METHOD FOR CARRYING OUT RADICAL INGUINAL CANAL PLASTIC REPAIR Russian patent published in 2003 - IPC

FIELD: medicine. SUBSTANCE: method involves mobilizing spermatic cord by means of circular transaction together with the muscle lifting testis, fascial tunic (funnel) of the spermatic cord near the internal ring of the inguinal canal. Transverse fascia is cut behind the spermatic cord towards the external sheath edge of the musculus rectus abdominis. The spermatic cord is placed into preperitoneal fat and the transverse fascia is cut blanket suture. U-shaped flap is cut out from aponeurosis of the musculus obliquus internus abdominis belonging to anterior sheath wall of the musculus rectus abdominis. Its width is equal to 2-3 cm. The flap is turned with its base towards external boundary of the musculus rectus abdominis. A flap is detached from sublaying tissues, bent and sutured to the pubic ligament forming new internal fibrous ring. The spermatic cord exiting from the internal fibrous ring to sutured transverse fascia is laid and laterally moved to external inguinal space border. The inguinal space is sutured from both sides of the spermatic cord musculo-aponeurotic ring letting the spermatic cord exit into subcutaneous fat. The lower leaf of the musculus obliquus externus abdominis aponeurosis is sutured to the superior aponeurosis leaf under the spermatic cord creating a duplicature in this way. EFFECT: enhanced effectiveness in creating new more accurate and reliable internal inguinal canal ring. 1 dwg