FIELD: medicine.
SUBSTANCE: method for inguinal hernia elimination includes front operative access and plasty of the posterior wall of the inguinal canal with fixation of the lateral flap of the external oblique abdominal muscle aponeurosis under the spermatic cord to the lower edges of the internal oblique and transverse muscles after placement of a polypropylene mesh larger than the inguinal space, under it, within the inguinal space. The anterior wall of the inguinal canal is restored by fixing the medial flap of the outer oblique abdominal muscle aponeurosis over the spermatic cord to the anterior surface of the lateral flap of the external oblique abdominal muscle aponeurosis. At that, the upper edge of the polypropylene mesh is continuously grasped in a continuous suture to fix the lateral flap of the external oblique abdominal muscle aponeurosis to the lower edges of the inner oblique and transverse abdominal muscles. The lower edge of the mesh in the lateral part is sealed by a single suture to the inguinal ligament at the inner edge of the deep inguinal ring. The polypropylene mesh has dimensions not less than 6 cm x 4 cm.
EFFECT: method prevents dislocation of the reticular prosthesis in the postoperative period.
1 ex, 6 dwg
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Authors
Dates
2017-09-07—Published
2016-07-08—Filed