METHOD OF PLASTICS OF INGUINAL CANAL IN CASE OF INGUINAL HERNIA Russian patent published in 2016 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to a surgery and hernia repair. Perform the skin incision parallel to and above the inguinal crease of 1.5 cm. To dissect the subcutaneous fascia, the aponeurosis of the external oblique abdominal muscles and external inguinal ring, isolated from the surrounding tissue hernia sac. Spend handling hernia sac, reposition it in the abdominal cavity of a translation of the spermatic cord downward and outward, internal and lateral dissection of the abdominal muscles from the internal inguinal ring laterally up to 0.5 cm, while the applied vertical U-shaped sutures nonabsorbable thread departing from territory dissecting the aponeurosis of the external oblique abdominal muscles 1-1.5 cm medially trapped in the seam of the top flap of the aponeurosis of the external oblique abdominal muscles. Then grab a seam in the external and internal obliques with the capture of the transverse abdominal muscles and the transverse fascia, back to the top flap of the aponeurosis of the external oblique muscles of the abdomen, above the fabric stitching in the reverse order, departing 0.3-0.5 cm from the edge of the outer fascia dissection oblique abdominal muscles. Impose the same thread of the horizontal U-shaped seam at the inguinal ligament, returned to the top flap of the aponeurosis of the external oblique abdominal muscles, stitching inguinal ligament in the opposite direction. Tighten the joints from the proximal part of the inguinal period, single interrupted sutures fixed to the upper flap of the aponeurosis of the external oblique abdominal muscles bottom flap of the aponeurosis of the external oblique abdominal muscles, cross-notched section up to 0.5 cm from the internal inguinal ring spermatic cord. Educated inguinal canal extends from the inside outwards and back to front, spermatic cord medially moved up, put the spermatic cord in the aponeurosis of the external oblique abdominal muscles are sutured over the spermatic cord subcutaneous fascia and skin.

EFFECT: way to reduce the time of surgery to 30 minutes, ensures a strong connection of homogeneous tissues and secure fit them to the inguinal ligament, promotes faster scar formation, reduction in the number of complications and relapses, allows early mobilization of patients, from the first day, significantly reduced pain in the postoperative period, in a shorter time to improve the quality of life of patients.

1 cl, 3 dwg, 2 ex