Novosti
Khirurgii

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Year 2023 Vol. 31 No 4

SCIENTIFIC PUBLICATIONS

P.A. ERASHOV 1, V.L. DENISENKO 1, 2

CURRENT APPROACHES TO GROIN HERNIAS MANAGEMENT

Vitebsk State Medical University 1,
Vitebsk Regional Clinical Specialized Centre 2, Vitebsk,
Republic of Belarus

Surgeries for groin hernias (GH) are among the most common elective surgical interventions. More than 20 million inguinal hernioplasties are performed worldwide every year. Most patients with GH belong to the working-age population. Therefore, the treatment of GH has a large socioeconomic burden on healthcare systems around the world.
Over the past 50 years, approaches to the surgical treatment of GH have undergone significant changes. And work to improve treatment tactics for such patients is still ongoing. Our aim was to analyze recent reviews, meta-analyses and clinical guidelines regarding the management of patients with GH.
It was found that etiopathogenetically justified treatment options for GH are tension-free hernioplasties with a mesh implantation (Lichtenstain plasty, transabdominal preperitoneal plasty (TAPP) and total preperitoneal plasty (TEP)). When choosing a surgical option, a tailored approach should be used, taking into account the type of hernia, gender and age of the patient. Hernioplasty using own patient`s tissues is undesirable. It only may be used in exceptional cases.
We also reviewed the main complications of surgical treatment of GH, methods for their prevention and management.

Keywords: inguinal hernia, groin hernia, hernias management, complications of hernioplasty, guidelines
p. 301-311 of the original issue
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Address for correspondence:
210009, Republic of Belarus,
Vitebsk, Frunze prospect,
Vitebsk State Medical University,
Chair of General Surgery,
å-mail: generalsurgeryvsmu@mail.ru,
ph.: +375 33 675-22-21
Pavel Erashov À.
Information about the authors:
Erashov P.A., assistant of the Chair of General Surgery, Vitebsk State Medical University, Vitebsk, Belarus.
http://orcid.org/0009-0008-7545-6228
Denisenko V.L., Doctor of Medical Sciences, professor of the Chair of General Surgery, Vitebsk State Medical University, Vitebsk, Belarus.
http://orcid.org/0000-0003-2394-340X
Contacts | ©Vitebsk State Medical University, 2007-2023