ИНТРАОПЕРАЦИОННАЯ ОЦЕНКА ТОПОГРАФО-АНАТОМИЧЕСКИХ ПАРАМЕТРОВ ПАХОВОГО КАНАЛА ПРИ ГРЫЖАХ И ЕЕ ЗНАЧЕНИЕ В ВЫБОРЕ МЕТОДА ГЕРНИОПЛАСТИКИ

Abstract

Purpose. To give a comparative description of the topographic and anatomical parameters of the inguinal canal in hernias and to evaluate its importance in choosing a method of hernioplasty. Material and methods. In 120 patients with types II, IIIa, IIIb inguinal hernias, the height of the inguinal space (h-IS), the total thickness of the internal oblique and transverse abdominal muscles forming the upper wall of the inguinal canal (TMT) and the diameter of the deep inguinal ring (DDIR) were measured intraoperatively. Results. Pairwise comparisons of the IS height revealed statistically significant differences in this parameter between hernias types II and IIIa, as well as between types II and IIIb (p = 0.0432) in all age groups. In the studied age groups, there were statistically significant differences in the diameter of the deep inguinal ring between patients with hernias types II and IIIa, as well as types II and IIIb (p <0.001). The TMT of the upper wall of the IC in all age groups did not depend on the type of inguinal hernia and was associated with the patient's age. Conclusion. Intraoperative morphometry is an objective method for assessing the topographic and anatomical parameters of the inguinal canal and should underlie the choice of the method of tension or tension-free inguinal hernioplasty during open surgical interventions.