EVALUATION OF THE QUALITY OF LIFE IN PATIENTSAFTER AUTOPLASTY OF THE INGUINAL CANALWITH A DISPLACED APONEUROTIC FLAP

Abstract

Background. The patient's quality of life plays a significant role in evaluating the effectiveness of hernia repair and is no
less important than the frequency of relapse, and it has also become an important indicator of evaluating the results after
surgery. To assess and measure the results of quality of life for patients after hernioplasty, specialized questionnaires are
required.
Aim. To assess the quality of life after autoplasty of the posterior wall of the inguinal canal with a displaced aponeurotic
flap using a questionnaire developed by us "Questionnaire for assessing the quality of life of a patient after hernioplasty".
Materials and methods. The total number of subjects is 30 people. A new method of autoplasty was used in 15 patients
in the study group, the comparison group -Lichtenstein hernioplasty using a partially absorbable mesh (UltraPro) - 15
patients. The patient's quality of life was assessed based on the survey data. The group arithmetic mean (????) and standard
deviation (SD) were calculated for all quantitative data. The significance of differences between the study groups was
determined by statistical methods using nonparametric criteria: the Mann-Whitney criterion for comparing independent
groups ("experience-control").
Results. Based on the results of the survey, it was noted that in the early stages after surgery, the quality of life is best in
the group with the use of a mesh. Symptomatically disturbing pain was higher in patients who underwent autoplasty in the
1st month after surgery. However, in later periods, the quality of life in the main group improves with a statistically significant
difference of p>0.05. All symptomatic sensations and complaints in both groups (with the exception of pain in the comparison
group, statistically significant differences >0.05) decreased by 6 months after hernioplasty.
Conclusion. This study can prove to be an important tool for comparing results between groups of patients after hernia
surgery and can be applied in our country.