spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"10.38181/2223-2427-2022-2-43-50spractice-307Research ArticleСтатьиЛАПАРОСКОПИЧЕСКИЙ ПОДХОД В ЛЕЧЕНИИ ПАХОВЫХ ГРЫЖ У ПАЦИЕНТОВ ПОСЛЕ РАДИКАЛЬНОЙ ПРОСТАТЭКТОМИИ: СРАВНЕНИЕ РЕЗУЛЬТАТОВ ТАРР И ТЕРLAPAROSCOPIC APPROACH IN THE TREATMENT OF INGUINAL HERNIAS IN PATIENTS AFTER RADICAL PROSTATECTOMY: COMPARISON OF TARR AND TER RESULTShttps://orcid.org/0000-0002-6359-0998ГаллямовЭ. А.GallyamovE. A.

Галлямов Эдуард Абдулхаевич – д.м.н., профессор, заведующий кафедрой общей хирургии

119146, Большая Пироговская, д.19, стр. 1, Москва

ул. Ленинские Горы, д. 1, 119991, Москва

Eduard A. Gallyamov – Doctor of Medical Sciences, Professor, Head of the Department of General Surgery

Leninskie Gory St., 1, 119991, Moscow

https://orcid.org/0000-0002-6569-7078АгаповМ. А.AgapovM. A.

Агапов Михаил Андреевич – доктор мед. наук, профессор, профессор кафедры хирургии 

ул. Ленинские Горы, д. 1, 119991, Москва

Mikhail A. Agapov – PhD, Professor of the Department of Surgery

Leninskie Gory St., 1, 119991, Moscow

getinfo911@mail.ruhttps://orcid.org/0000-0002-8263-0377УЧ.WuZ.

У Чжэнхао – врач хирург-аспирант кафедры общей хирургии

119146, Большая Пироговская, д.19, стр. 1, Москва

Wu Zhenghao – doctor surgeon-postgraduate student of general surgery

Bolshaya Pirogovskaya St., 19, corp 1., 119146, Moscow

https://orcid.org/0000-0003-0352-2317КакоткинВ. В.KakotkinV. V.

Какоткин Виктор Викторович – врач-хирург отделения хирургии №1 медицинского научно-образовательного центра МГУ

ул. Ленинские Горы, д. 1, 119991, Москва

Viktor V. Kakotkin – Resident Physician, Department of Surgery

Leninskie Gory St., 1, 119991, Moscow

 

axtroz4894@gmail.comhttps://orcid.org/0000-0002-9334-3816КузнецоваА. А.KuznetsovaA. A.

Кузнецова Анна Александровна – студентка

г. Москва

Anna A. Kuznetsova – First Moscow State Medical Universitynamed after I.I. THEM. Sechenov of the Ministry of Health of Russia

Moscow

anyu.pushistaya@yandex.ruhttps://orcid.org/0000-0002-5201-8224ВанЮ.WangYu.

Ван Юнин – студент кафедры общей хирургии

г. Москва

Wang Yuning – student of the Department of General Surgery

Moscow

Ennewing00@outlook.comhttps://orcid.org/0000-0002-4907-4057ВанЯ.WangY.

Ван Яохуэй – студент кафедры общей хирургии

г. Москва

Wang Yaohui – student of the Department of General Surgery

Moscow

wyc413636265@gmail.comhttps://orcid.org/0000-0002-7978-552XЧжанС.ZhangX.

Чжан Синьцзянь – студент кафедры общей хирургии

г. Москва

Zhang Xinjian – student of the Department of General Surgery

Moscow

zxj19970901@gmail.comhttps://orcid.org/0000-0002-2566-7501ЧжанЦ.ZhangJ.

