METHOD FOR ENDOSCOPIC INGUINAL HERNIA REPAIR Russian patent published in 2014 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: method involves placing three trocars of the required diameter into an abdominal cavity and bringing the required instruments therethrough. A peritoneum is dissected archwise above the lateral and medial inguinal fossas, and separated from the underlying tissues downwards. An inguinal sac is prepared; a peritoneal portion is left unseparated above iliac vessels, a deferent duct, a testicular artery and a vein. A non-cut mesh prosthesis with an anti-adhesion layer is directed towards the abdominal cavity and placed in the formed bed and fixed to the underlying tissues. The peritoneum is left unrepaired above the mesh prosthesis with the anti-adhesion layer. The oblique inguinal hernia requires preparing the inguinal sac which consists in dissecting it and separating from the underlying tissues longitudinally from a neck along the full length of the deferent duct region. The mesh prosthesis with the anti-adhesion layer is additionally fixed with 2-3 clips with the use of a clipping instrument to the peritoneum to be pulled within the iliac vessels, deferent duct, testicular arteries and the vein, or fixed with the use of fibrin glue.

EFFECT: method reduces injuries of the deferent duct and testicular arteries.

3 cl, 1 ex, 5 dwg