METHOD FOR EXTRAPERITONEAL ENDOSCOPIC HERNIOPLASTY Russian patent published in 2017 - IPC A61B17/00 

Abstract RU 2626556 C1

FIELD: medicine.

SUBSTANCE: device is used, including a blade made in the form of a steel tray with a longitudinal section of 1/3 of the diameter of the tube with an internal diameter of 10 mm, length of 180 mm, curvature radius of 200 mm, combined with a light source, a gas pipe and olive, 20 mm long, up to 12 mm wide. The device blade together with the laparoscope inserted into its tray is injected through the hypoumbilical incision to create a cavity into which a 5 mm trocar is inserted along the middle line, 5 cm above the pubic symphysis. The second 5 mm trocar is injected in the middle of the distance between the hypoumbilical incision and the access above the pubic symphysis for the first trocar introduction. A bed is created to accommodate the mesh implant so that it covered the area of inguinal and femoral hernias formation. For patients younger than 50 years, with a body mass index of less than 30, with the largest size of hernial gates less than 3.5 cm , the implant is not fixed. For patients older than 50 years, the lower inner area of the implant is fixed with spirals to the Cooper ligament, the upper inner area of the implant is fixed to the posterior surface of the outer edge of the rectus and pyramidal muscles of the abdomen. For patients with a body mass index of more than 30, with the hernial gate size exceeding 3.5 cm, the outer upper corner of the expanded implant is additionally fixed to the transverse fascia by a spiral directed forward from the back.

EFFECT: method allows to prevent damage to the parietal peritoneum, adjacent vessels and bladder wall, to create sufficient space for the safe installation of trocars, and to determine objective criteria for the need for implant fixation, depending on the local and general premorbid background.

4 cl, 1 dwg, 3 ex

Similar patents RU2626556C1

Title Year Author Number
METHOD FOR PERFORMING PREPERITONEAL GERNIOPLASTY 2005
  • Galljamov Ehduard Abdulkhaevich
  • Lutsevich Oleg Ehmmanuilovich
  • Tolstykh Mikhail Petrovich
  • Presnov Konstantin Sergeevich
  • Sin'Kov Aleksej Aleksandrovich
RU2295930C2
METHOD FOR SETTING IMPLANT IN PERFORMING PREPERITONEAL HERNIOPLASTY 2000
  • Beljaev M.V.
  • Tarasov A.L.
RU2187970C1
METHOD FOR TREATING THE CASES OF INGUINAL HERNIA 2004
  • Tat'Janchenko V.K.
  • Cherkasov M.F.
  • Galin V.A.
  • Andreev E.V.
RU2252717C1
METHOD OF LAPAROSCOPIC PREPERITONEAL HERNIOPLASTY 2017
  • Khatsiev Bekkhan Bayalovich
  • Bajchorov Enver Khuseinovich
  • Uzdenov Nauruz Akhmatovich
  • Dzhanibekova Marina Alievna
  • Geriev Zelemkhan Magometovich
RU2653797C1
SURGICAL METHOD FOR TREATING INGUINAL AND FEMORAL HERNIA CASES OBLIQUE TRANSVERSE INGUINAL PREPERITONEAL MINIAPPROACH 2004
  • Starchenkov Sergej Borisovich
  • Pavlenko Vladimir Vjacheslavovich
  • Podoluzhnyj Valerij Ivanovich
  • Krasnov Oleg Arkad'Evich
  • Kulyshev Vadim Olegovich
RU2313292C2
METHOD FOR MAKING PREPERITONEAL HERNIOPLASTY IN THE CASES OF INGUINAL HERNIA 2000
  • Agadzhanjan V.V.
  • Krylov Ju.M.
  • Tarasov A.L.
RU2160562C1
METHOD OF ENDOSCOPIC PLASTY IN CASE OF INGUINAL HERNIAS 2010
  • Shalashov Sergej Vladimirovich
  • Egorov Ivan Aleksandrovich
  • Mikhajlov Aleksandr Leonidovich
  • Buslaev Oleg Aleksandrovich
RU2432912C1
METHOD OF INSTALLING TROCARS IN PERFORMING ENDOSCOPIC HERNIOPLASTY BY TEH TECHNIQUE 2020
  • Romashchenko Pavel Nikolaevich
  • Fomin Nikolaj Fedorovich
  • Majstrenko Nikolaj Anatolevich
  • Semenov Valerij Vladimirovich
  • Mamoshin Aleksej Aleksandrovich
RU2729181C1
METHOD OF PLASTY IN CASE OF HERNIAS OF ANTERIOR ABDOMINAL WALL 2009
  • Shalashov Sergej Vladimirovich
  • Buslaev Oleg Aleksandrovich
  • Egorov Ivan Aleksandrovich
  • Mikhajlov Aleksandr Leonidovich
RU2407456C1
METHOD OF MESH GRAFT FIXATION IN LAPAROSCOPIC INGUINAL HERNIA HERNIOPLASTY 2023
  • Voskolupov Aleksandr Valerevich
  • Groshilin Vitalij Sergeevich
  • Isaev Pavel Yurevich
  • Bardakhchyan Vladislav Eduardovich
  • Kuznetsov Vladimir Dmitrievich
RU2814607C1

RU 2 626 556 C1

Authors

Shestakov Aleksej Mikhajlovich

Degtyarev Oleg Leonidovich

Dates

2017-07-28Published

2016-05-05Filed