Novosti
Khirurgii
This journal is
indexed in Scopus









Year 2015 Vol. 23 No 1

GENERAL AND SPECIAL SURGERY

DOI: http://dx.doi.org/10.18484/2305-0047.2015.1.17   |  

A.V. CHERNYH, E.I. ZAKURDAEV, E.N. LYUBYH, V.G. VITCHINKIN

WAVELIKE RELAXING INCISION OF THE ANTERIOR RECTUS SHEATH MEDIATED PLASTIC REPAIR OF THE INGUINAL CANAL

SBEE HPE " Voronezh State Medical Academy named after N.N. Burdenko",
The Russian Federation

Objectives. To develop and to evaluate wavelike relaxing incision of the anterior rectus sheath in experiment and clinical practice.
Methods. Muscle tension was measured with spring dynamometer prior and after the relaxing incision performance in experiment on 24 cadavers. A randomized clinical trial has been carried out on 60 patients with the unilateral uncomplicated inguinal hernias. The patients were divided into three groups depending on the performed inguinal hernia repair. The mediated plasty with a wavelike relaxing incision has been applied in the main group. The mediated plasty according to the classical method was performed to the patients in the first control group. The Lichtenstein tension-free hernioplasty was carried out in the second control group.
Results. The tension of the ligature in the medial corner of the inguinal gap needed for conjunction of lower layers of abdominal lateral muscles with inguinal ligament mediated plasty prior relaxing incision was 27,20,4 T, and after relaxing incision performance 15,80,3 T. There were no any recurrence of the inguinal hernias in each studied group within 2-years period. Early postoperative complications developed in 15% of patients of the 1st control group (5% the scrotal swelling, 10% paresis of the bladder) and 5% of patients of the second control group serous inflammation. Chronic pain syndrome was observed in 20% of the second control group patients.
Conclusion. The results of experimental and clinical studies have shown the performance of the wavelike relaxing incision of anterior wall of the rectus sheath mediated plastic repair of the inguinal canal substantially reduces the risk of postoperative complications and recurrence.

Keywords: inguinal hernia, inguinal hernia repair, results, complications, chronic pain, recurrence, randomized clinical trial
p. 17-22 of the original issue
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Address for correspondence:
394036, Rossiyskaya Federatsiya,
g. Voronezh, ul. Studencheskaya, d. 10,
GBOU VPO "Voronezhskaya gosudarstvennaya
meditsinskaya akademiya
imeni N.N. Burdenko", kafedra operativnoy khirurgii
s topograficheskoy anatomiey,
tel.: 7(951)566-43-61,
e-mail: ezakurdaev@rambler.ru,
Zakurdaev Evgeniy Ivanovich
Information about the authors:
Chernyh A.V. MD, professor, First Vice-rector, a head of the operative surgery chair with topographic anatomy of SBEE HPE "Voronezh State Medical Academy named after N.N. Burdenko".
Zakurdaev E.I. A post-graduate student of the operative surgery chair with topographic anatomy of SBEE HPE "Voronezh State Medical Academy named after N.N. Burdenko".
Lyubyh E.N. MD, professor, director of the Research Institute of gerontology, professor of the faculty surgery chair of SBEE HPE "Voronezh State Medical Academy named after N.N. Burdenko".
Vitchinkin V.G. PhD, associate professor of the operative surgery chair with topographic anatomy of SBEE HPE "Voronezh State Medical Academy named after N.N. Burdenko".
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