METHOD FOR INGUINAL PLASTY WITH REPLACED MEDIAL FRAGMENT OF CROSS-SECTIONAL FASCIA Russian patent published in 2005 - IPC

FIELD: medicine, surgery.

SUBSTANCE: one should dissect cross-sectional fascia longitudinally from inguinal ring up to pubic tubercle, medial leaf of cross-sectional fascia should be separated due to acute and blunt way against pre-abdominal fatty fiber and muscular-aponeurotic part of combined tendon and rectus muscle of abdomen, then cross-sectional fascia should be dissected cross-sectionally against pubic tubercle being 4-5 cm medially, and at the edge of rectus muscle of abdomen it should be dissected longitudinally for 4-6 cm by developing a fragment which should be replaced into inguinal canal; lateral edge of replaced fragment should be sutured without any tension to ileopubic cord with monoligature 5/00 against pubic tubercle up to deep inguinal ring; medial edge of replaced fragment, similarly, beginning from pubic tubercle up to deep inguinal ring along its whole length should be sutured without tension to combined tendon that enables to fix posterior wall of inguinal canal with its own fascia.

EFFECT: higher efficiency of plasty.

4 dwg, 3 ex