METHOD OF LAPAROSCOPIC HERNIOPLASTY OF UMBILICAL HERNIA AND MIDLINE HERNIA Russian patent published in 2008 - IPC A61B1/313 A61N5/67 

FIELD: medicine.

SUBSTANCE: method implies cut out of U-shaped abdominal graft in area of hernial defect with base directed to patient's head. It is contact separated from aponeurosis together with hernial sac by means of high-intensity laser radiation (HILR) at wave length 970 nm and power 4-6 Wt. Bleeding vessels are distantly coagulated with the same HILR at power 6-8 Wt. Aponeurosis defect is sutured. Reticular prosthesis is layered between aponeurosis and peritoneum followed by fixation and closure of peritoneum and skin. Hernial defect and prosthesis fixation is performed by endoscopic suture using intracorporal endoscopic node. During surgery three trocars are introduced for women through posterior fornix of vagina, and for men - by abdominal raphe.

EFFECT: method enables to prevent relapses.

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