MD3397F1 - Method of combined herniolasty in case of big and giant, pararectal, oblique inferior-inguinal postoperative hernias - Google Patents

Method of combined herniolasty in case of big and giant, pararectal, oblique inferior-inguinal postoperative hernias Download PDF

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Publication number
MD3397F1
MD3397F1 MDA20060306A MD20060306A MD3397F1 MD 3397 F1 MD3397 F1 MD 3397F1 MD A20060306 A MDA20060306 A MD A20060306A MD 20060306 A MD20060306 A MD 20060306A MD 3397 F1 MD3397 F1 MD 3397F1
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MD
Moldova
Prior art keywords
muscle
aponeurosis
oblique
sutured
sheath
Prior art date
Application number
MDA20060306A
Other languages
Romanian (ro)
Other versions
MD3397G2 (en
Inventor
Alexandr Botezatu
Original Assignee
Alexandr Botezatu
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Filing date
Publication date
Application filed by Alexandr Botezatu filed Critical Alexandr Botezatu
Priority to MDA20060306A priority Critical patent/MD3397G2/en
Publication of MD3397F1 publication Critical patent/MD3397F1/en
Publication of MD3397G2 publication Critical patent/MD3397G2/en

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Abstract

Inventia se refera la medicina, in special la chirurgie si poate fi utilizata pentru hernioplastia herniilor postoperatorii inferior-inghinale oblice, pararectale mari si gigante. Metoda revendicata se realizeaza in modul urmator. Se efectueaza douaincizii semiovale oblic-longitudinale cutanate si ale tesutului celuloadipos subcutanat deasupra herniei, se excizeaza un lambou cutanat cu tesutul celuloadipos subcutanat, din care se prepara un transplant autodermic. Se mobilizeaza aponevroza muschiului oblic extern si teaca anterioara a muschiului drept in jurul defectului herniar. Sacul herniar se deschide, se elibereaza de organele interne, la baza se excizeaza, peritoneul se sutureaza.Marginile defectului herniar pararectal se aduc in atingere sub tensiune prin suturi cu fire separate. La distanta de 1,3…2,0 cm de la sutura aplicata anterior se efectueaza o incizie marginata a aponevrozei muschiului oblic extern si foitei anterioare a tecii muschiului drept. Se sutureaza prin suturi cu fire separate marginea mediala a aponevrozei muschiului oblic extern si marginea laterala atecii muschiului drept si se aduc in atingere libera muschiul drept si muschii care s-au intretaiat anterior oblic intern si transvers. Transplantulautodermic se plaseaza oblic-longitudinal deasupra muschilor si se fixeaza din interior prin suturicu fire separate de aponevroza muschiului oblic extern si teaca muschiului drept. Se efectueaza suturarea marginii laterale a aponevrozei muschiului oblic extern si marginii mediale a tecii muschiului drept prin suturi cu fire separate capat-in-capat deasupra transplantului autodermic. Plaga cutanat-subcutanata se dreneaza si se sutureaza.The invention relates to medicine, especially to surgery and can be used for herniaplasty of postoperative oblique, large pararectal and giant hernias. The claimed method is performed as follows. Cutaneous oblique-longitudinal skin lesions and subcutaneous celluloadipose tissue are performed above the hernia, a cutaneous flap is excised with subcutaneous celluloadipose tissue, from which an autodermal transplant is prepared. The aponeurosis of the external oblique muscle and the anterior sheath of the right muscle around the herniated defect are mobilized. The hernia sac is opened, it is released from the internal organs, at the base it is excised, the peritoneum is sutured. The margins of the pararectal hernia defect are affected under tension by sutures with separate threads. At a distance of 1.3 ... 2.0 cm from the previously applied suture, a marginal incision of the aponeurosis of the external oblique muscle and the anterior leaf of the right muscle sheath is made. It is sutured by sutures with separate threads the medial margin of the aponeurosis of the external oblique muscle and the lateral edge of the ataxia of the right muscle and the free muscle is straight and the muscles that have previously been interlaced internally and transversely. Transplantulautodermic is placed oblique-longitudinally above the muscles and is fixed from the inside by suturic threads separated by the aponeurosis of the external oblique muscle and the sheath of the right muscle. The lateral margin of the aponeurosis of the external oblique muscle and the medial margin of the right muscle sheath are sutured by separate sutures end-to-end above the autodermal transplant. Skin-subcutaneous wound is drained and sutured.

MDA20060306A 2006-12-29 2006-12-29 Method of combined herniolasty in case of big and giant, pararectal, oblique inferior-inguinal postoperative hernias MD3397G2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
MDA20060306A MD3397G2 (en) 2006-12-29 2006-12-29 Method of combined herniolasty in case of big and giant, pararectal, oblique inferior-inguinal postoperative hernias

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
MDA20060306A MD3397G2 (en) 2006-12-29 2006-12-29 Method of combined herniolasty in case of big and giant, pararectal, oblique inferior-inguinal postoperative hernias

Publications (2)

Publication Number Publication Date
MD3397F1 true MD3397F1 (en) 2007-09-30
MD3397G2 MD3397G2 (en) 2008-04-30

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Family Applications (1)

Application Number Title Priority Date Filing Date
MDA20060306A MD3397G2 (en) 2006-12-29 2006-12-29 Method of combined herniolasty in case of big and giant, pararectal, oblique inferior-inguinal postoperative hernias

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Family Cites Families (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
MD934C2 (en) * 1994-07-22 1998-12-31 Государственный Медицинский И Фармацевтический Университет "Nicolae Testemitanu" Республики Молдова Method of postoperative ventral hernia treatment
MD1778G2 (en) * 2001-03-30 2002-05-31 Александру БОТЕЗАТУ Method of hernioplasty of the postoperative ventral medial gigantic recidivative herniae
MD1915G2 (en) * 2001-09-12 2002-11-30 Александру БОТЕЗАТУ Method of hernioplasty in association with the postoperative ventral gigantic recidivative hernia and obesity
MD2161G2 (en) * 2002-12-30 2003-11-30 Александру БОТЕЗАТУ Method of hernioplasty in case of median postoperative big and giant recidivation hernia
MD2628G2 (en) * 2004-06-11 2005-11-30 Владимир ЧЕРЕШ Method for autodermoplasty of multirecidivating inguinal hernias
MD2784G2 (en) * 2005-02-23 2006-03-31 Тудор АБАБИЙ Method of treatment of gigantic ventral hernias
MD2810G2 (en) * 2005-02-23 2006-04-30 Тудор АБАБИЙ Method for preoperative preparation of patients with gigantic ventral hermae
MD2900G2 (en) * 2005-05-20 2006-08-31 Алексей ВАСКАН Method of treatment of gigant ventral hernias
MD2898G2 (en) * 2005-05-20 2006-08-31 Алексей ВАСКАН Method of treatment of gigant ventral hernias
MD2971G2 (en) * 2005-08-09 2006-10-31 Владимир ЧЕРЕШ Method of treatment of the gigant ventral herniae and of the pendulous abdomen

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Publication number Publication date
MD3397G2 (en) 2008-04-30

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