Quality of life of patients with inguinal hernias after laparoscopic transabdominal preperitoneal hernioplasty using anatomically adapted implants

Objective. Assessment of quality of life (QOL) of patients with primary inguinal hernias after laparoscopic transabdominal preperitoneal hernioplasty (TAPP) using anatomically adapted implants. Material and methods. The prospective controlled clinical study included the results of treatment of 72 patients. The main group consisted of patients in whom lightweight polypropylene implants with a volumetric anatomically adapted spatial structure were used TAPP hernioplasty. Patients in the control group underwent TAPP with lightweight flat polypropylene meshes, fixed with a hernia stapler. Quality of life were studied in patients using the SF-36 questionnaire in the preoperative period and 3, 6 and 12 months after surgery. Results. 3 months after TAPP, the change in the quality of life indicators of patients using anatomically adapted implants for plastic surgery was accompanied by a significant increase and almost complete restoration of the physical and psychological components of health of the operated patients. Similar values of quality of life indicators at these observation periods were also revealed when using classic endoprostheses with stapler fixation. 6 and 12 months after TAPP, the quality of life indicators of both groups of patients did not undergo any significant changes and did not differ significantly from each other. The only feature of these observation stages was the registration of a statistically significant difference in the mental health indicator, which in patients with anatomically adapted implants 6 months after plastic surgery slightly exceeded the indicator of patients in the comparison group. Conclusion. The use of anatomically adapted implants when performing TAPP in patients with primary inguinal hernias is accompanied by recovery times for quality of life indicators in operated patients comparable to those of stapler fixation of classical endoprostheses, which allows them to be recommended for plastic surgery of the anterior abdominal wall in patients with primary inguinal hernias.