DEVELOPMENT OF THE TAILORED APPROACH IN INGUINAL HERNIA REPAIR
https://doi.org/10.38181/2223-2427-2022-2-5-14
Abstract
The aim of the study is to evaluate the effectiveness of a personalized algorithm for determining the technique of surgical treatment of inguinal hernias, which allows choosing the optimal operational tactics (its modifications) depending on the anthropometric, clinical, instrumental data of the patient.
In the course of the study, the results of the application of a clinical algorithm in the Medical research and Educational center of Lomonosov Moscow State University for patients with unilateral non-incarcerated symptomatic inguinal hernias were analyzed. The frequencies of the main postoperative adverse outcomes of the research group were compared using the algorithm and patients of the German Herniamed Hernia Register, for whom only standard principles of surgical intervention selection are applied, the main provisions of the recommendations of the international HerniaSurge Group of experts. In some cases individual exceptional factors of patients were taken into account.
The frequency of chronic pain and pain requiring repeated surgery was significantly lower than the average frequencies of the German Herniamed register (13.8% vs 28.7% (p<0.00001) and 0.99% vs 3.8% (p=0.0103) respectively). At the same time, the frequency of adverse outcomes, such as relapses and early postoperative complications, is similar to international population data.
About the Authors
M. A. Agapov
Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)
Russian Federation
Russian Federation
Mikhail A. Agapov – PhD, Professor of the Department of Surgery
Leninskie Gory St., 1, 119991, Moscow
V. V. Kakotkin
Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)
Russian Federation
Russian Federation
Viktor V. Kakotkin – Department of Surgery №1 of the Medical Research Educational Center
Lomonosovsky Prospect, 27/10, Moscow, 119192
V. D. Yudina
Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)
Russian Federation
Russian Federation
Viktoria D. Yudina – student of the Faculty of Medicine
Leninskie Gory St., 1, 119991, Moscow
A. V. Kadrev
Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)
Russian Federation
Russian Federation
Alexey V. Kadrev – PhD, Head of the Department of ultrasound diagnostics of the Medical Research Educational Center
Leninskie Gory St., 1, 119991, Moscow
T. N. Garmanova
Federal State Budget Educational Institution of Higher Education M.V. Lomonosov Moscow State University (Lomonosov MSU)
Russian Federation
Russian Federation
Tatyana N. Garmanova – PhD, docent of the Department of Surgery
Leninskie Gory St., 1, 119991, Moscow
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Review
For citations:
Agapov M.A., Kakotkin V.V., Yudina V.D., Kadrev A.V., Garmanova T.N. DEVELOPMENT OF THE TAILORED APPROACH IN INGUINAL HERNIA REPAIR. Surgical practice (Russia). 2022;(2):5-14. (In Russ.) https://doi.org/10.38181/2223-2427-2022-2-5-14
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