METHOD FOR PERFORMING PREPERITONEAL GERNIOPLASTY Russian patent published in 2007 - IPC A61B17/94 

FIELD: medicine.

SUBSTANCE: method involves accessing preperitoneal space in periumbilical region by opening anterior abdominal direct muscle sheath leaf followed by subsequent introduction into trocar tube sheath without stiletto. Carbon dioxide gas is supplied under pressure of 12 mm of mercury column. Laparoscope is introduced along back surface of abdominal direct muscle into preperitoneal space in inguinal region. Primary cavity is created in preperitoneal space with laparoscope tube in medial and lateral inguinal fossa projection. Peritoneum is separated. Additional 5 mm gates are formed half-distance between umbilicus and symphysis, 5 cm lateral from median line. Hernial sack is exposed. Inguinal ligament, internal oblique and transverse abdominal muscles vault, inferior epigastric blood vessels and Kupfer ligament are prepared. Hernial gate is exposed. Non-absorbable polyfilament sutures are introduced through trocar and continuous intracorporeal suture is stitched between iliopubic tract, internal oblique abdominal muscle vault and transverse fascia.

EFFECT: reduced risk of traumatic postoperative complications.