Dubchenko V. S., Krishen V. P.

CLINICAL AND EXPERIMENTAL MEDICINE

Scentific article

Abstract. Goal. The purpose of this research was to study and substantiate the peculiarities of the performance of laparoscopic hernioplasty by using TAPP method, as well as to analyze the immediate and long-term results of its application in the treatment of middle and lower localization hernias. Objects and methods. In the course of this scientific study, the comparison method using descriptive statistics was used based on the results of the TAPP and SUBLAY surgical intervention performed on 405 patients. Results and discussion. The initial clinical and anamnestic data did not differ significantly between the two groups of operated patients since the participants were homogeneous in age, sex, and BMI. The data was collected only with the informed consent of the patient in compliance with international ethical standards. The patients were questioned according to SF-36 form in order to assess their physical and psychoemotional state before surgical intervention and in the remote postoperative period. The authors studied the initial data, the incidence of complications, and the duration of hospital stay. The significant advantages of performing laparoscopic treatment by using the TAPP method over open hernioplasty include relatively low complication rates (9.24% and 11.25% respectively), easier nature of complications, shorter hospital stay (4 days for ТАРР and 5-7 days for SUBLAY), and quicker return to habitual activities. Administration of operative treatment to patients with ventral, umbilical and postoperative hernias by using the TAPP method shows more favorable results as compared to open hernioplasty techniques due to less incidence of early and late complications and the specificity of their nature and severity. Conclusions. Importantly, these complications are associated with high predictability and require less effort to correct. Additionally, they are not life-threatening conditions, which significantly reduces hospitalization and rehabilitation periods. Another significant advantage of using the TAPP method in performing laparoscopic hernioplasty is the possibility of its application for massive and advanced hernias and in cases of comorbid pathology, regardless of patients’ age and the presence of chronic conditions.

laparoscopic hernioplasty, postoperative hernia, umbilical hernia, ventral hernia, recurrence.

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«Bulletin of problems biology and medicine» Issue 2 (160), 2021 year, 96-100 pages, index UDK 617.55-007.43-089.844-085.849.19

10.29254/2077-4214-2021-2-160-96-100