This journal is
indexed in Scopus
Year 2019 Vol. 27 No 2
GENERAL & SPECIAL SURGERY
V.I. BELOKONEV1, A.V. ZHAROV1, 2
FEATURES OF SURGICAL TREATMENT OF PATIENTS WITH UNCOMPLICATED FEMORAL HERNIA
Samara State Medical University1,
Samara City Hospital ¹10 2, Samara,
The Russian Federation
Objective. To improve the treatment results of patients with uncomplicated femoral hernia by identifying the features of clinical course and reasonable application of the operation methods taking into account a possible destruction of the Cooper ligament.
Methods. The treatment analysis of 46 patients with uncomplicated femoral hernia was performed. There were 12 males (26%) and 34 females (74%). The control group included 24 patients with the repair of hernial orifice with local tissues. The main group included 22 patients in whom prosthetic repair has been used, including using the proposed method of operation. The results evaluation of the femoral canal repair in groups was performed according to the incidence of complications.
Results. In the control group, early complications occurred in 11 patients: hematoma – in 3; inflammatory wound infiltration – in 4; suppuration of the wound – in 4. Late complications were found in 12 patients: pain in the surgical area – in 4; parasthesia – in 5; groin discomfort – in 3, recurrence of the disease was revealed in 4. In the main group, early complications occurred in 4 patients: hematoma – in 1, inflammatory wound infiltration – in 1, wound suppuration – in 1, seroma – in 1. Late complications revealed in 3 patients: pain in the area of operation – in 1, numbness – in 1, discomfort in the inguinal region – in 1, disease recurrence was found in 2. The use of prosthetic repair methods of the femoral canal reduced the incidence of early complications by 2.5 times, late complications – by 3.7 times the number of the disease recurrence – by 2 times.
Conclusions. Plastic surgery of the femoral canal with local tissues and with the use of prosthesis is limited when the ligament of Cooper is destroyed. The proposed method of operation with prosthesis with protrusion along the lower medial edge allows performing the operation when the tissue in the area of the femoral canal is destroyed.
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443099, The Russian Federation,
Samara, Chapaevskaya Str., 89,
Samara State Medical University,
Department of Surgical Diseases ¹2.
Tel. office: +7 846 337-02-96,
e- mail: email@example.com,
Vladimir I. Belokonev
Belokonev Vladimir I., Honored Doctor of the Russian Federation, MD, Professor, Head of the Department of Surgical Diseases ¹2, Samara State Medical University, Samara, Russian Federation.
Zharov Andrey V., Extramural Post-Graduate Student of the Department of Surgical Diseases ¹2, Samara State Medical University, Surgeon of Samara City Hospital ¹10 Samara, Russian Federation.