During the last two decades, there have been two revolutions in inguinal hernia repair surgery. First, the introduction of tension-free hernia repair by Liechtenstein in 1989 and then the application of laparoscopic surgery to the treatment of inguinal hernia in the early 1990s. In this context, the choice of mesh fixation methods being an integral part of this procedure remains a topic of arguments and discussions in laparoscopic inguinal hernia repair. There exist many methods of mesh fixation like polyglactin suture, titanium spiral tacks, nitinol anchors and fibrin glue.Fixation usually uses staples that can lead to nerve injury and chronic postoperative pain. Laparoscopic repairs are associated with a risk of chronic pain of upto 22.5%. The use of fibrin glue may represent an alternative method of mesh fixation preventing the risk of nerve injury.
This article discusses the effectiveness of the author's method of marking a surgical site (Ukraine patent UA 99427) for surgical treatment of patients with postoperative ventral hernias (POVH). Based on the study of quality of life (QOL) indicators obtained using the SF-36 questionnaire, it was found that the proposed therapeutic tactics for surgical correction of POVH can increase medical, social and aesthetic efficacy to a statistically significant improvement in QOL.
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