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<meta name="Description" content="(i) One should refuse from the performance of the stretch hernioplasty in elderly and senile patients with hernias of IVA and IVB - types by Nyhus. Weakened and garnetted tissue of the inguinal triangle do not allow efficiently perform plastic procedure of the posterior wall of the inguinal canal. After hernioplasty by Postempskyi patients have the pain syndrome longer and the opportunity for faster physical rehabilitation disappears.
(ii) Hernioplasty by Lichtenstein may be considered the operation of choice in elderly and senile patients with hernias of IVA and IVB - types by Nyhus.
(iii) Patients with recurrent hernias after plastic procedure by Lichtenstein, in case when a relapse is caused by the failure of the internal inguinal ring in the implant, the chosen operation should be considered our proposed original method.
" />
<meta name="keywords" content="Inguinal Hernia, Elderly Age, Hernia Repair, Recurrent Inguinal Hernia."/>
<title>Peculiarities Of Surgical Treatment Of Recurrent Inguinal Hernia In Elderly And Senile Patients</title>
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<h2 align="center" class="style6">Volume <span class="style11">2</span>, Issue 9</h2>
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<h6 align="center" class="style1"><strong>Peculiarities Of Surgical Treatment Of Recurrent Inguinal Hernia In Elderly And Senile Patients</strong></h6>
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<p><span class="style10">Author: </span><span class="style5">Sergey M. Vasulyuk <sup>1</sup><sup>*</sup>, Olexandr V. Prudnikov <sup>1</sup></span></p>
<p><span class="style5">1. Department of Surgery № 1, Ivano-Frankivsk National Medical University, Ivano-Frankivsk, Ukraine</span></p>
<p><span class="style10">Abstract:</span> <span class="style5">Analysis of surgical treatment of 21 elderly and senile patients with hernias of IVA and IVB - types by Nyhus was performed. In 2 of them the relapse has occurred after preperytoneal transabdominal hernioplasty, in 14 - after various types of hernioplasty by own tissues, and in 5 - after hernioplasty by Lichtenstein. In 7 examined patients plastic of the recurrent hernia was performed by the method of Postempskyi, in 9 - by Liechtenstein and in 5 - by our original method. It was determined that hernioplasty by Postempskyi should be refused in patients with recurrent inguinal hernias. Operation by Lichtenstein is the method of choice for recurrent hernias after tense hernioplasty, and our original method must be applied in the case of recurrent hernia after plastics by Liechtenstein.</span></p>
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