Echoscopic quality control of performed hernioplasty of inguinal hernia

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Abstract

Introduction: Hernia disease remains one of the most common human pathologies, and the incidence of inguinal hernias reaches 75–80 %. The success of treating patients with inguinal hernias lies in the rational choice of hernioplasty taking into account the anatomical and topographic features of the muscular-aponeurotic structures of the inguinal canal.

Materials and methods: During 2018–2025, 220 patients with inguinal hernia were operated on at the surgical department of the State Republican Clinical Hospital of Tiraspol (Transnistria, Moldova), who underwent combined autoplasty of the posterior wall of the inguinal canal with a transverse relaxing incision of the anterior wall of the rectus sheath with retrofunicular and retromuscular autodermoplasty. Of these, 191 patients underwent ultrasound in the pre- and postoperative periods.

Results: The thickness of the rectus muscle on the side of the performed hernioplasty reached (19.1 ± 1.4) mm, on the opposite side (17.1 ± 1.25) mm, and in patients with inguinal hernia (15.4 ± 2.9) mm.

Conclusions: After inguinal hernioplasty using the proposed method, the contractile activity of the rectus muscle is 10.9 % better than on the opposite side and 19.6 % better than in patients before the operation.

About the authors

Yuri S. Paskalov

Pridnestrovian State University named after T.G. Shevchenko; Republican Clinical Hospital, Tiraspol

Author for correspondence.
Email: yurik_88_1988@mail.ru
ORCID iD: 0000-0001-6684-2241

Assistant of the Department of Surgical Diseases, Faculty of Medicine, Surgeon of the Surgical Department

Moldova, Republic of, Tiraspol; Tiraspol

Alexey S. Mukhin

Privolzhsky Research Medical University

Email: prof.mukhin@mail.ru
ORCID iD: 0000-0003-2336-8900

Doctor of Medical Sciences, Professor, Head of the Department of Hospital Surgery named after B.A. Korolev

Russian Federation, Nizhny Novgorod

Alexander A. Botezatu

Pridnestrovian State University named after T.G. Shevchenko; Republican Clinical Hospital, Tiraspol

Email: botezatuaa@mail.ru
ORCID iD: 0000-0002-0576-4320

Doctor of Medical Sciences, Professor, Head of the Department of Surgical Diseases, Faculty of Medicine, Surgeon of the Surgical Department

Moldova, Republic of, Tiraspol; Tiraspol

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