAPP) was performed in 125 patients (34,9%, the second group). The diagnosis in the course of comparative analysis was formulated according to the NYHUS L.M. (1993) classification with the purpose of the data unification. Statistical groups had no significant differences in gender, age, or type of hernia according to the degree of complexity. Statistically significant differences in indices were not revealed in the course of analysis of the shirt-term results in the two compared groups. For the pur-pose of the investigation of the long-term results we have analyzed the cases of a recurrent hernia, as the main aspect. We have also conducted a testing with the use of the Short-Form Health Survey MOS SF-36 to take an assessment of the life quality of the patients, who were operated on for inguinal hernia. In the group of patients after the TAPP repair stabilization of indices of physical and psychological components was observed at 6 month after the surgery. In the group of patients after the inguinal canal repair (according to the Lichtenstein technique) stabilization was observed within a year after the surgery. During the second year of monitoring and assessment there were no significant changes in the both groups.In conclusion, the both methods of tension-free hernioplasty can be considered as similarly effective and reliable techniques for the surgical treatment of inguinal hernia. These methods can be also characterized by the minimal amount of postoperative complications and recurrences. Recovery of physical and psychological components of health in the postoperative period of TAPP occurs earlier than in the postoperative period of inguinal canal repair according to the Lichtenstein technique. Stabilization of physical and psychological components of health during the postoperative period occurred earlier in patients of a younger age than in elderly and senile patients. This is connected with the presence of concomitant somatic diseases that reduce physical activity and psychoemotional background in this category of patients.