OPERATIONAL ACCESS TO HERNIAS OF PELVIC BOTTOM Russian patent published in 2006 - IPC A61B17/00 

FIELD: medicine, surgery.

SUBSTANCE: one should perform an incision of 5-6 cm in inguinal area being parallel and 2 cm above inguinal ligament, lance anterior wall of inguinal canal, with help of a holder replace spermatic funiculus or round uterine ligament in median direction or upwards, lance posterior wall of inguinal wall from lateral edge of rectum up to a deep inguinal ring, apply a circular casing, exfoliate pelvic peritoneum with special instruments against peritoneum in pre-peritoneal fiber under visual control and medially, as well, introduce illuminator and retractor into retroperitoneal space. During inspecting an obturator foramen it is necessary to place the axis of operational action against frontal plane at the angle of 45°-50°, against horizontal plane - 40°-45°. While inspecting sciatic foramens one should place the axis of operational action against sagittal plane at the angle of 25°-30°, against frontal plane - 60°-65°. At inspecting perineal hernias the axis of operational action should lie against sagittal plane at the angle of 45°-50°, against frontal plane - 40°-45°. The innovation provides the shortest distance up to operational object that simplifies access technique.

EFFECT: decreased traumatism of operation.

1 cl, 2 dwg, 1 ex