Reparative and functional state of postoperative wound tissues during hernioplasty with endoprosthesis "titanium silk" in patients with diabetes mellitus

Abstract

Objective. To assess the reparative and functional state of the tissues of the postoperative wound during hernioplasty with the endoprosthesis "titanium silk" in patients with diabetes mellitus. Materials and methods. Clinical and laboratory examination was carried out in 37 patients with inguinal hernias using the titanium silk endoprosthesis. The patients were divided into two groups. In the comparison group (n = 20), surgical treatment was performed in patients without diabetes mellitus, in the main group (n = 17), patients had type 1 or 2 diabetes mellitus. In the early postoperative period, the dynamics of healing process in the postoperative period was assessed using cytological and instrumental methods. Results. It was found that inflammation and microcirculation disorders are observed in the tissues of the postoperative period. However, it was noted that when using the endoprosthesis "titanium silk" in patients of both the main and the control groups, no disruption of the reparative processes was detected. Conclusions. The use of titanium mesh endoprostheses "titanium silk" for hernioplasty of inguinal hernias in patients with diabetes mellitus does not violate the fundamental processes of tissue healing in the region of the ​​operation.