METHOD FOR PLASTY OF INGUINAL CANAL AT APPLYING PYRAMIDAL MUSCLE Russian patent published in 2007 - IPC A61B17/00 

FIELD: medicine, surgery.

SUBSTANCE: it is necessary to mobilize a spermatic funiculus due to circular dissecting fascial membrane of spermatic funiculus at deep ring of inguinal canal together with a cremaster muscle. One should dissect transverse fascia behind a spermatic funiculus towards the external edge of the sheath of rectus muscle. It is important to replace spermatic funiculus into preperitoneal fiber, suture in a transverse fascia with a blanket uninterrupted suture, liquidate lateral part of inguinal space due to suturing up a loose edge of internal oblique and transverse muscles towards inguinal ligament to cover the sutured deep ring with them. One should cover the rest free space of median part of inguinal space mobilized from under aponeurotic sheath of rectus muscle with a pyramidal muscle, moreover, it is necessary to apply pyramidal muscle outwards against spermatic funiculus outcoming from preperitoneal fiber and suture pyramidal muscle towards inguinal ligament by keeping loose the part near internal edge of pyramidal muscle from under which the spermatic funiculus comes out. It is necessary to form a new deep ring of inguinal canal, suture in with single interrupted sutures the dissected aponeurosis of external oblique muscle by "edge-to-edge" technique, form a new surface ring for spermatic funiculus in median part of the dissected aponeurosis. The innovation enables to strengthen inguinal canal along its whole length in case of thinned aponeurosis of internal oblique muscle of abdomen under conditions of coarse alterations of inguinal canal's topography.

EFFECT: higher efficiency of plasty.

5 dwg, 1 ex