The Choice of Synthetic Mesh to Surgical Treatment by I.L.Lichtenstein of Inguinal Hernia


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Abstract

Relevance The basic technique of inguinal hernia repair is Lichtenstein procedure. This operation based on prosthetic repair of posterior wall of inguinal canal. The question of male infertility after Lichtenstein repair is to date known. The recommendations to choice of synthetic mesh for surgical treatment of inguinal hernia in males are to date not presented. The purpose of study is the choice of synthetic mesh for inguinal hernia repair in males. Materials and methods There was performed the simulation of Lichtenstein plasty in rabbits. The standard polypropylene (PP Std), light polypropylene (PP Light), polyvinylidene fluoride (PVDF) and reperene (R) meshes were used. Area of implantation was explored in 3 – 6 months. Macroscopic changes were estimated by special score. The data were by Mann – Whitney analyzed. Results and their discussion The maximal scar process was associated with PP Std. Medium scar process was noted after PP Light implantation. Minimal scar connective tissue was observed after PVDF plasty, but lower – in R cases (p=0,018). Conclusion We marked than after PP Std plasty strong scars developed with involvement of ductus deferens. This phenomenon is a base for ductus deferens obliteration, obstructive azoospermia and male’s infertility. The routine use of PP Std meshes to the Lichtenstein technique in young males with inguinal hernias is inadvisable. The possibility of PP Light use need of further researches. Some good results are associated with PVDF and R implantation

About the authors

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Author for correspondence.
Email: pv1610@mail.ru
MD, Professor, the Department of Hospital Surgery named after B.А. Korolyov, Nizhnii Novgorod State Medical Academy

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Email: mail@vestnik-surgery.com
Surgeon, Nizhnii Novgorod City Hospital No.35

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Email: mail@vestnik-surgery.com
Surgeon, Nizhnii Novgorod City Hospital No.35

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Email: mail@vestnik-surgery.com
Surgeon, Nizhnii Novgorod City Hospital No.35

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Email: mail@vestnik-surgery.com
PhD, Head of the Experimental Simulation Group, Central Scientific Research Laboratory of Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod State Medical Academy

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Email: mail@vestnik-surgery.com
PhD, Research Worker, the Department of Neurophysiology and Experimental Simulation, Central Scientific Research Laboratory of Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod State Medical Academy

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Email: mail@vestnik-surgery.com
PhD, Tutor, the Department of Hospital Surgery named after B.А. Korolyov, Nizhnii Novgorod State Medical Academy

Nizhny Novgorod State Medical Academy, Nizhnii Novgorod, Russian Federation
Central Scientific Research Laboratory Scientific Research Institute of Applied and Fundamental Medicine, Nizhnii Novgorod,
Russian Federation
City hospital №35, Nizhnii Novgorod, Russian Federation

Email: mail@vestnik-surgery.com
MD, Professor, Head of the Department of Operative Surgery and Topographic Anatomy, Vice￾Rector for Academic Affairs, Nizhnii Novgorod State Medical Academy

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