RU2011125977A - METHOD FOR TREATING PATIENTS WITH GIANT INGUINAL AND HYPOSTRAL HERNIA - Google Patents
METHOD FOR TREATING PATIENTS WITH GIANT INGUINAL AND HYPOSTRAL HERNIA Download PDFInfo
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- RU2011125977A RU2011125977A RU2011125977/14A RU2011125977A RU2011125977A RU 2011125977 A RU2011125977 A RU 2011125977A RU 2011125977/14 A RU2011125977/14 A RU 2011125977/14A RU 2011125977 A RU2011125977 A RU 2011125977A RU 2011125977 A RU2011125977 A RU 2011125977A
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- abdominal
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- hernial
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Abstract
1. Способ лечения больных с гигантскими паховыми и гипогастральными грыжами, заключающийся в увеличении объема брюшной полости путем отсечения мышц живота с обеих его сторон, закрытие образовавшихся боковых дефектов при помощи трансплантатов, грыжесечение и вправление содержимого грыжевого мешка с ушиванием грыжевых ворот, отличающийся тем, что лечение проводят двумя этапами, сначала осуществляют увеличение объема брюшной полости, необходимое для исключения повышения внутрибрюшного давления, путем отсечения наружных косых мышц живота с обеих сторон в проекции части спигелевой линии от реберных дуг до условно проведенной линии через остистые отростки, затем отсеченные мышцы смещают латерально, после чего в паховой или гипогастральной областях выполняют грыжесечение и вправляют содержимое грыжевого мешка в брюшную полость с последующим ушиванием грыжевых ворот.2. Способ по п.1, отличающийся тем, что величина отсечения наружных косых мышц живота по спигелевой линии и латеральное смещение отсеченных мышц живота осуществляют адекватно объему содержимого грыжевого мешка.3. Способ по п.1, отличающийся тем, что вправление содержимого грыжевого мешка осуществляют до внутрибрюшного давления, не превышающего 25 см водного столба.1. A method of treating patients with giant inguinal and hypogastric hernias, which consists in increasing the volume of the abdominal cavity by cutting off the abdominal muscles on both sides, closing the resulting lateral defects with transplants, herniation and reduction of the contents of the hernial sac with suturing of the hernial collar, characterized in that the treatment is carried out in two stages, first, an increase in the volume of the abdominal cavity is necessary to eliminate the increase in intra-abdominal pressure by cutting off the external oblique muscles and on both sides in the projection of the part of the spigel line from the costal arches to the conditionally drawn line through the spinous processes, then the cut off muscles are laterally displaced, after which hernia is performed in the inguinal or hypogastric regions and the contents of the hernial sac are inserted into the abdominal cavity, followed by suturing of the hernial collar. 2 . The method according to claim 1, characterized in that the cut-off value of the external oblique muscles of the abdomen along the Spigel line and the lateral displacement of the cut off abdominal muscles is carried out adequately to the volume of the contents of the hernial sac. The method according to claim 1, characterized in that the reduction of the contents of the hernial sac is carried out to an intra-abdominal pressure not exceeding 25 cm of water.
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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RU2011125977/14A RU2483682C2 (en) | 2011-06-23 | 2011-06-23 | Method of treating patients with gigantic inguinal and hypogastric hernias |
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RU2011125977/14A RU2483682C2 (en) | 2011-06-23 | 2011-06-23 | Method of treating patients with gigantic inguinal and hypogastric hernias |
Publications (2)
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RU2011125977A true RU2011125977A (en) | 2013-02-10 |
RU2483682C2 RU2483682C2 (en) | 2013-06-10 |
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RU2011125977/14A RU2483682C2 (en) | 2011-06-23 | 2011-06-23 | Method of treating patients with gigantic inguinal and hypogastric hernias |
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RU (1) | RU2483682C2 (en) |
Families Citing this family (1)
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EA023684B1 (en) * | 2013-08-01 | 2016-06-30 | Азербайджанский Медицинский Университет | Method of combined plastic of greater and giant postoperative anterior abdominal wall hernia |
Family Cites Families (1)
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RU2398526C1 (en) * | 2009-05-25 | 2010-09-10 | Государственное образовательное учреждение высшего профессионального образования "Пензенский государственный университет" (ПГУ) | Method of combined hernioventroplasty of median ventral hernias |
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MM4A | The patent is invalid due to non-payment of fees |
Effective date: 20140624 |