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Updated: Jun 26, 2026

Vessel-sparing Excision and Primary Anastomosis
Published on: January 7, 2019
[Choice of treatment mode in planned inguinal canal plasty]
Abstract:
The mainstay of inguinal hernias surgical treatment is posterior wall of inguinal canal plasty. On the basis of extensive clinical material individual approach to the choice of inguinal canal plasty mode was worked out taking into account the age of the patient and degree of posterior wall destruction. Results of 1506 planned herniotomies (867 single-layer plasties, 398 Shouldice multi-layer plasties, 162 Lichtenstein plasties) were evaluated. The choice of the optimal method of posterior wall reconstruction in every specific case allowed to improve the results of treatment noticeably, reducing the frequency of relapses to less than 1%.
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