TY - JOUR

T1 - Эндоскопическая техника ушивания грыжевых ворот при прямой паховой грыже у мужчин: авторская методика

AU - Barzak, R.I.

AU - Yuri, A.V.

AU - Tischenko, D.A.

AU - Orlov, B.B.

AU - Semenenko, I.A.

AU - Kopteev, N.R.

AU - Kashchenko, V.A.

N1 - Export Date: 05 February 2026; Cited By: 0; Correspondence Address: R.I. Barzak; Yudin City Clinical Hospital, Moscow, Russian Federation; email: r.barzak@mail.ru

PY - 2025

Y1 - 2025

N2 - Objective. Analysis of intraoperative and early postoperative results of the use of intracorporeal integral suture during laparoscopic hernioplasty of direct inguinal hernias. Material and methods. A prospective single-center study was conducted on the basis of the City Clinical Hospital named after. S.S. Yudin in Moscow. The study included 102 patients with newly diagnosed direct inguinal hernias, who were divided into a comparison group (n=51, 50%) with the use of an integral suture and a control group (n=51, 50%) without hernial defect suturing. eTEP (extended Total Extraperitoneal Plasty) hernioplasty with ipsilateral access was performed in two groups. Results. The average duration of operations was 47.25±8.68 minutes in the first group and 43.63± 8.31 minutes in the control group. The size of the hernia defect varied from 1.5 cm to 3 cm. The degree of pain was assessed using a validated visual analog scale (VAS) on the 2nd day after surgery and amounted to 2.57±1.09 in the comparison group and 2.9± 1.29 in the control group, which is minimal/moderate pain in two groups. The average length of hospitalization was 3.89±1.64 days. On the first day after surgery, ultrasound results revealed seromas in 6 patients (11.7%) above the pubic bone in the suturing group and in 22 patients (43.1%) in the dead space of a rectus inguinal hernia formed by stretching the transverse fascia by intra-abdominal pressure (p=0.05). Intraoperative complications in the form of bleeding and damage to non-target structures were absent in two groups. Conclusion. This work is the first to clearly demonstrate the technique of endoscopic closure of a hernia defect of a direct inguinal hernia with an anatomical justification. The advantage of the technique is associated with the prevention of seromas in the postoperative period without severe pain syndrome. The corrected disadvantage is a increasing of the duration of the operation by an average of 3.62 minutes (95% CI 0.23—7.01, p<0.05). To more accurately assess long-term results and determine indications for the use of integral suture in herniology, further randomized clinical studies are needed

AB - Objective. Analysis of intraoperative and early postoperative results of the use of intracorporeal integral suture during laparoscopic hernioplasty of direct inguinal hernias. Material and methods. A prospective single-center study was conducted on the basis of the City Clinical Hospital named after. S.S. Yudin in Moscow. The study included 102 patients with newly diagnosed direct inguinal hernias, who were divided into a comparison group (n=51, 50%) with the use of an integral suture and a control group (n=51, 50%) without hernial defect suturing. eTEP (extended Total Extraperitoneal Plasty) hernioplasty with ipsilateral access was performed in two groups. Results. The average duration of operations was 47.25±8.68 minutes in the first group and 43.63± 8.31 minutes in the control group. The size of the hernia defect varied from 1.5 cm to 3 cm. The degree of pain was assessed using a validated visual analog scale (VAS) on the 2nd day after surgery and amounted to 2.57±1.09 in the comparison group and 2.9± 1.29 in the control group, which is minimal/moderate pain in two groups. The average length of hospitalization was 3.89±1.64 days. On the first day after surgery, ultrasound results revealed seromas in 6 patients (11.7%) above the pubic bone in the suturing group and in 22 patients (43.1%) in the dead space of a rectus inguinal hernia formed by stretching the transverse fascia by intra-abdominal pressure (p=0.05). Intraoperative complications in the form of bleeding and damage to non-target structures were absent in two groups. Conclusion. This work is the first to clearly demonstrate the technique of endoscopic closure of a hernia defect of a direct inguinal hernia with an anatomical justification. The advantage of the technique is associated with the prevention of seromas in the postoperative period without severe pain syndrome. The corrected disadvantage is a increasing of the duration of the operation by an average of 3.62 minutes (95% CI 0.23—7.01, p<0.05). To more accurately assess long-term results and determine indications for the use of integral suture in herniology, further randomized clinical studies are needed

KW - direct inguinal hernia

KW - eTEP

KW - intracorporeal integral suture

KW - laparoscopic hernioplasty

KW - abdominal pressure

KW - Article

KW - controlled study

KW - duration

KW - endoscopy

KW - fascia

KW - hernia repair

KW - herniaplasty

KW - herniorrhaphy

KW - hospitalization

KW - human

KW - inguinal hernia

KW - laparoscopy

KW - male

KW - peroperative complication

KW - postoperative period

KW - prospective study

KW - pubis

KW - stretching

U2 - 10.17116/endoskop2025310315

DO - 10.17116/endoskop2025310315

M3 - статья

VL - 31

SP - 5

EP - 12

JO - Endoscopic Surgery

JF - Endoscopic Surgery

SN - 1025-7209

IS - 3

ER -