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Zavrazhnov A.A.

Beloostrov High-Tech Clinic (MMC VT LLC)

Strizheletskiy V.V.

St. Petersburg City Hospital of the Holy Great Martyr George;
St. Petersburg State University

Kashchenko V.A.

Beloostrov High-Tech Clinic (MMC VT LLC);
St. Petersburg State University

Orlov B.B.

Loginov Moscow Clinical Research Center

Yuri A.V.

Loginov Moscow Clinical Research Center

Rutenburg G.M.

St George Martyr Municipal Hospital

Lomia A.B.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Sultanova F.M.

City Hospital of the Holy Great Martyr George;
St. Petersburg State University

Kopteev N.R.

Sokolov North-West Regional Clinical Center

Budanov D.S.

Saint-Petersburg State University

Shvetsov R.A.

Mechnikov North-West State Medical University

Inguinal hernia repair: standardized laparoscopic transabdominal preperitoneal repair. Methodology for developing intraoperative algorithms

Authors:

Zavrazhnov A.A., Strizheletskiy V.V., Kashchenko V.A., Orlov B.B., Yuri A.V., Rutenburg G.M., Lomia A.B., Sultanova F.M., Kopteev N.R., Budanov D.S., Shvetsov R.A.

More about the authors

Journal: Endoscopic Surgery. 2025;31(4): 13‑18

DOI: 10.17116/endoskop20253104113

Read: 554 times

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Table of contents

INGUINAL HERNIA REPAIR: STANDARDIZED LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL REPAIR. METHODOLOGY FOR DEVELOPING INTRAOPERATIVE ALGORITHMS
INGUINAL HERNIA REPAIR: STANDARDIZED LAPAROSCOPIC TRANSABDOMINAL PREPERITONEAL REPAIR. METHODOLOGY FOR DEVELOPING INTRAOPERATIVE ALGORITHMS

To cite this article:

Zavrazhnov AA, Strizheletskiy VV, Kashchenko VA, et al. . Inguinal hernia repair: standardized laparoscopic transabdominal preperitoneal repair. Methodology for developing intraoperative algorithms. Endoscopic Surgery. 2025;31(4):13‑18. (In Russ.)
https://doi.org/10.17116/endoskop20253104113

Подписка 2026 Эндоскопическая хирургия (Endoscopic Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

The aim of the study is to develop an intraoperative algorithm for surgical safety of laparoscopic prosthetic hernioplasty as one of the most frequently performed operations in general surgery.

MATERIAL AND METHODS

The literature data regarding the incidence and nature of intraoperative, early and late postoperative complications were analysed. Laparoscopic transabdominal pre-peritoneal transabdominal hernioplasty of inguinal hernia was analysed in detail by the team of authors. The rules of safe performance of this surgical intervention were formed, on the basis of which an intraoperative check-list was created.

RESULTS

The check-list including four main stages of the operation (access, herniorrhaphy, hernioplasty, completion of the operation) with subparts was developed and the methodology of intraoperative safety algorithms formation was formed.

CONCLUSIONS

Implementation of the methodology and check-list allows to prevent the occurrence and development of complications, as well as to optimise the learning curve of the surgeon.

Keywords:

Inguinal hernia
hernioplasty
surgical standardization

Authors:

Zavrazhnov A.A.

Beloostrov High-Tech Clinic (MMC VT LLC)

Strizheletskiy V.V.

St. Petersburg City Hospital of the Holy Great Martyr George;
St. Petersburg State University

Kashchenko V.A.

Beloostrov High-Tech Clinic (MMC VT LLC);
St. Petersburg State University

Orlov B.B.

Loginov Moscow Clinical Research Center

Yuri A.V.

Loginov Moscow Clinical Research Center

Rutenburg G.M.

St George Martyr Municipal Hospital

Lomia A.B.

Center for Surgical Treatment of Obesity and Metabolic Disorders — St. George Hospital

Sultanova F.M.

City Hospital of the Holy Great Martyr George;
St. Petersburg State University

Kopteev N.R.

Sokolov North-West Regional Clinical Center

Budanov D.S.

Saint-Petersburg State University

Shvetsov R.A.

Mechnikov North-West State Medical University

Received:

17.10.2024

Accepted:

04.12.2024

Close metadata

References:

  1. HerniaSurge Group. International guidelines for groin hernia management. Hernia. 2018;22(1):1-165.  https://doi.org/10.1007/s10029-017-1668-x
  2. Revishvili ASh, Olovyannyi VE, Sazhin VP, Markov PV, Gogiya BSh, Gorin DS, Ushakov AA, Orudzheva SA, Kuznetsov AV, Shelina NV, Ovechkin AI. Surgical care in the Russian Federation. M., 2023.
  3. Read RC. Milestones in the history of hernia surgery: prosthetic repair. Hernia. 2004;8(1):8-14.  https://doi.org/10.1007/s10029-003-0169-2
  4. Caruso G, Evola G, Antonio Maria Benfatto S, Gangemi M. Transabdominal Preperitoneal (TAPP) Inguinal Hernia Repair. Hernia Surg Intech Open. 2022;17(2):7-17.  https://doi.org/10.5772/intechopen.101962
  5. Köckerling F, Bittner R, Jacob DA, Seidelmann L, Keller T, Adolf D, Kraft B, Kuthe A. TEP versus TAPP: comparison of the perioperative outcome in 17,587 patients with a primary unilateral inguinal hernia. Surg Endosc. 2015;29(12):3750-3760. https://doi.org/10.1007/s00464-015-4150-9
  6. Aiolfi A, Cavalli M, Ferraro SD, Manfredini L, Bonitta G, Bruni PG, Bona D, Campanelli G. Treatment of Inguinal Hernia: Systematic Review and Updated Network Meta-analysis of Randomized Controlled Trials. Ann Surg. 2021;274(6):954-961.  https://doi.org/10.1097/sla.0000000000004735
  7. Harriott CB, Dreifuss NH, Schlottmann F, Sadava EE. Incidence and risk factors for umbilical trocar site hernia after laparoscopic TAPP repair. A single high-volume center experience. Surg Endosc. 2021;35(9):5167-5172. https://doi.org/10.1007/s00464-020-08007-3
  8. Khuzhamov OB, Gaziev KU, Khamdamov IB. Inguinal hernia: new aspects of etiopathogenesis and treatment. Questions of science and education. 2022;5:161-173. 
  9. Clinical guidelines “Inguinal hernia” (approved by the Ministry of Health of the Russian Federation, 2021). https://www.garant.ru/products/ipo/prime/doc/402809399/
  10. Claus C, Furtado M, Malcher F, Cavazzola LT, Felix E. Ten golden rules for a safe MIS inguinal hernia repair using a new anatomical concept as a guide. Surg Endosc. 2020;34(4):1458-1464. https://doi.org/10.1007/s00464-020-07449-z
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