[Application of preperitoneal access for surgical treatment of inguinal hernia]

The results of treatment of 51 patients suffering uncomplicated inguinal hernia were analyzed. There was established that application of preperitoneal access permits to estimate the inguinal channel height and to determine the indications for application of alloplasty. In 29.4% of observations the internal inguinal space height have had exceeded 3.1 cm, predisposing to hernia recurrence in postoperative period. While the internal inguinal space height have constituted 4.1 cm and more it is mandatory to use the net for its secure fixation in the early postoperative period and for prophylaxis of the abdominal wall deformity, setting the net no less than 5 cm behind the muscles edges. In two years after the operation there were examined 24 patients, recurrence was absent.