Peculiarities of Pre-Peritoneal Hernioplasty in Surgical Treatment of Ventral Hernias of Lower and Median Localization

The purpose of this research work is to analyze and substantiate the advantages of the laparoscopic hernioplasty method, its improvement, to improve the results of surgical treatment of hernias of medial and lower localization. In the process of this research, we used a comparison method based on the surgical intervention by TAPP and SUBLAY performed on 405 patients. Patients were questioned according to the SF-36 form to assess their physical and psychoemotional state before surgical intervention and in the remote postoperative period. Significant advantages of using preperitoneal laparoscopic hernioplasty over open preaponeurotic hernioplasty include low complication rates (9.24% and 11.25%, respectively), easier nature of complications, shorter hospital stay, and quicker return to habitual activities. Treatment of patients by the TAPP method compares favorably with the SUBLAY method due to a smaller number of early and late complications, the nature and severity of complications, complications are easier to correct, the period of hospitalization is shorter, and the rehabilitation period is shorter. Laparoscopic technique for the treatment of hernias of medium and lower localization has a large number of supporters, both in Ukraine and in the world, who believe that the main advantage of this technique is the absence of contact with the free abdominal cavity and no reason for the formation of adhesions of the abdominal cavity organs, and therefore significantly reduced the risk of intra- and postoperative complications. Thus, the development and implementation of laparoscopic techniques show significant advantages in comparison with open laparotomy methods