SURGICAL TREATMENT OF ADULT PATIENTS WITH INGUINAL HERNIAS IN THE CITY OF NOVOKUZNETSK

Purpose of the study. Determine age and gender features in adult patients operated on for inguinal hernias and the immediate results of their surgical treatment, depending on the method of hernia repair. Material. An analysis of 1631 case histories in adult patients operated on for inguinal and femoral hernias in the city of Novokuznetsk in 2016-2019 were performed. Results. The study found that the choice of the method of operation for inguinal hernias is significantly affected by gender, physical status of the patient, the presence and severity of concomitant pathologies, which is associated with the age of the patient. So, of 1631 adult patients operated on for inguinal hernias, 89.9% were men and 10.1% were women. The average age of men was 55.8 ± 14.6, women - 61.4 ± 15.6. It was found that age plays a significant role in the choice of surgical treatment, since in the older age group, endoscopic interventions are limited. 58.6% of operations were performed using the Liechtenstein method, 32.7% patients were performed using endoscopic techniques, and ONSTEP technology was used in 4.4% of cases. Despite the use of mesh prostheses, the proportion of operations for recurrent hernias remains high and amounts to 7.8%. Conclusion. Surgical treatment in adult patients with inguinal hernias is most often performed in patients older than 50 years (68.8% of men and 72.6% of women). There are no statistically significant differences between the Liechtenstein operation and endoscopic operations in terms of the duration of the intervention and the postoperative stay of patients in the hospital, and the presence of postoperative complications. The duration of postoperative inpatient treatment and the likelihood of postoperative complications in these groups are the same. The use of prosthetic hernia repair in adult patients with inguinal hernias is accompanied by the development of relapse in 7% of patients.

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