[Surgical treatment of inguinal hernias]

Experience with 1633 surgeries performed in 1592 patients with inguinal hernia is analyzed. In the first period (1979-1987) choice of plastic surgery was empirical, recurrences were diagnosed in 19.6% of examined patients. In the second period (1988-1993) anterior wall was strengthened in simple inguinal hernias, posterior wall -- in difficult, recurrences were seen in 4.9%. In the third period (1994-2000) strengthening of the posterior wall with fascial-aponeurotic methods was performed in all types of hernias. Choice of the method depended on height of inguinal space. Recurrences were diagnosed in 0.5% of examined patients.