Чжан Цзинь

г. Москва

Zhang Jin – First Moscow State Medical University. THEM. Sechenov of the Ministry of Health of Russia

Moscow

alexander600229@gmail.comФГАОУ ВО Первый Московский государственный медицинский университет имени И. М. Сеченова Минздрава России (Сеченовский университет); Московский государственный университет имени М.В. Ломоносова, факультет фундаментальной медицины (МГУ имени М.В. Ломоносова)РоссияSechenov University; Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)Russian FederationМосковский государственный университет имени М.В. Ломоносова, факультет фундаментальной медицины (МГУ имени М.В. Ломоносова)РоссияFederal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)Russian FederationФГАОУ ВО Первый Московский государственный медицинский университет имени И. М. Сеченова Минздрава России (Сеченовский университет)РоссияSechenov UniversityRussian Federation202225062022024350Copyright © Галлямов Э.А., Агапов М.А., У Ч., Какоткин В.В., Кузнецова А.А., Ван Ю., Ван Я., Чжан С., Чжан Ц., 20222022Галлямов Э.А., Агапов М.А., У Ч., Какоткин В.В., Кузнецова А.А., Ван Ю., Ван Я., Чжан С., Чжан Ц.Gallyamov E.A., Agapov M.A., Wu Z., Kakotkin V.V., Kuznetsova A.A., Wang Y., Wang Y., Zhang X., Zhang J.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/307Цель исследования

Цель исследования: Провести сравнение и оценку ближайших и отдаленных результатов применения трансабдоминальной преперитонеальной герниопластики (TAPP) и тотальной экстраперитонеальной герниопластики (TEP) для лечения паховых грыж после оперативного лечения рака простаты.

Материалы и методы

Материалы и методы: Исследование является клиническим аналитическим проспективным рандомизированным без ослепления. В исследование были включены 88 пациентов с паховой грыжей, которые были случайным образом разделены на две группы (группу A (n = 44) и группу Б (n = 44)). Пациентам из группы A проводилась TАРР, из группы Б – TЕР. Конечными точками исследования стали результаты, связанные с самой операцией и прогноз заболевания в двух группах.

Результаты

Результаты: Группа A: у одного пациента была выявлена гематома мошонки, в двух случаях – внутрибольничная пневмония и инфекционные осложнения со стороны послеоперационной раны. Общая частота ранних послеоперационных осложнений составила 6,8%. В группе Б были зарегистрированы следующие послеоперационные осложнения: 1 случай ранения кишечника, 1 случай острой задержки мочи, 2 случая гематомы мошонки. Общая частота ранних послеоперационных осложнений составила 9,1%. Статистически значимой разницы в частоте послеоперационных осложнений между двумя группами выявлено не было (χ = 0,009, P> 0,05).

Заключение

Заключение: в ходе анализа полученных результатов не было выявлено статистически значимой разницы показателей длительности госпитализации, объема кровопотери и выраженности болевого синдрома (P> 0,05); однако группы сравнения различались по длительности операции: время операции в группе А оказалось дольше, чем в группе Б. (P＜0.05).

Aim

Aim: To compare and evaluate the immediate and long-term results of performing transabdominal preperitoneal hernioplasty (TAPP) and total extraperitoneal hernioplasty (TEP) for the treatment of inguinal hernias after surgical treatment of prostate cancer;

Material and method

Material and method: the study is a clinical analytical prospective study, with the use of randomization. The study included 88 patients with inguinal hernia, who were randomly divided into two groups (group A (n = 44) and group B (n = 44)). Patients in group A received TEP, those in group B received TAPP. The end points of the study were the results associated with the operation itself and the prognosis of the disease in the two groups.

Results

Results: Group A: one patient had a scrotal hematoma, in 2 cases nosocomial pneumonia or infectious complications from the postoperative wound. The overall rate of early postoperative complications was 6.8%. In group B, the following postoperative complications were reported: in one case, intestinal injury, 1 case of acute urinary retention, 2 cases of scrotal hematoma. The overall incidence of early postoperative complications was 9.1%. There was no statistically significant difference in the incidence of postoperative complications between the two groups (χ = 0.009, P > 0.05).

Conclusion

Conclusion: During the analysis of the obtained results, no statistically significant difference was found in the duration of hospitalization, the volume of blood loss and the severity of the pain syndrome (P> 0.05); however, the comparison groups differed in the duration of the operation: the operation time in group A was longer than in group B. (P＜0.05).

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The authors declare that there are no conflicts of interest present.