INNOVATIVE ASPECTS OF OPEN INGUINAL HERNIA SURGERY: REDUCING COMPLICATIONS AND PREVENTING RECURRENCES

Inguinal hernias constitute a significant portion of surgical pathology and remain among the most common reasons for seeking surgical consultation. According to the World Health Organization, inguinal hernias occur in 4-5% of the adult population, with men being affected 7 to 10 times more frequently than women. The aim of the study. The present study is aimed at improving the effectiveness of treatment, reducing the frequency of relapses and complications, as well as improving long-term treatment outcomes. Research materials and methods. This study is based on the diagnostic and treatment outcomes of patients with inguinal hernias who underwent surgical intervention at the surgical department of the multidisciplinary regional hospital in Samarkand between 2019 and 2024. A total of 196 male patients with various types of inguinal hernias were selected for retrospective and prospective analysis. The results of the study. The study identified key risk factors for inguinal hernias, including hard physical work, increased intra-abdominal pressure and connective tissue dysplasia. The factor analysis of the causes of relapse and unsatisfactory results in patients in the comparison group, such as impaired sexual function and testicular atrophy on the operated side, showed positive long-term effect in patients in the main group. Among 79.6% of patients followed in the long-term period, no recurrence of the disease was observed. None of the patients reported a sensation of a foreign body in the operative area, although some patients of reproductive age reported sexual dysfunction. Quality-of-life assessment indicated that implementation of a differentiated algorithm for treatment strategy selection increased the proportion of “excellent” and “good” outcomes from 88.3% to 100.0%. Conclusion. The developed algorithm for selecting the method of inguinal canal plastic surgery, and the improvement of surgical instruments has significantly reduced the incidence of early postoperative complications. The use of a modified preperitoneal alloplasty technique demonstrated excellent long-term results, decreasing recurrence rates and improving patients’ quality of life.