Choosing the method of inguinal hernia alloherniaplasty in ambulatory surgery

The authors have analyzed the results of treatment of 310 patients with inguinal hernias using different methods (TAPP, Lichtenstein and applying PHS system) in hospitalization replacement environment and based on the health status survey MOS SF-36 (Medical Outcomes Study Short Form-36) of 220 patients after the surgery. The best results on post-surgery complications (TAPP - 3,3%, Lichtenstein - 12%, PHS - 8,7%), on treatment efficacy - relapse rate (TAPP - 0,67%, Lichtenstein - 2,5%, PHS - 1,257%), on recovery time were obtained when using the TAPP methods with laparoscopic technology. The use of TAPP in hospitalization replacement environment is justified, especially with patients of working age, for faster recovery of labor activity. The data obtained demonstrate the high efficiency of the applied methods of inguinal hernia treatment and allow to reasonably recommend their use in hospitalization replacement environment.