SAFETY AND MISTAKES IN VIDEOENDOSCOPIC INGUINAL HERNIA REPAIR

Actuality. Recently, laparoscopic inguinal percent performance hernioplasty significantly increased. There are many outstanding issues in relation herniology safety and prevention complexities of this operation. We believe the key to the further development of mini-invasive herniology search is a rational choice of method and address the issue of prevention of complications of surgery.

Goal. Finding the role of factors that affect the safety and outcomes of surgical intervention and prevention of intra- and postoperative complications.

Materials and methods. The analysis of 102 minimally invasive hernia repair inguinal hernia.

Results. In the first group of patients there was made extra peritoneal hernioplasty (TEP-repair); 1 patient in the first postoperative day developed bleeding from the area of dissection extraperitoneal space. Installing drainage tube to control extraperitoneal space made it possible to more quickly respond to the development of bleeding and prevent serious consequences of this serious complication. In the second group 1 patient had intraoperative perforation of the small intestine after a laparoscopic abdominal transhernioplasty (TAPP-repair). Complications developed as a result of involvement in peritoneal adhesions after appendectomy. We consider the use of totally extra peritoneal hernioplasty could prevent this complication. To prevent intra- and postoperative complications one should comply technical aspects of inguinal hernioplasty. No entry into the abdominal cavity, no use of mesh fixation, fine technique can prevent the development of adhesions in the abdominal cavity, reduce the risk of bleeding intraoperatively and chronic pain. In case of peritoneum injury Veresh use can prevent conversion.

Conclusions. The use of totally extraperitoneal hernioplasty in the technically correct way is less risky for intra- and postoperative complications compared to transabdominal access.