METHOD OF SURGICAL TREATMENT OF DIRECT OR OBLIQUE INGUINAL HERNIA Russian patent published in 2024 - IPC A61B17/00 A61F2/02 

FIELD: medicine, surgery and herniology.

SUBSTANCE: layer-by-layer opening of the inguinal canal, formation of the upper and lower flaps of the aponeurosis of the external oblique abdominal muscle, isolation of the spermatic cord and hernial sac, performing tension-free plastic surgery of the posterior wall of the inguinal canal with a polypropylene mesh, suturing of the upper and lower flaps of the aponeurosis of the external oblique abdominal muscle and layer-by-layer suturing of the wound are carried out. After the formation of the upper and lower aponeurosis flaps, Thompson’s superficial fascia – PFT – is peeled off from the underlying fatty tissue. Then two rectangular grafts are formed on a feeding pedicle, for which, stepping back from the upper edge of the wound 2 cm medial and lateral to the incision line of the inguinal canal, towards the lower edge of the wound, two parallel incisions 6 cm long are made. Next, the PFT is cut from the lower edges of the additional incisions up to the line of opening the inguinal canal. The spermatic cord is isolated, the hernial sac is isolated and immersed in the abdominal cavity, the transverse fascia is sutured and plastic surgery of the posterior wall of the inguinal canal is performed with a polypropylene mesh under the spermatic cord. Rectangular grafts are passed between the spermatic cord and a polypropylene mesh, stitched together and fixed to the mesh with separate interrupted sutures with a non-absorbable thread, after which the upper and lower flaps of the aponeurosis of the external oblique abdominal muscle are sutured and the wound is sutured layer-by-layer.

EFFECT: possibility to practically eliminate reproductive dysfunction in patients in the postoperative period.

1 cl, 2 ex