Ultrasound assessment of reparative processes in the area of installation of titanium mesh implants after laparoscopic inguinal hernioplasty

Introduction. The use of various implants in herniology dictates the need to study the quality of their integration. In this aspect, it is often impossible to perform morphological studies in patients. The purpose of the study. Assessment of reparative processes in the implant placement area depending on its material. Materials and methods of research. The study included 25 patients with inguinal hernia, all underwent laparoscopic hernioplasty. Titanium mesh implant was installed in 11 patients (group 1), polypropylene implant was installed in 14 patients (group 2). Ultrasound evaluation of the implant placement zone was performed 1-3 days, 2 weeks, 2, 6 and 12 months after surgery. Research results. 2 weeks after surgery, residual exudation in the implant placement area was detected in 35,7 % of group 2 patients. Patients of group 1 showed earlier germination of implant cells by connective tissue (2 weeks after surgery) than in group 2 patients (6 months later). 12 months after surgery, a thicker periimplantation scar was formed in patients of group 1 than in patients of group 2 (2,5 ± 0,2 mm vs. 1,25 ± 0,1 mm, at p