[Treatment of bilateral inguinal hernia]

Experience of treatment of 130 patients suffering bilateral inguinal hernia was summarized. Intraoperative classification, elaborated by Gilbert-Rutkow and modified for bilateral inguinal hernia, was applied. Collagenic insufficiency signs in fascia transversalis were revealed in patients, suffering bilateral inquinal hernia, according to morphological investigation data obtained. The plasty method, using synthetic prostheses, was choused according to the hernial type established, in 36 patients the Ukrainian polypropylene meshes were implanted. The organism reactivity toward implanted Ukrainian prostheses was similar to that, observed after implantation of foreign analogues. Hernial recurrence was absent; the complications rate was similar to that, observed after implantation of foreign prostheses. The elaborated tactic introduction had promoted the improvement of the surgical treatment results due to postoperative complications rate reduction in 3 times, hernial recurrence--by 10%, the disability period duration--in 1.3 times as well as terms of the patients social rehabilitation.