[Differentiated approach to preperitoneal alloplasty for complex recurrent inguinal hernias].

The results of surgical treatment of complex recurrent inguina hernias in 138 patients (all of them are men), ageing 30-82 yrs old, were analyzed. In 75 patients, suffering unilateral inguinal hernia and destroyed inguinal ligament, the preperitoneal alloplasty method, elaborated in the clinic, was applied, using operative access through inguinal channel with prolene mesh fixation to lacunar ligament. In 18 patients the mesh was sutured, using herniostapler with spiral-like fixation devices.

[Specifics of surgical correction of the oblique inguinal hernia depending on the size].

The results of surgical treatment of 257 patients aged from 10 to 50 years with the oblique inguinal hernia were analyzed. The structure of inguinal channel was studied up using anatomical dissection and measurement on 35 male cadavers aged from 12 to 60 years old. There was substantiated the expediency of surgical correction of the intrachannel and not large external oblique inguinal hernia in the presence of the three-wall-fissure-like inguinal channel using the improved method of the hernial sac mobilization from its neck.

[Surgical and experimental-biological aspects of inguinal hernia].

In experiment on 57 animals the method of plasty of anterior wall of inguinal channel by forming of the aponeurosis of m. abdominis obliqus ext. and suturing together the aponeurotic edges was simulated.