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International Journal of Medical Sciences And Clinical Research

Peer Reviewed | Open Access | E-ISSN: 2771-2265
Published Article

Ultrasound Quantification Of Inguinal Oblique-Muscle Atrophy As A Predictor Of Recurrence And A Basis For Method Selection In Endovideosurgical Hernioplasty

Ultrasound Quantification Of Inguinal Oblique-Muscle Atrophy As A Predictor Of Recurrence And A Basis For Method Selection In Endovideosurgical Hernioplasty

Authors

  • A.Kh. Ashurov
    Samarkand State Medical University, Samarkand, Uzbekistan
  • E.A. Rizaev
    Samarkand State Medical University, Samarkand, Uzbekistan

Keywords:

Inguinal hernia ultrasound oblique muscles asymmetry coefficient

Abstract

220 patients with inguinal hernias operated on by TAPP, TEP and e-TEP were examined; 32 healthy subjects matched by sex and age formed the control group for reference muscle-thickness values. Ultrasound measurement of abdominal-wall muscle thickness was highly reproducible (ICC ≥ 0.97). The asymmetry coefficient decreased consistently with atrophy grade (≈1.0 — none; 0.85–0.90 — mild; 0.70–0.84 — moderate; <0.70 — severe). The degree of atrophy correlated directly with recurrence risk (r = 0.51; p < 0.01). The scoring scale provided good discrimination — AUC 0.81 for complications and 0.84 for recurrence; a sum of 0–4 points corresponded to sufficiency of TAPP, 5–8 points allowed either access, and ≥9 points indicated e-TEP.

 

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