METHOD OF COMPLETE EXTRAPERITONEAL ENDOSCOPICALLY ASSISTED LIGATION OF HERNIAL SAC IN INGUINAL HERNIA IN CHILDREN Russian patent published in 2019 - IPC A61B17/94 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, namely to surgery. Performing general anesthesia with tracheal cannulation and neuraxial block. Laparaport with an optical system is installed, a non-traumatic clamp is used and an internal inguinal ring is inspected and its structures are identified. Tuohy needle is inserted percutaneously in the projection of the outer edge of the internal inguinal ring under visual control until appearing in the preperitoneal space. End of the needle is moved under the parietal peritoneal leaf to bypass the elements of the spermatic cord or round ligament of the uterus with subsequent needle pricking into the free abdominal cavity. Two ligatures of different colour, one of which is hernial, and captured by a non-traumatic clamp, followed by drawing from the lumen of needle by 5–7 cm. Needle is removed so that its end is in the pre-peritoneal space at the point of initial prick-in. Repeated movement of the needle is performed extraperitoneally until the upper semi-circle of the hernial sac. Then, the needle is pricked out into the free abdominal cavity at the point where the hernia ligature was previously extracted. Herin ligature end is inserted into the loop by means of a non-traumatic ligature and its extraction is performed so that two ends of the hernial ligature come out through one hole on the skin. Nodal suture is applied until it appears in the preperitoneal space under optical control.

EFFECT: method enables reducing traumatism of treatment, improving surgical repair of inguinal hernias in children and reducing the rate of postoperative complications.

1 cl, 7 dwg