Bulik I. Comparative analysis of the efficiency of modern methods of correction of inguinal hernia

In this work, we presented a theoretical generalization and a new solution to the problem of diagnosis and treatment of patients with inguinal hernias. We substantiated the importance of various inguinal hernia repairs, the quality of life of patients in the early and late periods. These results allowed us to improve and supplement surgical tactics and procedure selection for various types of inguinal hernias. As a result of the conducted research, new scientific data were obtained: it has been scientifically proven that the technology of electric welding of soft tissues during peritonization of the prosthesis is the method of choice, which reduces the time of surgical intervention, reduces the frequency of hematoma, neuralgia and paresthesia of the inguinal area by 20.1%, 17.2% and 22.2%, respectively (p˂0.05); scientific data on intraoperative tactics and the course of the postoperative period in patients after open, endoscopic, and laparoscopic surgical interventions for inguinal hernia were supplemented. It has been scientifically established that the quality of life of operated patients in the long term (6 and 12 months) allows pathogenetically to substantiate the advantages of each method of hernioplasty for various variants of inguinal hernias. The following were developed and implemented in health care practice: method of surgical treatment of inguinal hernia (patent of Ukraine for utility model No. u2005 09140); method of surgical treatment of inguinal hernia (patent of Ukraine for utility model No. u2005 10021); the method of sealing the peritoneum during TAPP using the method of electric welding of tissues; improved technical methods of open, endoscopic and laparoscopic methods of plastic indirect (oblique) hernias; developed an algorithm for choosing the method of hernioplasty for different types of inguinal hernias.