Endovideosurgical aspects of treatment of bilateral inguinal hernias

Abstract

OBJECTIVE. The article detected risk factors of supravesial hernia formation and its recurrence in patients with bilateral inguinal hernias after laparoscopic herniaplasty. The authors would like to develop strategy in order to solve this problem. MATERIAL AND METHODS. An analysis of treatment results was made in 84 patients. The research was based on ultrasound clinical data at the period of 3-5 years after operation. RESULTS. Factors of high recurrence rate and supravesial herhia formation were identified as combination of features of work activity and increased physical exertion accompanied by chronic diseases and regular intra-abdominal rise of pressure. The algorithm of choice among various laparoscopic methods of surgery was designed. Total prosthesis of supravesial and inguinal regions using developed original technique is recommended for application in cases of high risk group. Standard separate hernioplasty could be used in an absence of high risk. CONCLUSIONS. The proposed algorithm allowed doctors to reduce the rate of recurrence and formation of supravesial hernias.