[Surgical treatment of inguinal hernia in weak elderly patients]

The results of inguinal hernia surgical treatment in 134 patients aged from 60 to 85 years, including 28 with hernia recurrence, are adduced. According to electromyographic and histological investigations of inguinal region the atrophy degree was established: common atrophy was diagnosed if the muscles bioelectric activity constituted 25-40 mcV, profound one--10-25 mcV. Autoplastic operation according to Bassini-Postempsky was done in 48 patients with common muscles atrophy, according to Sholdis-in 48, in 38 patients with profound atrophy of muscles the combined inguinal channel plasty with the implant of polyuretane preperitoneal disposition was done. Hernia recurrence occurred in term from 1 till 5 years in 3 (7.3%) patients after Bassini-Postempsky procedure conduction. No recurrence was revealed after conduction of the Sholdis operation and the combined plasty using implant.