Abstract
The article presents the development and clinical approval of a three-level differentiated algorithm for choosing the method of hernioplasty for inguinal hernias. The algorithm includes a five-factor scoring system for risk stratification, selection of the method of access, selection of the type of mesh and fixation method. The application of the algorithm reduced the frequency of early complications from 22.4% to 8.3% (p = 0.003), chronic postoperative pain from 17.8% to 5.3% (p = 0.003), and recurrences from 11.2% to 2.3% (p = 0.006).References
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