FIELD: medicine.
SUBSTANCE: invention relates to medicine, namely to hernioplasty. Mesh endoprosthesis with width equal two sizes of inguinal space is applied. Cut and hole for spermatic cord on mesh endoprosthesis is formed indenting from lower edge of mesh by 1/2 size of inguinal space. Transverse fascia is dissected more medially than Poupart's ligament on 4 cm in L-shaped way with respect to internal ring of inguinal canal. Leaves of transverse fascia are separated from pre-peritoneal cellular tissue. Prepared in size polypropylene mesh is fixed in its middle to upper leaf of transverse fascia along entire length with interrupted sutures. Spermatic cord is wrapped into lower leaf of transverse fascia. Lower leaf of transverse fascia is fixed to Poupart's ligament at the distance 0.5-1 cm from its free edge with interrupted sutures. Lower edge of mesh is brought under wrapped in fascia spermatic cord and fixed to Poupart's ligament with interrupted sutures, threads being passed from inside outside with capture of remaining after spermatic cord covering free edge of transverse fascia, fixation of aponeurosis of external oblique abdominal muscle to Poupart's ligament is performed with interrupted sutures before spermatic cord.
EFFECT: claimed is method of nonstrain plasty in case of inguinal hernia.
2 ex, 4 dwg
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Authors
Dates
2012-09-10—Published
2011-04-04—Filed