TECHNICAL ASPECTS OF TRANSABDOMINAL PREPERITONEAL LAPAROSCOPIC HERNIOPLASTY (TAPP)

Objective: evaluation of the effectiveness of endoscopic treatment of inguinal hernias. Materials and methods. A clinical study was conducted in 71 patients with rectal and oblique inguinal hernia, of whom 24 patients underwent laparoscopic transabdominal hernioplasty (TAPP) using a mesh endoprosthesis and its fixation with a herniostepler and 47 patients underwent open hernioplasty with hernial gate plasty. Results. The average duration of surgery (TAPP) was 29.5±1.0 min, and open hernioplasty was 80.2±1.1 min. Patients were hospitalized for an average of 2.5±0.5 days after surgery (TAPP) and 6.6±0.2 days after open hernioplasty. When assessing postoperative complications, 4.1% of cases occurred during (TAPP), which was 3 times less than during open hernioplasty. Conclusions: the use of laparoscopic interventions for inguinal hernias allows reducing the number of complications by 3 times, reducing the length of hospital stay and accelerating the duration of surgery