FIELD: medicine.
SUBSTANCE: invention refers to medicine, namely pediatric surgery. Tuohy needle, inside and outside of which the suture forming the loop, is punctured in the anterior abdominal wall tissues in the projection of the internal inguinal ring up to the hernial sac neck, bypassing the lateral semi-circle of the hernial sac necklace bypassing the elements of the spermatic cord or round ligament of the uterus, the needle is pricked out into the abdominal cavity and a thread loop is inserted into it. Conductor is inserted into needle lumen, and needle is removed. Tuohy needle is guided along the guide to the upper edge of the hernial sac neck; the guide is removed; the Tuohy needle circumvents the medial semi-circle of the hernial sac neck; the needle is pricked out into the abdominal cavity at the same point. Needle Tuohy is threaded. Through the Tuohy needle lumen, an end of the non-absorbable suture is drawn inside the loop; the needle is removed. End of the non-absorbable suture around the lateral semi-circumference of the hernial sac neck is brought out with the help of the loop and brought out. Hernial sac neck is ligatured. In implementing the disclosed method, the ligature does not include preperitoneal cellulose, aponeurosis and subcutaneous fat, which eliminates recurrent hernia and developing hydrocele.
EFFECT: method does not require mandatory installation of an additional laparoport and is technically simpler, eliminated risk of Tuohy needle exit from formed puncture of anterior abdominal wall outside in asthenic children, eliminated displacement of anatomical landmarks during surgery, virtually eliminates recurrent hernia and development of hydrocele.
1 cl, 12 dwg
