Comparative analysis of laparoscopic preperitoneal repair of inguinal hernias and lichtenstein hernioplasty
A. P. Ukhanov,
D. V. Zakharov,
S. A. Zhilin,
S. V. Bolshakov,
K. D. Muminov,
Yu. A. Aselderov,
A. I. Leonov https://doi.org/10.34680/2076-8052.2024.2(136).284-303
Abstract
The purpose of the study is a comparative analysis of the results of transabdominal preperitoneal laparoscopic surgery and inguinal hernioplasty according to Lichtenstein. From 2017 to 2023, 695 patients with inguinal hernias were operated on in Clinic 2 of the Central City Clinical Hospital of Veliky Novgorod. 322 (46.3%) patients had surgery performed by endovideosurgical method and 373 (63.7%) had open surgery according to Liechtenstein.
Conversion to open surgery was performed in 4 (1.2%) patients. A comparative analysis of the results shows that laparoscopic preperitoneal repair of inguinal hernias has certain advantages over open interventions, in particular, there is a statistically significant reduction in the time of surgical intervention (54.7 minutes and 63.8 minutes, respectively), a reduction in the period of relief of postoperative pain syndrome and the prescription of analgesics (1.3 days and 2.6 days), a decrease in the number of postoperative complications (5.0% and 8.6%) and length of hospital stay (3.6 days and 5.2 days, respectively). Laparoscopic preperitoneal hernia repair, performed with strict application of a standardized technique and by an experienced surgeon, is an excellent approach for treating the inguinal hernias compared with Lichtenstein surgery, regardless of whether it was used for unilateral or bilateral, primary or recurrent inguinal hernias, and is characterized by fewer postoperative complications and relapses with all the advantages of laparoscopic surgery, such as reduced postoperative pain, early mobilization and short stay in the hospital.
About the Authors
A. P. Ukhanov
Yaroslav-the-Wise Novgorod State University; Central City Clinical Hospital
Russian Federation
Russian Federation
Veliky Novgorod
D. V. Zakharov
Yaroslav-the-Wise Novgorod State University; Central City Clinical Hospital
Russian Federation
Russian Federation
Veliky Novgorod
S. A. Zhilin
Yaroslav-the-Wise Novgorod State University; Central City Clinical Hospital
Russian Federation
Russian Federation
Veliky Novgorod
S. V. Bolshakov
Yaroslav-the-Wise Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
K. D. Muminov
Yaroslav-the-Wise Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
Yu. A. Aselderov
Yaroslav-the-Wise Novgorod State University
Russian Federation
Russian Federation
Veliky Novgorod
A. I. Leonov
Yaroslav-the-Wise Novgorod State University; Central City Clinical Hospital
Russian Federation
Russian Federation
Veliky Novgorod
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Ukhanov A.P., Zakharov D.V., Zhilin S.A., Bolshakov S.V., Muminov K.D., Aselderov Yu.A., Leonov A.I. Comparative analysis of laparoscopic preperitoneal repair of inguinal hernias and lichtenstein hernioplasty. Title in english. 2024;(2(136)):284-303. (In Russ.) https://doi.org/10.34680/2076-8052.2024.2(136).284-303
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