METHOD OF TREATING CHILDREN WITH INGUINAL HERNIAS BY METHOD OF VIDEO-ASSISTED EXTRAPERITONEAL LIGATION OF HERNIAL SAC NECK Russian patent published in 2012 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to hernioplasty. Needle in form of rod with round section near the base and oval section in distal part with curvature of 30 mm radius in distal third, blunted end and through opening at the distance 3 mm from the end is used. Woven non-absorbable suture material is used. Cut of skin is performed in inguinal area, through which ligature is passed puncturing abdominal wall to parietal leaf, bypassing neck of hernial sac laterally or medially, moving needle under peritoneum to spermatic cord vessels or round ligament. Ligature is introduced into abdominal cavity puncturing peritoneum. End of ligature is removed from needle by means of clap, needle is extracted outside, into its opening auxiliary thread from any suture material is inserted with formation of a loop. Needle is passed under peritoneum again, bypassing neck of hernial sac on the opposite side, brought into abdominal cavity near spermatic cord or round ligament. Free end of main ligature is passed through loop by pulling by ends of auxiliary thread that remained outside in such a way that it is put through needle opening. Needle is removed outside together with main ligature, whose ends are tied, knot is submerged under the skin.

EFFECT: method eliminates injury of spermatic cord or round ligament.