Results of Implementation of a Multimodal Perioperative Protocol of Fast Track Recovery in Patients with Groin Hernias

V.I. Palamarchyk, V.M. Lysenko, M.Yu. Krestianov, R.O. Balatsky, O.A. Potapov, V.I. Zubal, D.E. Makhmudov


The article presents the results of using a multimodal program of Fast Track Recovery in patients with inguinal hernias, who underwent transabdominal preperitoneal (TAPP) hernia repair. The aim of this study was to improve the short-term results in this group of patients. Patients of the main group underwent intrathecal anesthesia with right superficial blockade of the cervical plexus and pre-anesthesia of troacar wounds, and hydropreparation of the peritoneum. In the control group, endotracheal anesthesia was performed. In all patients included in the study and control groups, during transabdominal preperitoneal hernia repair, we have used volumetric polypropylene prosthesis with anatomical shape, which does not require additional fixation after its implantation into the preperitoneal space. Connecting the edges of the peritoneum above the mesh implant was performed using the technology of electric welding of biological tissues.
Subjective assessment of the quality of life and satisfaction with treatment results was statistically significantly better in the study group of patients. Laparoscopic transabdominal preperitoneal hernioplasty combined with multimodal program of Fast Track Recovery is a safe treatment strategy that can be an alternative to standard methods of treatment and rehabilitation of patients with inguinal hernia.


laparoscopic hernia repair; TAPP; groin hernia; multimodal program of Fast Track Recovery; welding of biological tissues


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