METHOD OF RESTORATION OF INGUINAL LIGAMENT AT RELAPSING INGUINAL HERNIAS Russian patent published in 2009 - IPC A61B17/00 

FIELD: medicine; surgery.

SUBSTANCE: exsect old postoperative cicatrix by realisation of the cut bordering hernial diverticulum of a skin and a hypodermic fat. Then from the surrounding tissues allocate the hernial sac to neck and remove at slanting hernias, and at straight lines - invaginate in abdominal cavity. In the subsequent, by means of uniform mesh endoprosthesis, liquidate defect of abdominal wall of inguinal area and restore absent inguinal ligament single-step by anchoring of mesh endoprosthesis from the medial side to the pectineal ligament and to an upper edge of a pubic symphysis using four noose sutures. Further edges of the endoprosthesis, located anteperitoneal, fix to fascia of lumbar muscle, and fix its lateral extremity in front to the remained scraps of the lateral part of inguinal ligament and the top anterior ileal arista. Then endoprosthesis is bent in cranial direction and fix medially to the anterior leaf of vagina of the abdominal rectus muscle. Then, from the cranial side in an endoprosthesis make a cut to a deep inguinal ring for deducing of a seed funicle or round ligament of a uterus. Take in the formed legs of endoprosthesis from the cranial side from the deep inguinal ring in the form of reduplication for formation of deep inguinal ring from the implanted endoprosthesis. And an endoprosthesis fix on all surface of overlapping of an abdominal wall a continuous suture. As a thread use polypropylene thread 2/0, and the mesh endoprosthesis is executed mainly from the polypropylene fibers.

EFFECT: effective restoration of inguinal ligament.

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