Modern methods of hernioplasty and their effectiveness in young men

Damadaev Damada Magomedovich, Khamidov Magomed Akhmedovich, Magomedov Mukhuma Magomedovich

The purpose of this review is to analyze treatment results of young reproductive men with inguinal hernia according to domestic and foreign authors. Particularly difficult is the problem of choosing the method and plastics technique for the treatment of the inguinal canal in young men, taking into account the need to preserve fertility and sexual function after surgery and to ensure rapid recovery of working capacity and return to an active lifestyle. Using the synthetic mesh in the treatment of inguinal hernia allows the surgeon to achieve a more lasting recovery, which is associated with a lower recurrence rate compared to traditional autoplasty. However, complications associated with the mesh, which include the prosthesis infection, postoperative pain, and reproductive dysfunction, remain a serious clinical problem. To date, the issue of choosing a hernioplasty technique in young men remains topical. According to the literature, hernioplasty for various methods of surgical treatment is currently understudied, especially in terms of its effect on reproductive disorders in young men. The problem of herniotomy in reproductive men is far from being finally resolved.

Keywords:inguinal hernia, reproductive function, intertesticular blood flow, Desarda technique, TAPP technique.