AVERAGE LONG-TERM OUTCOMES OF LAPAROSCOPIC INGUINAL HERNIA REPAIR

Objective: to determine the long-term postoperative outcomes of inguinal hernias using TAPP approach with internal ring suturing. Materials and methods. The design is a randomized multicentre clinical study. study based on survey 268 patients aged 18 84 years (mean age 59.2±10.6 years), including 46 (17.2%) women, 222 (82.8%) men primary hernias. A total 187 (69.8%) had normal body mass index, 72 (26.9%) were overweight, 9 (3.3%) obese. Interventions supposed open techniques (Liechtenstein technique - 118 or Shouldice 29 patients) laparoscopic by (total 121), specifically modification suturing (12). frequency severity chronic pain (up 1 year) recurrence rate hernia 2 years) been determined. Results.The incidence syndromewas moderate in most caseswere found have no any intergroup significant differences. Single case showed differences between hernioplasty Liechtenstein (χ2 =4.241, p=0.040). over 2-year follow-up period was 3.0%. There whichever surgical method be used. not single relapse TAPP-IRS target group. related crucial risk factor; intervention ranked number two. Account must taken subgroup, where reported. type minimal effect recurrence, particular due interventions restricted operations only. Conclusions. When performing for indirect hernia, after month lower method, 12 months it remits has comparable characteristics. TAPP-based does affect syndrome. TAPP-IRS, relapses