[Technology of hernioplasty of inguinal hernia using miniapproach]

A new method of treatment of inguinal hernias is proposed. The method is based on projecting the inguinal ring onto the skin under the USI control and using suprainguinal preperitoneal oblique-transverse miniapproach, dissection of the hernia sac, fixing the mesh explant in the preperitoneal space by pi-shaped sutures, thus making the operative trauma minimal and improving the rehabilitation of the operated patients. The clinical topographic-anatomical and ultrasonic methods of investigation were used. The technology was applied in the operative treatment of 89 patients with inguinal hernias. Six episodes of recurrence were noted in the 1-4 year period following the displacement of the mesh explant because of the absence of fixation and little size of the mesh. The proposed technology is an alternative to video-laparoscopic methods of treatment.