A FEATURE OF LAPAROSCOPIC TREATMENT OF IRREDUCIBLE AND LARGE INGUINAL HERNIAS

Summary. Introduction. The inguinal hernia is one of the most common surgical problems around world. Patients with large and hernias are a certain group. At present, there no final convincing evidence advantage laparoscopic repair complex forms hernias, indications contraindications to various methods this operation, technology performing interventions for types has not been completed.
 Aim. Perform perioperative complications in treatment unrecognizable modified TAPP method, classic Laparoscopic TEP technique canal plastic according Lichtenstein.
 Materials methods. Surgical 42 patients was performed. All them were performed incapacitated use prone grid. In 12 patients, Lichtenstein (Lichtenstein group) performed, 18 (TAPP — (TEP group). Modification high resection sac inguinal-callous hernia, techniques digestion peritoneum fixed gut cases where intestine tightly fictoned length area sac.
 Results research. Application performance transabdominal preperitoneal inguinal-potassium Surgery, reduce frequency hematoma inflammatory processes surgery likely (p < 0.05), number conversions group.
 Conclusions. Diagnostic laparoscopy necessary highly informative stage diagnosis determination tactics hernias. method choice, which provides low trauma, asepticity, good conditions wound healing. Modified reduced trauma operation thus intra postoperative that manifested by formation surgery.