The choice of surgical treatment for inguinal hernia
Stupin, V.A.; Laptev, V.V.; Mikhaĭlusov, S.V.; Saĭbulaev, S.A.; Dzhafarov, E.T.
Khirurgiia 11: 53-57
2009
ISSN/ISBN: 0023-1207 PMID: 20032947 Document Number: 631910
Basing on the 30-year experience of prof. Yu.A. Nesterenko differential method of surgical treatment for inguinal hernias was worked out. The choice of surgical technique was based on the results of intra-operative revision of inguinal canal. Single-layer plasty of posterior wall was applied in case of insignificant destruction of tendinous structures; Shouldice plasty--in case of moderate changes; Moran plasty--in case of marked destruction, Lichtenstein plasty--in case of complete inguinal canal destruction. Analysis of long-term results showed low frequency of hernia relapses (1.4%) that can be compared with indices in specialized herniologic centers.