SU1251882A1 - Method of treatment of inguinal hernia - Google Patents

Description

11.) r1mch ISh ognos s with medicine, precisely for brn) 1i () 11 surgeries, and M (1z pygy ||) and meshb and | 1i) klzsechepinh.

lU .MiiK) and 1 () D) () nn.1 e1c iipe; ivn ie K-iiii 1) e, 1 (well 111M1iy ui more: 11;) () fi, 1ak1 11ki; iT | U) - |}) of muscles and with () X |); || 1st, h11; pom1) -physio, 1 () 1 Chssky eodTHoiiUMinii and 1; 14 () Noah () L) l; 1STI.

Tse: 1 d'Agtsi than what, to the bottom fiy- G () ppiod of g .. n; 1chal. 1 K), 1o / kenI1 2 ii yi-: i () iKiTi, ix 1PIOI on his ear / kiliiiii.n bundles of viii-peiiHeii Kocoi t and K), 1rechnally11 abdominal muscles and) ein 1K, and garyaly1ch V11ut) enne1 About the iiaximoio channel i channel, followed by action m 1L X () processing “) a11II in media. ilu; i () He inguinal nromezhugka.

(lueob ((.l 1legi. 1 ice) 11i1M ot) iatOM.

Podgra glioimoii aiier 1 echirii pae 4 Kiiioi, I jioiiS K) a, 1sl chagka parallel). drug i ovoi 1L (I iKe ra length, (- 1H (a 12 14 em, i 1o same, i) bovag () mu (ondu, iedenn (1M in the inguinal canal, rayeekan) anonch))) m of the outer Kocoii mjlpm, and 1L o,: 1out 1 1 take lia h-1 we Kocher (lumenno 11 take the cord on the holding,: ku Tu1n () (rum ova from fatty n), 1st, 1st, 1st I-oG) |) Achovani11 nahov k) evchku and 1.lkhozhi, 1n1.1e bundles of Biiyi - piTiHeii Kot oit and transverse m1) Mpz of the abdomen. Na X11ZHI, P) PY (nukki, ko1Or1.1My injected kopai and nightless M1 1P1TSY living on the beginning of the neptvinni Bepxneii podv (Doshnoy | c; and, pack, la I 2 L 1L (.I1a iTiix the seam is required by | 1I) oKs1, P) 1va1 CHN g walkers, ph ch chkov in i (poH i a. ts. p, h) ek (and above all n |) e :(, la 1ra, 1YG. Lo rpeib inguinal 1 in yarn stitches for, –C Dova PM in M1. Dia, 1st Chapra, 11CH1II, (.th, 1nnenoye |, ukhozhi, 1st vnu | - r1chikch Koi oii and Poche | 1chpopo 11 Mppts stomach eschvak) : :) wa ri.iMH pp, g inguinal eV (KOI pad, ill pi chy, IOIIHOIO tubercle, li ef, uka ;, chpp1 ii oiiepaTnBnijix tricks mon 1and | aK:;; pm. dep. mihpe: about edge, -1 p1) o tui .l; h 1111en Koroii p pop 10, p. ko; a eche | 1, l khozhi, pikkh kak: a11NP1 mipp in xu C ie them, 1a, and in Meeie i i L1chk nchg1enn Thus, “) goh 1an 1 -KJ , i my function MY1NCH, (eMtniHoii kapa GPC n | I1 is not unpredictable, iori4S | io, maruppo Koeoii live pnvakp h cpdg oak, IKi1ry ry under (, imein (, 1m of Ipod, Oak, IKi1y ry under (, imein (, 1m of Ipod, Oak) overhead: || K1 fennu skin,

// p // 1 (yy bo, and, Noah, 7 (1, iei, nio (up, K, 1 - 1P1, Iaio,: h :), 1ma) 1 inguinal | ryzha, B HHvie I ISl i iipiHieuMia opg rapi: i p1,1zhe

Gogularsgvsnio (1 kimii-g;, (, G.R., U-: i; M) geni and and |) 1kr) 1gy, 4iu KHa, ZhH,), 1 1 ||| gkai iab,: i -tiT III I: g11-it, IV / Koipn ,, v, i I p (ii K ni; iH, 4

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Edema, 1 () diminutive air,) using 1/4% log () of novocaine solution, racre ") 1 12 cm long and 2.5 cm above the inguinal ligament and jailed. Kmyk) to her pos.uyuno otkryggy subcutaneous zhiron to,: 1mithsian, vein |) fascia fascia. The aponeurosis of the external braid () of the m (1shts of the abdomen) is assisted but, x () is used in the same, one way, using the same cannula: i) nda, vgavav-, it4iiioro into the external opening of the roller hood, 1a Nyde.chen and on the holder of the spermatic cord, D) The sarcophagous medialis is located medially from the spermatic cord, separated by tuna or 11ri; 1th of their tissues and opened, around the cervical meyurum from the inside with a suture, since the wall of the urine is broken () 1 () bubble. The stitching suture is in place, the hernial sac is excised. The inguinal gap is high, and - to that there is a halo (three 1NVs on the tendons, 1p.1e bundles of the inner Kocoii and the lateral myintz in their campus, 1e and (|) 111 (1) to the na A bond, (l) a single tendon of ati, x11PT fixed by four interrupted sutures to, 1 side wedge ()) and pa, khovaya link behind the seed canal. The inguinal groove is eliminated without excessive nanorodule 1414 and tension of the tissues. The flaps of the apo-jevro (and the external oblique myins of the abdomen are piites under the spermatic cord in the form of oak-, 1kagury, (l meinoy canal raeno.1 (,) wives in the middle of the seams of the aponeurosis. Pove rhnostnaya (1asci nikola nover, x semei1N} G () cord. Stitches on the skin, Contro, ibHbiii osmog |) 15 but br IL4 years; Ms. 1 no,) alone, works and

The proposed method is: (|;) (|) ektinen as a case study 11) and in the presence of various foundations and dwellers with a horn, channel,

 Capturing in the nodal seams of the eujoji. Beams in the Mecie of the beginning of the inner co- orif and the new) abdominal mye of the abdomen from the middle of the upper node | ), The lumen of the inguinal and lateral of the inguinal ligament, and also, the insertion of stitches in the media section, 1e nax (JBO area, 1R) t lowers) m1P1echnical brk) P1ko at high the inguinal gap without t) avmatizacip mmiepchik B (), 1 window, which is important: ne- P1PM (|) nzio, the topical principle preserves the Hrfinii K.iaiiiiiHoro mechasta as in the internal hficio zone, 11, ca HaxoBoio Kana.ia, as well as on the ground, 1n n) from w1H) and the nahovyy gap, h y predpravrashaeee I vozm (1Zh) awa relapse,

(, N komechdovaya d, tsrak 1 aical n; n1M1CHkchII,

Claims (1)

METHOD OF TREATMENT OF INGUINAL HERNIA, including performing an incision parallel to the inguinal fold and suturing the medial tendon fibers of the internal oblique and transverse abdominal muscles to the inguinal ligament, characterized in that. what. in order to prevent complications due to the prevention of muscle atrophy and preservation of the anatomical and physiological relationships in the basal region, lateral tendon fibers of the internal oblique and transverse abdominal muscles are exposed during the incision, and lateral fibers with an area of inguinal lubrication lateral than t of the inguinal canal. cl