Autoplasty by displaced aponeurotic flap: Results of a new method of inguinal hernias surgical treatment

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.