RU2012140874A - METHOD OF ENDOSCOPIC PLASTIC AT INGUINAL HERNIA - Google Patents
METHOD OF ENDOSCOPIC PLASTIC AT INGUINAL HERNIA Download PDFInfo
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- RU2012140874A RU2012140874A RU2012140874/14A RU2012140874A RU2012140874A RU 2012140874 A RU2012140874 A RU 2012140874A RU 2012140874/14 A RU2012140874/14 A RU 2012140874/14A RU 2012140874 A RU2012140874 A RU 2012140874A RU 2012140874 A RU2012140874 A RU 2012140874A
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- RU
- Russia
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- peritoneum
- vas deferens
- underlying tissues
- mesh prosthesis
- area
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Abstract
1. Способ эндоскопической пластики при паховых грыжах, включающий установку трех троакаров необходимого диаметра в брюшную полость, проведение через них требуемых инструментов, дугообразное рассечение брюшины над латеральной и медиальной паховыми ямками, отделение ее от подлежащих тканей вниз с обработкой грыжевого мешка, оставлением участка брюшины над подвздошными сосудами, семявыносящим протоком, яичковыми артерией и веной, не отделенным от подлежащих тканей, расположение в сформированном ложе и фиксацию к подлежащим тканям нераскроенного сетчатого протеза с противоспаечным слоем, который ориентируют по направлению к брюшной полости, отличающийся тем, что восстановления брюшины над сетчатым протезом с противоспаечным слоем не выполняют вообще, а при косых паховых грыжах обработка грыжевого мешка заключается в его рассечении и отделении от подлежащих тканей продольно от «шейки» на всем протяжении вне зоны расположения семявыносящего протока.2. Способ по п.1, отличающийся тем, что сетчатый протез с противоспаечным слоем дополнительно фиксируют 2-3 клипсами при помощи клипатора к брюшине, подтягивая ее, в зоне расположения подвздошных сосудов, семявыносящего протока, яичковых артерии и вены.3. Способ по п.1, отличающийся тем, что сетчатый протез с противоспаечным слоем дополнительно фиксируют при помощи фибринового клея к брюшине в зоне расположения подвздошных сосудов, семявыносящего протока, яичковых артерии и вены.1. The method of endoscopic plastic surgery for inguinal hernias, including the installation of three trocars of the required diameter in the abdominal cavity, conducting the required instruments through them, arched dissection of the peritoneum over the lateral and medial inguinal fossae, its separation from the underlying tissues downward with the treatment of the hernial sac, leaving a portion of the peritoneum over iliac vessels, vas deferens, testicular artery and vein, not separated from the underlying tissues, location in the formed bed and fixation to the underlying tissues swollen mesh prosthesis with an adhesion layer, which is oriented towards the abdominal cavity, characterized in that the restoration of the peritoneum over the mesh prosthesis with an adhesion layer is not performed at all, and with oblique inguinal hernias, the treatment of the hernial sac consists in its dissection and separation from the underlying tissues longitudinally from “Necks” along the entire length outside the area of the vas deferens. 2. The method according to claim 1, characterized in that the mesh prosthesis with an adhesive layer is additionally fixed with 2-3 clips using a clipper to the peritoneum, pulling it in the area of the iliac vessels, vas deferens, testicular arteries and veins. The method according to claim 1, characterized in that the mesh prosthesis with an anti-adhesion layer is additionally fixed with fibrin glue to the peritoneum in the area of the iliac vessels, vas deferens, testicular arteries and veins.
Claims (3)
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
RU2012140874/14A RU2519369C2 (en) | 2012-09-24 | 2012-09-24 | Method for endoscopic inguinal hernia repair |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
RU2012140874/14A RU2519369C2 (en) | 2012-09-24 | 2012-09-24 | Method for endoscopic inguinal hernia repair |
Publications (2)
Publication Number | Publication Date |
---|---|
RU2012140874A true RU2012140874A (en) | 2014-03-27 |
RU2519369C2 RU2519369C2 (en) | 2014-06-10 |
Family
ID=50342895
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
RU2012140874/14A RU2519369C2 (en) | 2012-09-24 | 2012-09-24 | Method for endoscopic inguinal hernia repair |
Country Status (1)
Country | Link |
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RU (1) | RU2519369C2 (en) |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2580974C1 (en) * | 2015-03-31 | 2016-04-10 | Алексей Алексеевич Хохлов | Method minimally invasive hernia repair laparoscopic inguinal with trashernial fixing selectively adhesiveness allograft |
Family Cites Families (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
RU2314048C1 (en) * | 2006-03-29 | 2008-01-10 | Негосударственное учреждение здравоохранения "Дорожная клиническая больница на станции Иркутск-Пассажирский открытого акционерного общества "Российские железные дороги" (НУЗ ДКБ на ст. Иркутск-Пассажирский ОАО "РЖД") | Method for treating hernial sac in case of oblique inguinal hernias |
RU2407456C1 (en) * | 2009-07-09 | 2010-12-27 | Сергей Владимирович Шалашов | Method of plasty in case of hernias of anterior abdominal wall |
RU2432912C1 (en) * | 2010-04-06 | 2011-11-10 | Сергей Владимирович Шалашов | Method of endoscopic plasty in case of inguinal hernias |
RU2452402C1 (en) * | 2011-02-24 | 2012-06-10 | Роман Олегович Игнатьев | Method of treating children with inguinal hernias by method of video-assisted extraperitoneal ligation of hernial sac neck |
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2012
- 2012-09-24 RU RU2012140874/14A patent/RU2519369C2/en not_active IP Right Cessation
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Publication number | Publication date |
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RU2519369C2 (en) | 2014-06-10 |
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Effective date: 20140925 |