THE USE OF RHEOGRAPHY TO ASSESS CHANGES IN MICROCIRCULATION IN TISSUESAFTER SURGICAL TREATMENT OF INGUINAL HERNIAS

The purpose of this study is to evaluate the possibility of using geometry to assess changes in microcirculation in the hernioplasty area after surgical treatment of inguinal hernias in the BSMU Clinic, and using this method (based on a comparison of data obtained when registering changes in the absolute values of active tissue resistances in the area of surgical access) to show the existing difference in the state of the postoperative wound during laparoscopic treatment of inguinal hernia and hernioplasty by Lichtenstein, namely the state of microcirculation in the area of hernioplasty on the 1st, 5th and 14th days after these operations.Material and methods: A medical rheograph RG 4-0.1 was used for the study. Changes in the absolute values of active re-sistances of patients in the hernioplasty zone were recorded. Percutaneous rheography was performed in 32 patients who underwent laparoscopic hernioplasty and 38 hernia carriers operated by an open method: before surgery, on the 1st, on the 5th and on the 14th day after it. The amplitude (h) in mm was recorded during rheography.Results: The possibility of using rheometry to assess the state of microcirculation in tissues after inguinal hernia surgery was shown, and rheometry data for laparoscopic hernioplasty and Lichtenstein herniation were compared.Conclusions: The results show that rheography as a safe and affordable research method can be successfully used to assess thestate of microcirculation in tissues in the area of postoperative wounds. The study showed that the violation of microcirculation in tissues in the area of surgery is minimal with the TAPP method, and the return of rheometry indicators to the initial figures is much faster than with open plastic surgery, which leads to a better effect of hernia defect repair and to earlier rehabilitation of patients after herniation.

rheography, inguinal hernia, laparoscopic surgery, explantation hernioplasty, microcirculation

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