Endoscopic surgery and laparoscopy are new insights of evolution of inguinal hernia repair

Михин, И В; Polyakov, Alex; Kosivtsov, O. A.; Ryaskov, L. A.

doi:10.17116/hirurgia2019031121

Cited by 6 publications

(3 citation statements)

References 48 publications

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“…В популяции человека паховые грыжи встречаются у 27-43 % мужчин и у 3-6 % женщин и составляют 80 % всех видов грыж живота [1]. Герниопластика также является одной из распространённых операций в хирургии; ежегодно в мире проводится более 20 млн операций по коррекции ПГ: в Российской Федерации -более 200 тысяч, в США -около 700 тысяч, в Европе -около 1 млн [2].…”

Section: Surgery хирургияunclassified

“…Сегодня в арсенале врача имеются различные методы фиксации сетчатого импланта: кнопки, скобы, самофиксирующиеся сетки, фибриновые герметики, биологические и синтетические клеи и швы. Основная проблема фиксации протеза заключается в соблюдении баланса между степенью его фиксации и риском травмы окружающих тканей и нервов в результате их ущемления протезом [2]. Недостаточная фиксация протеза ведёт к рецидиву, а травма окружающих тканей увеличивает частоту mash-ассоциированных осложнений -миграцию протеза, развитие спаек, эрозий, хронической боли и инфицирования [61,62].…”

Section: Surgery хирургияunclassified

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Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Ооржак¹,

Шост²,

Мозес

et al. 2021

Acta biomedica scientifica

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Inguinal hernias (IH) are widespread in the human population and occur in 27–43 % of men and 3–6 % of women. Many risk factors for IH have been overestimated in the last decade: male gender is considered the leading factor (the ratio between men and women is approximately 1:7), less significant factors are heredity (most significant for women), physical activity (more significant for men), age (peak prevalence of IH occurs at 5 years and 70–80 years), congenital or acquired connective tissue dysplasia, history of prostatectomy, low body mass index.Hernioplasty with the use of synthetic mesh prostheses remains the most popular technique for surgical correction of IH. Performing non-prosthetic hernioplasty is only recommended if mesh prostheses are not available, for example in poor countries. In open hernioplasty using mesh prostheses, different methods are used today: Plug & Patch, Prolene Hernia System, Parietene Progrip, sutureless plastic according to Trabucco, Stoppa, preperitoneal techniques TIPP (trans-inguinal pre-peritoneal), TREPP (transrectus pre-peritoneal), TEP (total extraperitoneal), however, none of them showed significant advantages over the gold standard of open hernioplasty – tensionfree repair according to Liechtenstein.Laparoscopic IH correction is represented by the TAPP (transabdominal preperitoneal) technique, performed through the abdominal cavity, and TEP (total extraperitoneal) – extraperitoneal prosthetic hernioplasty. None of them has a significant advantage in the treatment of IH; therefore, when choosing a treatment method, the surgeon should be guided by the cost of the operation and the level of proficiency in one or another hernioplasty technique.

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Section: Surgery хирургияunclassified

Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Ооржак¹,

Шост²,

Мозес

et al. 2021

Acta biomedica scientifica

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“…Even with an effective approach the procedure cost became limiting, both in the procedure and in the learning curve 11 . But with the spread of knowledge and experience, it was possible to adapt and improve these factors, and with favorable patient performance due to lower metabolic response to trauma, early hospital discharge, rapid return to work, reduced days off due to disability, laparoscopy becomes an effective and efficient method that can provide better patient safety [11][12] .…”

Section: Introductionmentioning

confidence: 99%

Simulated training model in a low cost for laparoscopic inguinal hernioplasty

et al. 2021

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Purpose: Develop a 3D model for the simulation of laparoscopic inguinal hernioplasty transabdominal preperitoneal (TAPP). Methods: This is an experimental study, 18 participants were selected, divided into three groups, experimental (GE) surgeons in training, control (GC) experienced surgeons and Shaw (GS) nonexperienced surgeons. The simulation in the 3D model was carried out in 6 sessions fulfilling the 5 stages. Opening the peritoneum with the creation of the preperitoneal space; identification of important structures; hernia identification and reduction; placement and fixation of the mesh in Cooper's ligament and closure of the peritoneum. Results: In the 1st stage, the GE obtained an average of 1.25 ± 0.42 in the 1st session and 3.25 ± 0.62 in the 6th session (p = 0.05) and in the 5th stage 0.91 ± 0.29 in the first session. 1st session and 1.91 ± 0.29 in the 6th session (p = 0.001), with no significant difference between groups. The learning and skill curve in the SG represented 1.08 ± 0.29 1st and 3.50 ± 0.90 6th session (p = 0.001). Conclusion: The creation of a systematization of training in simulation applied to the three-dimensional model enabled gain in laparoscopic skills and underpinned its theoretical and practical foundations.

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Intraperitoneal migration of a mesh plug penetrating ascending colon: a case report.

Shuinova¹,

Chernichenko²,

Susarev³

et al. 2022

Dok. gastroenterol.

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Endoscopic surgery and laparoscopy are new insights of evolution of inguinal hernia repair

Cited by 6 publications

References 48 publications

Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Inguinal hernia – epidemiology, risk factors, treatment methods (literature review)

Simulated training model in a low cost for laparoscopic inguinal hernioplasty

Intraperitoneal migration of a mesh plug penetrating ascending colon: a case report.

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