• R. P. Knut
  • O. Y. Khomko
  • P. V. Kyfyak
  • R. I. Sydorchuk
  • V. K. Hrodetskyy
  • V. I. Hrebenyuk
  • O. M. Plehutsa
Keywords: groin hernias, complications of hernioplasty, hernial sac, perihernial tissues.


Summary. Inguinal hernioplasty is the most frequently performed surgical operation in the world, but the level of complications still reaches 11 % and of recurrences — 5 %. According to some authors, the reason may be in chronic inflammatory changes of the hernia sac and perihernial tissues.

Aim. To study the pathohistological changes of the hernia sac and perihernial tissues of patients with inguinal hernias for development of adequate methods of complications prophylactics.

Material and methods. The pathohistological examination of fragments of hernial sac and perihernial tissues of 24 patients with groin hernias was performed.

Results and discussion. The investigation detected the signs of chronic inflammation in fragments of tissue of hernial sac in all patients. In 8 (33,3 %) patients the signs of inflammation were found only in fragments of hernial sac, and in 16 (66,7 %) – they were combined with the inflammation of perihernial tissues. Among them, the pronounced signs of chronic inflammation were found in 6 (25,0 %) patients with recurrent groin hernias, they were combined with the pronounced scarring changes of hernial sac and perihernial tissues.

Conclusions. 1. Chronic inflammatory changes of the hernia sac and perihernial tissues are among the reasons for the development of postoperative complications and recurrences. 2. An important component of prevention of complications can be use of antibacterial and anti-inflammatory drugs.


1. Burcharth J. The epidemiology and risk factors for recurrence after inguinal hernia surgery / Jakob Burcharth. Dan Med J. 2014; 61: B4846.
2. Campanelli G, Bruni PG, Cavalli M, Morlacchi A. A Complete Sutureless, Hernia Repair for Primary Inguinal Hernia the Trabucco Repair: A Tribute to Ermanno Trabucco. Surg Technol Int 2016; 28: 141-146.
3. Hoyuela C, Juvany M, Carvajal F, et al. Randomized clinical trial of mesh fixation with glue or sutures for Lichtenstein hernia repair. Br J Surg 2017; 104(6): 688-694. DOI: 10.1002/bjs.10488.
4. Knut R, Sydorchuk O, Ryabyi S, Sydorchuk L, Khodorovska A. Sutureless functionally adaptive fixation method for inguinal hernioplasty The Medical-Surgical Journal. 2018; 122(3): 528-532.
5. Polyovyy V, Sydorchuk R, Kulachek F, Rotar O, Palyany-tsia A, et al. Results of fullfilment of the comprehensive research of the general surgery department «substantiation of prophylaxis, early diagnosis and treatment of septic complications of acute combined surgical pathology». Clinical & Experimental Pathology. 2017; 16(1): 9-13. DOI: 10.24061/1727-4338.XVI.1.59.2017.2.
6. Schnyder F, Cabalzar-Wondberg D, Raptis D, Eisner L, Zuber M, Weixler B Outcome of open inguinal hernia repair using sutureless self-gripping mesh - a retrospective single cohort study. Swiss Med Wkly. 2021;151:DOI: 10.4414/smw.2021.20455.
7. De Simone B, Ansaloni L, Sartelli M, et al. (OBA trial supporters). The Operative management in Bariatric Acute abdomen (OBA) Survey: long-term complications of bariatric surgery and the emergency surgeon’s point of view. World J Emerg Surg. 2020;15:2. doi: 10.1186/s13017-019- 0281-y.
How to Cite
Knut, R. P., Khomko, O. Y., Kyfyak, P. V., Sydorchuk, R. I., Hrodetskyy, V. K., Hrebenyuk, V. I., & Plehutsa, O. M. (2021). PATHOHISTOLOGICAL PRERECONDITIONS FOR DEVELOPMENT OF COMPLICATIONS AND R ECURRENCES I N INGUINAL HERNIOPLASTY. Kharkiv Surgical School, (2), 42-46.