METHOD OF PLASTY IN CASE OF UMBILICAL HERNIAS Russian patent published in 2014 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to field of medicine, namely to herniology. Method includes access to hernia sac through umbilicus, isolation and processing of the latter, exposure and plasty of hernia defect with creation of aponeurosis duplication, and layer-by-layer suturing tissues. The peculiarity lies in the following: after exposure of hernia defect, scar tissue attached on circumference to umbilical ring on is not dissected from it, and plasty of hernia defect is carried out by creation of aponeurosis duplication, with application of "П"-shaped polypropylene sutures on its edges with simultaneous sewing scar tissue, attached on circumference to umbilical ring, as close as possible to skin. After tying up "П"-shaped polypropylene sutures and formation of aponeurosis duplication ends of each thread are sewn in opposite direction through external flap of created duplication near tied up knot of said thread and tied up between flaps of created duplication. Skin sutures are applied with gripping scar tissue, attached on circumference to umbilical ring.

EFFECT: method increases plasty reliability and reduces risk of development of seromas and suppurations in the zone of operation.

5 cl, 1 ex, 2 dwg