Options for the treatment of the femoral hernia with atrophy of the public bone in the formed femoral canal
https://doi.org/10.20340/vmi-rvz.2021.4.CLIN.5
Abstract
Femoral hernias make up 2–4 % of the total number of patients with hernias [1], the results of their treatment do not tend to improve [2–6].
The aim of the study was to establish the incidence of atrophy of the pubic periosteum in patients with femoral hernia and to analyze the possible methods of surgery in their treatment.
Material and methods. The analysis of the treatment of 249 patients with femoral hernias for the period from 1996 to 2021 was carried out. There were 61 men (24.5%), women – 188 (75.5%). in 14 (5.6%), atrophy of the pubic periosteum was revealed during operations. Since 2009, patients with femoral hernia and atrophy of the pubic periosteum began to use the "Method for the treatment of inguinal and femoral hernias" (patent for invention No. 2445002, authors V.I. Belokonev, A.V. Vavilov, A.V. Zharov, Yu. V. Ponomareva, A.G. Nogoga) [11], which was performed by inguinal access.
Conclusions. In 5.6% of patients with femoral hernia and a long history, under the influence of the hernial sac, atrophy of the pubic periosteum occurs.A method of treating femoral and inguinal hernias by closing the hernial orifice with an elastic mesh with a protrusion at the medial edge of the mesh corresponding to the distance from the medial edge of the pupar ligament at the level of the femoral vein to the lower edge of the superior horizontal branch of the pubic bone (patent for invention No. 2445002) is an effective method of treating patients with hernias with destruction of the pubic bone periosteum in the femoral canal.
Supporting agencies: This research received no external funding.
About the Authors
V. I. Belokonev
Samara State Medical University
Russian Federation
Russian Federation
Samara
S. Yu. Pushkin
Samara State Medical University;
Samara Regional Clinical Hospital named. V.D. Seredavina
Russian Federation
Russian Federation
Samara
B. D. Grachev
Samara State Medical University;
Samara City Hospital No. 8
Russian Federation
Russian Federation
Samara
A. V. Zharov
Samara State Medical University;
Samara City Hospital No. 10
Russian Federation
Russian Federation
Samara
N. S. Burnaeva
Samara State Medical University
Russian Federation
Russian Federation
Samara
R. S. Ryzhkov
Samara State Medical University
Russian Federation
Russian Federation
Samara
References
1. 1 Calik B., Karaman K., Atci R., Cetindag O., Ugurlu L., Aydin C., Akbulut G. Visceral Organ Resection During Femoral Hernia Surgery is a predictor of morbidity. Int Surg. 2015;100 (3):455-60.
2. 2 Emelyanov S.I., Protasov A.V., Rutenberg G.M. Endosurgery of inguinal and femoral hernias. St. Petersburg: OOO "Foliant", 2000. 176 p. (In Russ).
3. 3 Gogia B. Sh. et al. Hernioplasty with the use of PHS and UHS endoprostheses in patients with inguinal hernias. Materials of the VIII conference with international participation "Current issues of herniology". Moscow, 2011.S. 56-57. (In Russ).
4. 4 Grigoriev S.G., Krivoshchekov E.P., Ivanov S.A., Grigorieva T.S. Inguinal hernia. Samara. SBEE HPE "SamSMU" of the Ministry of Health of Russia, IPO, ATN RF. LLC "Kniga" 2012. 160 p. (In Russ).
5. 5 Protasov A.V., Bogdanov D.Yu. Magomadov R.Kh. Practical aspects of modern hernioplasty. Moscow: Rusaki, 2011. 207 p. (In Russ).
6. 6 Kapustin B.B., Mingazova G.F., Anisimov A.V., Elkhov I.V. Regenerative plastic surgery of the inguinal canal: monograph. Izhevsk. 103 p. (In Russ).
7. 7 Roth N., Gangl O., Havlicek W., Függer R. The impact of emergency surgery on results of femoral hernia repair. Eur. Surg. 2010;42 (6):299-303. https://doi.org/10.1007/s10353-010-0573-7
8. 8 Tanaka N., Uchida N., Ogihara H., Sasamoto H., Kato H., Kuwano H. Clinical study of inguinal and femoral incarcerated hernias. Surgery Today. 2010;(40):1144-1147.
9. 9 Suppiah A., Gatt M., Barandarian J., Heng M. S., Perry E. P. Outcomes of emergency and elective femoral hernia surgery in four district general hospitals: a 4-year study. Hernia. 2007;11(6):509-512.
10. 10 Egiev V.N., Lyadov K.V., Resurrection P.K. Atlas of hernia operative surgery. Moscow: Medpraktika-M, 2003. 228 s. (In Russ).
11. 11 Patent for invention No. 2445002 dated June 08, 2009 "Method for the treatment of inguinal and femoral hernias", authors Belokonev V.I., Vavilov A.V., Zharov A.V., Ponomareva Yu.V., Nagoga A. G. (In Russ).
12. 12 Whalen HR, Kidd GA, O'Dwyer PJ. Femoral hernias. BMJ. 2011 Dec 8;343:d7668. https://doi.org/10.1136/bmj.d7668
13. 13 Erickson S.J. High – resolution imaging of the musculoskeletal system. Radiology. 1997;205:593–618.
14. 14 Rana R.S., Wu J.S., Eisenberg R.L. Periosteal reaction AJR. Am. J. Roentgenol. 2009;193(4):W259-72.
15. 15 Dwek J.R. The periosteum: what is it, where is it, and what mimics it in its absence? Sceletal Radiol. 2010;39:319–323.
16. 16 Hoffman D.F., Adams E., Bianchi S. Ultrasonography of fractures in sports medicine. Br.J. Sports Med. 2015;49:152–160.
17. 17 Moraux A.A., Gitto S., Bianchi S. Ultrasound Features of the Normal and Pathologic Periosteum. J Ultrasound Med. 2019 Mar; 38(3):775-784. https://doi.org/10.1002 / jum.14762
18. 18 Belokonev V.I., Pushkin S.Yu., Kovaleva Z.V., Burnaeva N.S., Zharov A.V. Possibilities of instrumental diagnostic methods for visualizing the pubic periosteum in the femoral canal. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2021;11(2):33-41. (In Russ.) https://doi.org/10.20340/vmi-rvz.2021.2.CLIN.1 (In Russ)
Review
For citations:
Belokonev V.I., Pushkin S.Yu., Grachev B.D., Zharov A.V., Burnaeva N.S., Ryzhkov R.S. Options for the treatment of the femoral hernia with atrophy of the public bone in the formed femoral canal. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2021;(4):71-78. (In Russ.) https://doi.org/10.20340/vmi-rvz.2021.4.CLIN.5
Views:
462
Email this article 