[Trend of development of groin hernia surgery in Georgia]

According to the data of different authors, despite of evident progress in inguinal herniology, percentage of relapses in non-specialized clinics of general surgery stays rather high (5-15%). In Georgia as well as in other CIS countries 10-15 years ago majority of inguinal hernias were operated by method of Jirair-Spasokukocki using Kimbarovsky sutures. All above mentioned, of course, had an influence on treatment's results, and recurrence rate achieved in 20-45% cases. Since 90-ies method of Shouldice gained ground in Georgia, and already in two years the classical multi-row mode has been modified into the double-row. Also changes underwent the operation technique by Postempsky. Georgian surgeons also worked out several modifications of Bassini, Shouldice methods which are worth to notice. After the second half of 90-ies operation by Lichtenstein has been implemented into the surgical practice. Operations of Nyhus, Stoppa, "Plug and Putch" and PHS-system, and also laparoscopic hernioplasty are gaining popularity noticeably slower. But results of such operations are very promising.