Herych H. Features of diagnostics and surgical treatment of Gilmor hernia

Українська версія

Thesis for the degree of Doctor of Philosophy (PhD)

State registration number

0822U100877

Applicant for

Specialization

  • 222 - Медицина

15-07-2022

Specialized Academic Board

ДФ 35.600.033

Danylo Halytsky Lviv National Medical University

Essay

The dissertation is devoted to the problem of diagnostics and methods of surgical treatment of Gilmore hernia (GH), as well as the program of postoperative rehabilitation. Gilmore hernia is a group of diseases that cause pain in the groin on the basis of physical and sports activities, which lead to impaired physical and sports activity of patients. However, there are a number of inconsistent terminological interpretations of the disease. There is also no single conventional diagnostic algorithm. Despite the fact that this type of pathology is treated exclusively by surgery, there is a significant difference in the options for surgery, despite the characteristic anatomical pathological changes in this disease. Therefore, the above described inconsistencies in termiology, diagnosis and treatment often lead to erroneous diagnosis and the choice of an incorrect method of surgical treatment of Gilmor hernia. From the practical point of view, we consider it expedient to apply the term "Gilmour hernia", which is understandable to general surgeons. However, the very definition of 'hernia' implies changes in the groin, such as enlarged groin rings, lacerations, and stratification of the groin. During the course of the study, a sample of 74 patients was divided into two groups. The first comparative group consisted of 30 patients with inguinal hernias, the second main group consisted of 44 patients with GH who were hospitalized in the surgical department of the Municipal non-profit enterprise ''Lviv Ambulance Hospital'' and which was underwent a surgical treatment.

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