METHOD OF LAPAROSCOPIC PREPERITONEAL HERNIOPLASTY Russian patent published in 2018 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to laparoscopic preperitoneal plasty of inguinal hernias. Enter the preperitoneal space by incision the skin in the infraumbilical region along the median line. Laparoscope is placed into an optical trocar and under visual control are introduced by rotational movements into the preperitoneal space of the inguinal region. Create a primary cavity in the preperitoneal space in the projection of the medial and lateral inguinal fossas. Peritoneum is removed, additional ports are installed according to the following scheme: the distance between the navel and the symphysis is divided into three parts and trocars are placed on the borders of the thirds. Allocate a hernial sac, dissect the inguinal ligament, the arch of the inner oblique and transverse abdominal muscles, the lower epigastric vessels, Kupffer ligament. Allocate a hernial gate, reduce a hernial sac. Through the optical trocar, a non-absorbable polypropylene mesh prosthesis with a size of at least 10×15 cm is introduced and installed in the preperitoneal space with overlapping of the defect.

EFFECT: method prevents complications during the surgery and in the postoperative period.

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