Autoplasty by Displaced Aponeurotic Flap: Results of a New Method of Inguinal Hernias Surgical Treatment

Authors

  • Saule Tulegenovna Sapiyeva Department of Oncology and Radiology, Faculty of Medicine, Karaganda Medical University, Karagandy, Kazakhstan
  • Nurkassi Tulepbergenovich Abatov Department of Surgical Diseases, Karaganda Medical University, Karagandy, Kazakhstan
  • Makash Tynyshtykpaevich Aliyakparov Department of Oncology and Radiology, Karaganda Medical University, Karagandy, Kazakhstan
  • Yoshihiro Noso Department of Medical, Faculty of Business Administration, Hiroshima International University, Hiroshima, Japan
  • Ruslan Muratovich Badyrov Department of Surgical Diseases, Karaganda Medical University, Karagandy, Kazakhstan
  • Elena Sergeevna Badyrova Department of Surgical Diseases, Karaganda Medical University, Karagandy, Kazakhstan

DOI:

https://doi.org/10.3889/oamjms.2021.5589

Keywords:

Inguinal hernia, Hernioplasty, Autoplasty, Quality of life, Computed tomography, Ultrasound

Abstract

AIM: A new surgical method of non-tension autoplasty by displaced aponeurotic flap for the treatment of uncomplicated inguinal hernias has been developed.

METHODS: Thirty patients were operated on using a new method of autoplasty; the comparison group involved 30 patients which were operated on by Liechtenstein hernioplasty using a partially absorbable mesh implant (UltraPro). The effectiveness of the methods was evaluated by clinical data, instrumental research methods (ultrasound examination, and computed tomography [CT]), and results of life quality.

RESULTS: There were no relapse cases in both groups in the early and long-term after surgery. According to ultrasound, inflammatory infiltrate was absent in the group using a new autoplasty method, subclinical seromas resolved earlier after surgery. According to data of compression elastography and CT, the formation of a denser scar in the postoperative area was registered in the comparison group with a statistically significant difference. The feeling of discomfort and pain in the study group was more pronounced in the early post-operative period in comparison with the group using a mesh implant. However, in later terms, the life quality of patients in the group using a new autoplasty method improved with a statistically significant difference.

CONCLUSION: The operation method is simple to perform, does not require the use of an endoprosthesis or extensive dissection of tissues and can be a reliable alternative and compete with prosthetic methods of hernioplasty.

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Published

2021-01-10

How to Cite

1.
Sapiyeva ST, Abatov NT, Aliyakparov MT, Noso Y, Badyrov RM, Badyrova ES. Autoplasty by Displaced Aponeurotic Flap: Results of a New Method of Inguinal Hernias Surgical Treatment. Open Access Maced J Med Sci [Internet]. 2021 Jan. 10 [cited 2024 Dec. 4];9(B):48-54. Available from: https://oamjms.eu/index.php/mjms/article/view/5589