ENDOVIDEOSURGICAL HERNIOPLASTY

Abstract

This lecture covers issues of modern hernioplasty
methods. High frequency of relapses (10 to 30%) to occur after
traditional surgeries requires searching after new treatment
methods. Based upon the literature and results of work, the
authors consider indications and contraindications for laparoscopic
surgery, its advantages compared to traditional operations
and analyse types of allografts used in the most up-to-date clinic.
Special attention is focused upon imperfections of endovideosurgical
hernioplasty and its complications, including injuries of
inferior epigastric vessels and recurrent hernias likely to occur
in 1.5% of cases. The authors classify inguinal hernias, describe
main stages of hernioplasty and come to a conclusion that development
of technology and practical surgical skills results in
a considerable increase in a number of indications for endovideosurgical
hernioplasty. Laparoscopies using allografts will allow
decreasing duration of temporary disability and social rehabilitation
of patients.